Psychometric Properties of the Parent Versions of the Japanese Versions of the Strength and Difficulties Questionnaire: A study on Health Checkups for 5-Year-Old Children in Japan

Psychometric Properties of the Parent Versions of the Japanese Versions of the Strength and Difficulties Questionnaire: A study on Health Checkups for 5-Year-Old Children in Japan
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DOI:
10.1192/j.eurpsy.2023.475
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发表时间:
2023-07-19
影响因子:
7.8
通讯作者:
Nomura, K.
Nomura, K.
中科院分区:
医学2区
文献类型:
--
作者:
Yokoyama, K.;Nomura, K.

文献摘要

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在日本,5岁儿童健康检查的有效性引起了人们的注意,因为它是早期发现和支持发育障碍儿童的支助系统的基础。然而,这些尚未成为法定的健康检查,其评估也没有标准化。本研究采用力量与困难问卷(SDQ)对一名5岁儿童的健康状况进行了调查。本研究的目的是展示SDQ的得分分布,并获得SDQ的标准土地和分界值。从2010年到2012年,日本爱知县甘尼町5岁的儿童接受了健康检查。在获得父母同意的888名儿童中,884名回答没有遗漏值(453名男孩:51.2%,430名女孩:48.6%)纳入分析。5岁儿童的SDQ和医学问卷被发送给父母,并正式请求批准孩子参与研究。此外,父母被要求回答问卷。名古屋大学教育与发展科学研究生院伦理委员会批准了这项研究(第298号)。采用最大似然法进行验证性因素分析,结果显示其因素结构与Goodman的基本相同(JCPP 1997;38 581-586)。尽管如此,项目3、10、11、13、14和22显示了与原始版本不同的因素的高负荷。与原始版本类似,我们设置了我们的标准,以使部分需求和高需求分别约为10%。此外,我们计算了归入这些类别的儿童的百分比,发现归入需要类别的分数与先前研究中的分数不同(表1)。图像:尽管SDQ的五因素结构被普遍接受,如先前的研究所指出的(Matsuishi et al.Brain Dev 2008;30 410-415:Iida et al.2014;33-41),英语和日语表达的差异以及文化差异可能影响了结果。因此,在解读结果时有必要谨慎。此外,需求分类的差异表明,在5岁儿童的健康检查中,难度水平往往略低,男孩可能更有可能认识到“多动/注意力不集中”的问题。根据这些结果,有必要考虑在5岁儿童健康体检中使用SDQ的更有效的方式,如结合体检时儿童的实际情况评估SDQ分数。没有申报
In Japan, the effectiveness of health checkups for children aged 5 years has attracted attention as the basis for a support system for early detection and support of children with developmental disabilities. However, these have not yet become statutory health checkups, and their assessment has not been standardized. This study employed the Strength and Difficulties Questionnaire (SDQ) in examining the health of a 5-year-old child. This study aims to demonstrate the scores’ distribution and obtain the standard land and cutoff values of the SDQ. From 2010 to 2012, children reaching 5 years of age in Kanie-cho, Aichi Prefecture, Japan, underwent a health checkup. Of the 888 children for whom parental consent was obtained, 884 responses without missing values (453 boys: 51.2%, 430 girls: 48.6%) were included in the analysis. SDQ and medical questionnaires for 5-year-old children were sent to the parents with a formal request for approval for the child to participate in the study. Further, the parents were asked to respond to the questionnaire. The Ethics Committee of the Graduate School of Education and Developmental Sciences, Nagoya University approved this study (No.298). A confirmatory factor analysis using the maximum likelihood method revealed a factor structure almost identical to that of Goodman (JCPP 1997; 38 581-586). Nonetheless, items 3, 10, 11, 13, 14, and 22 showed high loadings on factors different from those in the original version. Similar to the original version, we set our criteria so that Some and High Needs would be approximately 10% each. Furthermore, we calculated the percentage of children who fell into these categories and found that the scores that fell into the Need category differed from those in the previous study(Table 1). Image: Although the five-factor structure of the SDQ was generally accepted, as pointed out in previous studies (Matsuishi et al. Brain Dev 2008;30 410-415 : Iida et al. 2014; 33-41), differences in expression between English and Japanese and cultural differences may have influenced the results. Therefore, it is necessary to be careful in interpreting the results. Additionally, the differences in the Need classification indicated that the difficulty level tends to be slightly lower in the 5-year-old children’s health checkups and that boys may be more likely to recognize the “Hyperactivity/inattention” problem. Based on these results, it is necessary to consider more effective ways of using the SDQ in 5-year-old children’s health checkups, such as evaluating the SDQ scores in combination with the actual condition of the children at the time of the checkup. None Declared