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Valik A, Lunde C, Skoog T, Gattario KH. Peer sexual harassment among 10-year-olds: Roles, genders, classroom occurrence, and associations with emotional problems. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2024; 34:584-598. [PMID: 38345105 DOI: 10.1111/jora.12921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Revised: 01/23/2024] [Accepted: 01/25/2024] [Indexed: 07/09/2024]
Abstract
This is the first study examining peer sexual harassment among 10-year-olds (N = 985), studying how being a victim, perpetrator, or witness relates to emotional problems, and how these associations are moderated by gender and class occurrence of sexual harassment. Results showed that 45% of the participants reported victimization, 17% perpetration, and 60% witnessing sexual harassment, with vast overlaps between roles. Victimization and witnessing were related to more emotional problems. Victimized girls reported more emotional problems than boys, but girls who perpetrated reported fewer emotional problems than boys. Associations between peer sexual harassment and emotional problems varied across classrooms. Our findings highlight the occurrence of peer sexual harassment in younger ages, emphasizing an ecological perspective when addressing it in school.
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Affiliation(s)
- Andrea Valik
- Department of Psychology, University of Gothenburg, Gothenburg, Sweden
| | - Carolina Lunde
- Department of Psychology, University of Gothenburg, Gothenburg, Sweden
| | - Therése Skoog
- Department of Psychology, University of Gothenburg, Gothenburg, Sweden
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Bezborodovs Ņ, Krēgers R, Vētra L, Rancāns E, Villeruša A. Psychometric properties and normative data of the Latvian and Russian language versions of the strengths and difficulties questionnaire (SDQ) in the Latvian general adolescent population. Nord J Psychiatry 2024; 78:301-311. [PMID: 38421351 DOI: 10.1080/08039488.2024.2319662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 01/24/2024] [Indexed: 03/02/2024]
Abstract
OBJECTIVES Mental health screening instruments are essential in population health research and clinical practice. The strengths and difficulties questionnaire (SDQ) self-report version has been widely used across the globe to screen for mental health problems in adolescent populations. This study aimed to explore the psychometric properties of the Latvian and Russian language versions of the SDQ in a representative sample of a general population of Latvian adolescents and establish the population-based normative scores. MATERIALS AND METHODS This analysis was based on data from the international Health Behaviour in School-aged Children study year 2017/2018 Latvian database. The sample comprised 2683 Latvian and 1321 Russian-speaking 11-, 13-, and 15-year-old adolescents. RESULTS Significant language-based variance was observed in the mean scores of the externalising subscales of the SDQ, with Latvian-speaking adolescents reporting higher levels of conduct problems and hyperactivity. The reliability was satisfactory (ordinal alpha >0.7) only for the prosocial behaviour, emotional, internalising problems, and total difficulties subscales, while conduct, hyperactivity, peer, and externalising problems scales demonstrated lower internal consistency (ordinal alpha 0.5-0.7). Confirmatory factor analysis (CFA) did not support the hypothesised narrow-band five-factor or broad-band three-factor structure of the SDQ. The normative banding scores were calculated for both language variants. CONCLUSIONS This study suggests that the self-report SDQ must be used cautiously in Latvian adolescents because some SDQ subscales lack reliability. When used in population research, the internalising subscales seem more reliable than the externalising ones. More research is needed regarding the reliability of the SDQ in clinical adolescent populations.
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Affiliation(s)
- Ņikita Bezborodovs
- Department of Psychiatry and Narcology, Faculty of Medicine, Riga Stradins University, Riga, Latvia
- Child and Youth Mental Health Centre, Children's Clinical University Hospital, Riga, Latvia
| | - Rūdolfs Krēgers
- Department of Mathematics, Faculty of Physics, Mathematics and Optometry, University of Latvia, Riga, Latvia
| | - Lelde Vētra
- Child and Youth Mental Health Centre, Children's Clinical University Hospital, Riga, Latvia
| | - Elmārs Rancāns
- Department of Psychiatry and Narcology, Faculty of Medicine, Riga Stradins University, Riga, Latvia
| | - Anita Villeruša
- Department of Public Health and Epidemiology, Faculty of Public Health and Social Welfare, Riga Stradins University, Riga, Latvia
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Hur YM. Relationship between cognitive ability and emotional problems in the context of poverty: a Nigerian adolescent twin study. Eur Child Adolesc Psychiatry 2024; 33:1103-1111. [PMID: 37237243 DOI: 10.1007/s00787-023-02230-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Accepted: 05/11/2023] [Indexed: 05/28/2023]
Abstract
Although previous studies have identified negative relationships between cognitive ability and emotional problems (EP), mechanism explaining these relationships remained unclear. This study evaluated two explanatory models using bivariate moderation model-fitting analysis in a twin design. The resilience model suggests that high cognitive ability decreases the risk of EP in adverse settings, and the scarring model suggests that EP symptoms lead to persistent cognitive deficits following onset. The Standard Progressive Matrices Plus (SPM) and EP scale were administered to a sample of 3,202 twins (mean age = 14.62 ± 1.74 years) attending public schools in Nigeria. The results of bivariate moderation model-fitting analyses only supported the resilience model. Moderation effects were not significant in the scarring model when genetic and environmental influences were incorporated. The best-fitting bivariate moderation model assuming the resilience model yielded a genetic correlation of - 0.57 (95% CI = - 0.40, - 0.84) with no significant environmental correlations. Moreover, the SPM moderated the environmental, not genetic, influences on EP, such that environmental influences were strong when protective factors were absent (low SPM) and weak when these were present (high SPM). These results indicate the need to develop targeted prevention and intervention strategies for EP in adolescents displaying low cognitive ability in deprived settings.
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Affiliation(s)
- Yoon-Mi Hur
- Kookmin Twin Research Institute, General College of Education, Kookmin University, Seoul, South Korea.
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Bøe T, Ostojic HA, Haraldstad K, Abildsnes E, Wilson P, Vigsnes K, Mølland E. Self-reported and parent-reported mental health in children from low-income families in Agder, Norway: results from baseline measurements of New Patterns project participants. BMJ Open 2023; 13:e076400. [PMID: 38011985 PMCID: PMC10685927 DOI: 10.1136/bmjopen-2023-076400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 10/25/2023] [Indexed: 11/29/2023] Open
Abstract
BACKGROUND Poverty may pose risks to child and adolescent mental health, but few studies have reported on this association among children and adolescents in low-income families in Norway. METHODS Based on a sample participating in an intervention for low-income families in Norway, we report data from the survey administered at the start of the intervention. Mental health problems were measured using the Strengths and Difficulties Questionnaire (SDQ; self-report (SR) n = 148; parent/proxy-report (PR) n = 153, mean age = 10.8). Demographic and family characteristics were obtained from parent reported data. Results are presented by gender and migration background. Regression analysis was used to investigate the relative contribution of background factors to mental health symptoms. The distribution of scores is compared to UK norms. RESULTS Participants reported relatively high scores on the Strengths and Difficulties Questionnaire (SDQ) Total Difficulties Scale (parent/proxy-report, PR mean=10.7; self-report, SR mean=10.1). Participants with non-immigrant backgrounds scored considerably higher on the Total Difficulties Scale (PR mean difference=2.9; SR 5.3) and on most other domains measured with the SDQ compared with their peers with immigration backgrounds. Participants generally scored higher than or equal to UK norms. CONCLUSION Participants in the current study had many symptoms of mental health problems, with large differences between those with and without a migrant background. Interventions for low-income families should be based on detailed knowledge about differences in family risks, resources and needs.
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Affiliation(s)
- Tormod Bøe
- Department of Psychosocial Science, University of Bergen, Bergen, Norway
- Regional Centre for Child and Youth Mental Health and Child Welfare, NORCE Norwegian Research Centre AS Forskningsområde Helse, Bergen, Norway
| | - Helene Angelica Ostojic
- Department of Psychosocial Science, University of Bergen, Bergen, Norway
- Drammen District Psychiatric Center, Mental Health and Substance Abuse, Vestre Viken HF, Drammen, Norway
| | - Kristin Haraldstad
- Department of Health and Nursing Sciences, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
| | - Eirik Abildsnes
- Institute of Health and Society, University of Oslo, Oslo, Norway
| | - Philip Wilson
- Centre for Rural Health, University of Aberdeen, Aberdeen, UK
| | | | - Eirin Mølland
- School of Business and Law, University of Agder, Kristiansand, Norway
- NORCE Norwegian Research Centre AS Forskningsomrade Samfunn, Bergen, Norway
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Bezborodovs Ņ, Kočāne A, Rancāns E, Villeruša A. Clinical Utility of the Parent-Report Version of the Strengths and Difficulties Questionnaire (SDQ) in Latvian Child and Adolescent Psychiatry Practice. Medicina (B Aires) 2022; 58:medicina58111599. [PMID: 36363556 PMCID: PMC9694199 DOI: 10.3390/medicina58111599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Revised: 10/26/2022] [Accepted: 11/01/2022] [Indexed: 11/06/2022] Open
Abstract
Background and Objectives: Screening instruments can be crucial in child and adolescent mental healthcare practice by allowing professionals to triage the patient flow in a limited resource setting and help in clinical decision making. Our study aimed to examine whether the Strengths and Difficulties Questionnaire (SDQ), with the application of the original UK-based scoring algorithm, can reliably detect children and adolescents with different mental disorders in a clinical population sample. Materials and Methods: a total of 363 outpatients aged 2 to 17 years from two outpatient child psychiatry centres in Latvia were screened with the parent-report version of the SDQ and assigned clinical psychiatric diagnoses. The ability of the SDQ to predict the clinical diagnosis in major diagnostic groups (emotional, conduct, hyperactivity, and developmental disorders) was assessed. Results: The subscales of the parent-report SDQ showed a significant correlation with the corresponding clinical diagnoses. The sensitivity of the SDQ ranged 65–78%, and the specificity was 57–78%. The discriminative ability of the SDQ, as measured by the diagnostic odds ratio, did not quite reach the level of clinical utility in specialised psychiatric settings. Conclusions: We suggest the SDQ be used in primary healthcare settings, where it can be an essential tool to help family physicians recognise children needing further specialised psychiatric evaluation. There is a need to assess the psychometric properties and validate the SDQ in a larger populational sample in Latvia, determine the population-specific cut-off scores, and reassess the performance of the scale in primary healthcare practice.
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Affiliation(s)
- Ņikita Bezborodovs
- Department of Psychiatry and Narcology, Rīga Stradiņš University, LV-1007 Riga, Latvia
- Child Psychiatry Clinic, Children’s Clinical University Hospital, LV-1004 Riga, Latvia
- Correspondence: ; Tel.: +371-28343256
| | - Arta Kočāne
- Child Psychiatry Clinic, Children’s Clinical University Hospital, LV-1004 Riga, Latvia
| | - Elmārs Rancāns
- Department of Psychiatry and Narcology, Rīga Stradiņš University, LV-1007 Riga, Latvia
| | - Anita Villeruša
- Department of Public Health and Epidemiology, Rīga Stradiņš University, LV-1007 Riga, Latvia
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Lovero KL, Adam SE, Bila CE, Canda ED, Fernandes ME, Rodrigues TIB, Sander MCT, Mellins CA, Duarte CS, Dos Santos PF, Wainberg ML. Validation of brief screening instruments for internalizing and externalizing disorders in Mozambican adolescents. BMC Psychiatry 2022; 22:549. [PMID: 35962378 PMCID: PMC9373392 DOI: 10.1186/s12888-022-04189-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Accepted: 07/18/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Mental disorders are the leading cause of disability for youth worldwide. However, there is a dearth of validated, brief instruments to assess mental health in low- and middle-income countries (LMIC). We aimed to facilitate identification of mental disorders in LMIC contexts by adapting and validating measures of internalizing and externalizing disorders for adolescents in Mozambique, an LMIC in southeastern Africa. METHODS We selected instruments with good support for validity in high-income and other LMIC settings: the Patient Health Questionnaire Adolescent (PHQ-A), Generalized Anxiety Disorders 7 (GAD-7), and Strengths and Difficulties Questionnaire (SDQ). Instruments were adapted by local and international mental health specialists followed by cognitive interviews (n = 48) with Mozambican adolescents. We administered the instruments along with the Miniature International Neuropsychiatric Interview for Children and Adolescents (MINI-KID)to 485 adolescents aged 12-19 years attending two secondary schools in Maputo City, Mozambique. One week later, we re-administered instruments to a randomly selected sample of 49 adolescents. RESULTS Participants were 66.2% (n = 321) female and the average age was 15.9 (S.D = 1.7).Internal consistency (alpha = 0.80, PHQ-A; 0.84, GAD-7; 0.80, SDQ) and test-retest reliabilty (ICC = 0.74, PHQ-A; 0.70, GAD-7; 0.77, SDQ) were acceptabe for the PHQ-A, GAD-7, and the full SDQ. The SDQ internalizing subscale showed poor test-retest reliability (ICC = 0.63) and the SDQ externalizing subscale showed poor internal consistency (alpha = 0.65). All instruments demonstrated good sensitivity and specificity (> 0.70). Youden's index identified optimal cutoff scores of 8 for the PHQ-A, 5 for the GAD-7, 10 for the SDQ internalizing and 9 for the SDQ externalizing subscales, though a range of scores provided acceptable sensitivity and specificity. CONCLUSIONS Our data supports reliability and validity of the PHQ-A, GAD-7, and SDQ instruments for rapidly assessing mental health problems in Mozambican adolescents. Use of these tools in other contexts with limited specialists may asist with expanding mental health assessment. Specific instrument and cutoff selection should be based on screening goals, treatment resources, and program objectives.
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Affiliation(s)
- Kathryn L Lovero
- Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, 722 W. 168th St. 9th Floor, New York, NY, 10032, USA.
| | | | | | - Elda D Canda
- Department of Mental Health, Ministry of Health, Maputo, Mozambique
| | | | | | - Mariel C Tai Sander
- Department of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA
| | - Claude A Mellins
- Department of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA
- HIV Center for Clinical and Behavioral Health, Department of Psychiatry, New York State Psychiatric Institute and Columbia University, New York, NY, USA
| | - Cristiane S Duarte
- Department of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA
| | | | - Milton L Wainberg
- Department of Psychiatry, New York State Psychiatric Institute and Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA
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Anthony CJ, Elliott SN, Yost M, Lei PW, DiPerna JC, Cefai C, Camilleri L, Bartolo PA, Grazzani I, Ornaghi V, Cavioni V, Conte E, Vorkapić ST, Poulou M, Martinsone B, Simões C, Colomeischi AA. Multi-informant validity evidence for the SSIS SEL Brief Scales across six European countries. Front Psychol 2022; 13:928189. [PMID: 35983195 PMCID: PMC9380595 DOI: 10.3389/fpsyg.2022.928189] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Accepted: 06/28/2022] [Indexed: 11/17/2022] Open
Abstract
The SSIS SEL Brief Scales (SSIS SELb) are multi-informant (teacher, parent, and student) measures that were developed to efficiently assess the SEL competencies of school-age youth in the United States. Recently, the SSIS SELb was translated into multiple languages for use in a multi-site study across six European countries (Croatia, Greece, Italy, Latvia, Portugal, and Romania). The purpose of the current study was to examine concurrent and predictive evidence for the SEL Composite scores from the translated versions of the SSIS SELb Scales. Results indicated that SSIS SELb Composite scores demonstrated expected positive concurrent and predictive relationships with scores from the Connor-Davidson Resilience Scale (CD-RISC) and negative relationships with scores from the problem behavior scales of the Strengths and Difficulties Questionnaire (SDQ). Although there were a few exceptions, these patterns generally were consistent across informants (parents, teachers, and students) and samples providing initial validity evidence for the Composite score from the translated versions of the SSIS SELb Scales. Limitations and future research directions are discussed.
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Affiliation(s)
- Christopher J. Anthony
- School of Special Education, School Psychology, and Early Childhood Studies, University of Florida, Gainesville, FL, United States
| | - Stephen N. Elliott
- Sanford School of Social and Family Dynamics, Arizona State University, Tempe, AZ, United States
| | - Michayla Yost
- School of Special Education, School Psychology, and Early Childhood Studies, University of Florida, Gainesville, FL, United States
| | - Pui-Wa Lei
- Department of Educational Psychology, Counseling, and Special Education, Pennsylvania State University, University Park, PA, United States
| | - James C. DiPerna
- Department of Educational Psychology, Counseling, and Special Education, Pennsylvania State University, University Park, PA, United States
| | - Carmel Cefai
- Centre for Resilience and Socio-Emotional Health, University of Malta, Msida, Malta
| | - Liberato Camilleri
- Centre for Resilience and Socio-Emotional Health, University of Malta, Msida, Malta
| | - Paul A. Bartolo
- Centre for Resilience and Socio-Emotional Health, University of Malta, Msida, Malta
| | - Ilaria Grazzani
- Department of Human Sciences for Education, University of Milano-Bicocca, Milan, Italy
| | - Veronica Ornaghi
- Department of Human Sciences for Education, University of Milano-Bicocca, Milan, Italy
| | - Valeria Cavioni
- Department of Human Sciences for Education, University of Milano-Bicocca, Milan, Italy
| | - Elisabetta Conte
- Department of Human Sciences for Education, University of Milano-Bicocca, Milan, Italy
| | | | - Maria Poulou
- Department of Educational Sciences and Early Childhood Education, University of Patras, Patras, Greece
| | | | - Celeste Simões
- Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal
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Martinsone B, Stokenberga I, Damberga I, Supe I, Simões C, Lebre P, Canha L, Santos M, Santos AC, Fonseca AM, Santos D, Gaspar de Matos M, Conte E, Agliati A, Cavioni V, Gandellini S, Grazzani I, Ornaghi V, Camilleri L. Adolescent social emotional skills, resilience and behavioral problems during the COVID-19 pandemic: A longitudinal study in three European countries. Front Psychiatry 2022; 13:942692. [PMID: 35978848 PMCID: PMC9376252 DOI: 10.3389/fpsyt.2022.942692] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Accepted: 07/14/2022] [Indexed: 11/30/2022] Open
Abstract
Objectives The consequences of long-lasting restrictions related to the COVID-19 pandemic have become a topical question in the latest research. The present study aims to analyze longitudinal changes in adolescents' social emotional skills, resilience, and behavioral problems. Moreover, the study addresses the impact of adolescents' social emotional learning on changes in their resilience and behavioral problems over the course of seven months of the pandemic. Methods The Time 1 (T1) and Time 2 (T2) measuring points were in October 2020 and May 2021, characterized by high mortality rates and strict restrictions in Europe. For all three countries combined, 512 questionnaires were answered by both adolescents (aged 11-13 and 14-16 years) and their parents. The SSIS-SEL and SDQ student self-report and parent forms were used to evaluate adolescents' social emotional skills and behavioral problems. The CD-RISC-10 scale was administered to adolescents to measure their self-reported resilience. Several multilevel models were fitted to investigate the changes in adolescents' social emotional skills, resilience, and behavioral problems, controlling for age and gender. Correlation analysis was carried out to investigate how changes in the adolescents' social emotional skills were associated with changes in their resilience and mental health adjustment. Results Comparing T1 and T2 evaluations, adolescents claim they have more behavioral problems, have less social emotional skills, and are less prosocial than perceived by their parents, and this result applies across all countries and age groups. Both informants agree that COVID-19 had a negative impact, reporting an increment in the mean internalizing and externalizing difficulties scores and reductions in social emotional skills, prosocial behavior, and resilience scores. However, these changes are not very conspicuous, and most of them are not significant. Correlation analysis shows that changes in adolescents' social emotional skills are negatively and significantly related to changes in internalized and externalized problems and positively and significantly related to changes in prosocial behavior and resilience. This implies that adolescents who experienced larger development in social emotional learning also experienced more increase in resilience and prosocial behavior and a decrease in difficulties. Conclusion Due to its longitudinal design, sample size, and multi-informant approach, this study adds to a deeper understanding of the pandemic's consequences on adolescents' mental health.
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Affiliation(s)
| | | | - Ilze Damberga
- Department of Psychology, University of Latvia, Riga, Latvia
| | - Inga Supe
- Department of Psychology, University of Latvia, Riga, Latvia
| | - Celeste Simões
- Department of Education, Social Sciences and Humanities, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal
- Environmental Health Institute, Faculty of Medicine, University of Lisbon, Lisbon, Portugal
| | - Paula Lebre
- Department of Education, Social Sciences and Humanities, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal
- Institute of Ethnomusicology (INET-MD), Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal
| | - Lúcia Canha
- Department of Education, Social Sciences and Humanities, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal
- Environmental Health Institute, Faculty of Medicine, University of Lisbon, Lisbon, Portugal
| | - Margarida Santos
- Department of Education, Social Sciences and Humanities, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal
| | - Anabela Caetano Santos
- Department of Education, Social Sciences and Humanities, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal
- Environmental Health Institute, Faculty of Medicine, University of Lisbon, Lisbon, Portugal
| | - Ana Marta Fonseca
- Department of Education, Social Sciences and Humanities, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal
| | - Dória Santos
- Department of Education, Social Sciences and Humanities, Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal
| | - Margarida Gaspar de Matos
- Environmental Health Institute, Faculty of Medicine, University of Lisbon, Lisbon, Portugal
- Social Adventure Association, Lisbon, Portugal
| | - Elisabetta Conte
- “Riccardo Massa” Department of Human Sciences for Education, University of Milano-Bicocca, Milan, Italy
| | - Alessia Agliati
- “Riccardo Massa” Department of Human Sciences for Education, University of Milano-Bicocca, Milan, Italy
| | - Valeria Cavioni
- “Riccardo Massa” Department of Human Sciences for Education, University of Milano-Bicocca, Milan, Italy
| | - Sabina Gandellini
- “Riccardo Massa” Department of Human Sciences for Education, University of Milano-Bicocca, Milan, Italy
| | - Ilaria Grazzani
- “Riccardo Massa” Department of Human Sciences for Education, University of Milano-Bicocca, Milan, Italy
| | - Veronica Ornaghi
- “Riccardo Massa” Department of Human Sciences for Education, University of Milano-Bicocca, Milan, Italy
| | - Liberato Camilleri
- Department of Statistics and Operations Research, University of Malta, Msida, Malta
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9
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Aarø LE, Davids EL, Mathews C, Wubs AG, Smith ORF, de Vries PJ. Internalizing problems, externalizing problems, and prosocial behavior - three dimensions of the strengths and difficulties questionnaire (SDQ): A study among South African adolescents. Scand J Psychol 2022; 63:415-425. [PMID: 35388463 DOI: 10.1111/sjop.12815] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Revised: 02/23/2022] [Accepted: 03/09/2022] [Indexed: 11/28/2022]
Abstract
This study aimed to examine the factor structure of the Strengths and Difficulties Questionnaire Self-Report version (SDQ-S), its psychometric properties and measurement invariance by gender and language spoken at home, among secondary school students in Western Cape, South Africa. A sample of 3,542 adolescents in Grade 8 (Mean age = 13.7 years) completed the SDQ-S in a three-language questionnaire (Afrikaans, English and isiXhosa). The data were collected from 42 secondary schools in Cape Town, South Africa. Confirmatory factor analyses with the WLSMV estimator with adjustment for cluster effects (schools) were applied. The SDQ-S was originally developed to cover five domains: four "difficulty" domains (hyperactivity/inattention, emotional, conduct, and peer) and one "strengths" domain (prosocial behavior). When the five factors were tested on the data for the current study, poor fit was obtained. After excluding four items, a three-factor solution with no cross-loadings and no correlated error terms obtained acceptable fit. The results are consistent with previous studies. Strong measurement invariance across genders and language spoken at home was confirmed. In studies of community samples, the use of the SDQ-S scale as an instrument with a three-factor dimension (internalizing, externalizing and prosocial) may be more appropriate than using the original five-factor model.
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Affiliation(s)
- Leif Edvard Aarø
- Department of Health Promotion, Norwegian Institute of Public Health, Bergen, Norway
| | - Eugene L Davids
- Adolescent Health Research Unit, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.,Division of Child & Adolescent Psychiatry, University of Cape Town, Cape Town, South Africa
| | - Catherine Mathews
- Adolescent Health Research Unit, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.,Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa
| | - Annegreet Gera Wubs
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway
| | - Otto R F Smith
- Department of Health Promotion, Norwegian Institute of Public Health, Bergen, Norway
| | - Petrus J de Vries
- Adolescent Health Research Unit, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.,Division of Child & Adolescent Psychiatry, University of Cape Town, Cape Town, South Africa
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10
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Karlsson P, Larm P, Svensson J, Raninen J. The factor structure of the Strength and Difficulties Questionnaire in a national sample of Swedish adolescents: Comparing 3 and 5-factor models. PLoS One 2022; 17:e0265481. [PMID: 35286366 PMCID: PMC8920292 DOI: 10.1371/journal.pone.0265481] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Accepted: 03/02/2022] [Indexed: 11/19/2022] Open
Abstract
The Strength and Difficulties Questionnaire (SDQ) is one of the most common screening instruments for emotional and behavioral problems in children and adolescents. Although exploratory factor analyses support the originally proposed 5-factor structure of SDQ as well as a 3-factor model, the evidence from confirmatory factor analyses is more mixed. Some of the difficulties items in SDQ are positively worded and it has been proposed that this leads to method effects, i.e. these items share variance that is due to the method used rather than to a substantive construct. Also, there seems to be minor factors in some subscales. This study tests a series of 3- and 5- factor models pertaining to the factor structure of SDQ, also considering method effects and minor factors. The sample consists of a nationally representative cohort of Swedish adolescents born in 2001 (n = 5549). Results show a relatively better fit of the 5-factor model compared with the 3-factor model although neither of these had a satisfactory fit. Model fit was improved when specifying cross-loadings of the positively worded difficulties items on the prosocial scale as well as minor factors on the hyperactivity scale. Although no model provided a completely satisfactory fit to the data, the results show that the 5-factor model performs better than the 3-factor model and has an acceptable fit. We conclude that for the purposes of epidemiological research, SDQ has acceptable factorial validity, provided that researchers consider method effects and minor factors.
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Affiliation(s)
- Patrik Karlsson
- Department of Social Work, Stockholm University, Stockholm, Sweden
| | - Peter Larm
- The Swedish Council for Information on Alcohol and Other Drugs (CAN), Stockholm, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden
- Department of Public Health, Stockholm University, Stockholm, Sweden
| | - Johan Svensson
- The Swedish Council for Information on Alcohol and Other Drugs (CAN), Stockholm, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden
- Department of Public Health, Stockholm University, Stockholm, Sweden
| | - Jonas Raninen
- The Swedish Council for Information on Alcohol and Other Drugs (CAN), Stockholm, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden
- School of Social Sciences, Unit of Social Work, Södertörn University, Huddinge, Sweden
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
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11
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Toseeb U, Oginni O, Rowe R, Patalay P. Measurement invariance of the strengths and difficulties questionnaire across socioeconomic status and ethnicity from ages 3 to 17 years: A population cohort study. PLoS One 2022; 17:e0278385. [PMID: 36584064 PMCID: PMC9803244 DOI: 10.1371/journal.pone.0278385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Accepted: 11/15/2022] [Indexed: 12/31/2022] Open
Abstract
Mental health inequalities along ethnic and socioeconomic groupings are well documented. The extent to which these observed inequalities are genuine or reflect measurement differences is unclear. In the current study we sought to investigate this in a large population-based sample of children and adolescents in the United Kingdom. The main objective of the study was to establish whether the parent-report Strengths and Difficulties Questionnaire (SDQ) was invariant across ethnicity and socioeconomic status groupings at six time points from 3 to 17 years (maximum N = 17,274). First, we fitted a series of confirmatory factor analysis models to the data and confirmed that the five-factor structure (emotional problems; peer problems; conduct problems; hyperactivity/inattention; and prosocial behaviour) had acceptable fit at ages 5, 7, 11, and 14 years. Next, we tested configural, metric, and scalar invariance at these time points and demonstrated scalar invariance across household income, parent highest education, and ethnicity categories. The five-factor structure did not fit well at ages 3 and 17 years; therefore invariance was not tested at these ages. These findings suggest the parent-report SDQ can be used to measure socioeconomic and ethnic inequalities in mental health from ages 5-14 years but more consideration is required outside these ages.
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Affiliation(s)
- Umar Toseeb
- Department of Education, University of York, York, United Kingdom
- * E-mail:
| | - Olakunle Oginni
- Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom
- Department of Mental Health, Obafemi Awolowo University, Ile-Ife, Nigeria
| | - Richard Rowe
- Department of Psychology, University of Sheffield, Sheffield, United Kingdom
| | - Praveetha Patalay
- Centre for Longitudinal Studies and MRC Unit for Lifelong Health and Ageing, University College London, London, United Kingdom
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12
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González Flores S, Goth K, Díaz-Hernandez RA. Psychometric Properties of a Cultural Adapted Version of the Assessment of Identity Development in Adolescence in Panama. Front Psychiatry 2022; 13:806033. [PMID: 35432021 PMCID: PMC9009042 DOI: 10.3389/fpsyt.2022.806033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2021] [Accepted: 02/21/2022] [Indexed: 11/13/2022] Open
Abstract
UNLABELLED The Assessment of Identity Development in Adolescence (AIDA) is a self-report instrument to detect pathological development of Identity. In Panamá, psychometric instruments for assessment of psychopathology in adolescence are lacking. Our aim was to develop a valid and reliable version of the AIDA Inventory for Panamanian Population. AIDA was adapted to Spanish considering cultural aspects of Panamanian population. Two pilot tests were performed prior to main test to assess item-total correlation at subscale, primary scale and total scale levels and internal consistency at subscale level. A mixed sample of students and PD patients (N = 315) completed the AIDA inventory, the "Strength and Difficulties Questionnaire" and "Defense Style Questionnaire-40." AIDA was retested in a sub sample from school population (n = 98). The Structured Clinical Interview for Axis II Disorders was used for diagnosis of personality disorders in the patient sample (n = 25). Psychometric properties were tested to assess internal consistency, reliability, factorial validity, convergent validity, and criterion validity. AIDA Panama showed excellent internal consistency for the total scale Identity Diffusion with Cronbach's α:0.94 and a retest reliability of 0.84. A Bifactorial CFA was modeled to assess the dimensionality of the inventory. The proportion between OmegaH and Omega at total scales 96% of the variance is explained by a general factor. Furthermore, the Explained Common Variance for the General Factor is 73% supporting unidimensionality. In line with theory, AIDA total scale showed a high positive correlation (r = 0.67) with Total Difficulties scale and high positive correlation (r = 0.71) with Immature Defense scale. The AIDA total score differed highly significant (p = 0.000) between the patient sample and the students with a large effect size (d = 1.02). CONCLUSION The adaptation and validation of AIDA for Panamanian adolescent population was successful with good psychometric properties and significant correlations with related psychopathological constructs. AIDA showed high clinical validity by providing a valid discrimination between the school sample and a diagnosed PD sample, in line with the assumption that impaired identity functioning is at the core of personality disorders, especially in adolescence.
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Affiliation(s)
| | - Kirstin Goth
- Department of Child and Adolescent Psychiatry, University Clinics of Basel, Basel, Switzerland
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Santiago PHR, Manzini Macedo D, Haag D, Roberts R, Smithers L, Hedges J, Jamieson L. Exploratory Graph Analysis of the Strengths and Difficulties Questionnaire for Aboriginal and/or Torres Strait Islander Children. Front Psychol 2021; 12:573825. [PMID: 34484017 PMCID: PMC8416422 DOI: 10.3389/fpsyg.2021.573825] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 07/13/2021] [Indexed: 11/24/2022] Open
Abstract
In Australia, one of the most frequently used measures for assessing social and emotional well-being (SEWB) of Aboriginal and/or Torres Strait Islander children is the Strengths and Difficulties Questionnaire (SDQ). Previous studies on state-level validations have indicated the problems associated with the original five-factor SDQ structure, especially in the dimension of Peer Problems. The aim of this study was to use a novel psychometric methodology, namely Exploratory Graph Analysis (EGA), to evaluate the dimensionality of caregiver-informant SDQ version 4-10 years at a national level in Australia. Data for this study were retrospectively collected from two independent longitudinal studies: the Longitudinal Study of Indigenous Children (LSIC) and South Australian Aboriginal Birth Cohort (SAABC). The caregiver-informed SDQ version 4-10 years was applied across several study waves, including more than 4,000 responses. To conduct EGA, Gaussian graphical models (GGMs) were estimated using the Least Absolute Shrinkage and Selection Operator. About 2,500 bootstrap samples were also employed to investigate dimensions and item stability. The findings indicated robust evidence against the construct validity of the original five-factor SDQ structure. Future studies should conduct a direct external validation of the findings with Aboriginal and/or Torres Strait Islander parents/carers and community groups to develop the guidelines for future use of the instrument among Aboriginal and/or Torres Strait Islander children in Australia.
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Affiliation(s)
- Pedro Henrique Ribeiro Santiago
- Australia Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, SA, Australia
- School of Public Health, The University of Adelaide, Adelaide, SA, Australia
| | - Davi Manzini Macedo
- Australia Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, SA, Australia
| | - Dandara Haag
- Australia Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, SA, Australia
- School of Public Health, The University of Adelaide, Adelaide, SA, Australia
| | - Rachel Roberts
- School of Psychology, The University of Adelaide, Adelaide, SA, Australia
| | - Lisa Smithers
- School of Public Health, The University of Adelaide, Adelaide, SA, Australia
- School of Health and Society, University of Wollongong, Wollongong, NSW, Australia
| | - Joanne Hedges
- Australia Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, SA, Australia
| | - Lisa Jamieson
- Australia Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, SA, Australia
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Stevanovic D, Costanzo F, Fucà E, Valeri G, Vicari S, Robins DL, Samms-Vaughan M, Ozek Erkuran H, Yaylaci F, Deshpande SN, Deshmukh V, Arora NK, Albores-Gallo L, García-López C, Gatica-Bahamonde G, Gabunia M, Zirakashvili M, Machado FP, Radan M, Samadi SA, Toh TH, Gayle W, Brennan L, Zorcec T, Auza A, de Jonge M, Shoqirat N, Marini A, Knez R. Measurement invariance of the Childhood Autism Rating Scale (CARS) across six countries. Autism Res 2021; 14:2544-2554. [PMID: 34346193 DOI: 10.1002/aur.2586] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Revised: 07/21/2021] [Accepted: 07/23/2021] [Indexed: 11/07/2022]
Abstract
The Childhood Autism Rating Scale (CARS) is a simple and inexpensive tool for Autism spectrum disorder (ASD) assessments, with evidenced psychometric data from different countries. However, it is still unclear whether ASD symptoms are measured the same way across different societies and world regions with this tool, since data on its cross-cultural validity are lacking. This study evaluated the cross-cultural measurement invariance of the CARS among children with ASD from six countries, for whom data were aggregated from previous studies in India (n = 101), Jamaica (n = 139), Mexico (n = 72), Spain (n = 99), Turkey (n = 150), and the United States of America (n = 186). We analyzed the approximate measurement invariance based on Bayesian structural equation modeling. The model did not fit the data and its measurement invariance did not hold, with all items found non-invariant across the countries. Items related to social communication and interaction (i.e., relating to people, imitation, emotional response, and verbal and nonverbal communication) displayed lower levels of cross-country non-invariance compared to items about stereotyped behaviors/sensory sensitivity (i.e., body and object use, adaptation to change, or taste, smell, and touch response). This study found that the CARS may not provide cross-culturally valid ASD assessments. Thus, cross-cultural comparisons with the CARS should consider first which items operate differently across samples of interest, since its cross-cultural measurement non-invariance could be a source of cross-cultural variability in ASD presentations. Additional studies are needed before drawing valid recommendations in relation to the cultural sensitivity of particular items.
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Affiliation(s)
- Dejan Stevanovic
- Department of Psychiatry, Clinic for Neurology and Psychiatry for Children and Youth, Belgrade, Serbia
| | - Floriana Costanzo
- Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, Rome, Italy
| | - Elisa Fucà
- Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, Rome, Italy
| | - Giovanni Valeri
- Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, Rome, Italy
| | - Stefano Vicari
- Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, Rome, Italy
| | - Diana L Robins
- A.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, USA
| | | | - Handan Ozek Erkuran
- Child and Adolescent Psychiatry Unit, Dr Behcet Uz Children's Research and Training Hospital, Izmir, Turkey
| | - Ferhat Yaylaci
- Child Psychiatry Unit, Bursa Dortcelik Children's Hospital, Bursa, Turkey
| | - Smita N Deshpande
- Department of Psychiatry, Centre of Excellence in Mental health, Atal Bihari Vajpayee Institute of Medical Sciences; Dr. Ram Manohar Lohia Hospital, New Delhi, India
| | | | | | - Lilia Albores-Gallo
- Research Division, Hospital Psiquiátrico Infantil "Dr. Juan N. Navarro," Secretaría de Salud, Mexico City, Mexico
| | | | | | | | | | | | - Miruna Radan
- National Institute for Maternal and Child Health, Bucharest, Romania
| | - Sayyed Ali Samadi
- Institute of Nursing and Health Research, University of Ulster, Coleraine, UK
| | - Teck-Hock Toh
- Clinical Research Centre & Department of Pediatrics, Sibu Hospital, Ministry of Health Malaysia, Sibu, Malaysia
| | - Windham Gayle
- Environmental Health Investigations Branch, California Department of Public Health, Richmond, California, USA
| | | | - Tatjana Zorcec
- Developmental Department, University Children's Hospital, Skopje, Macedonia
| | - Alejandra Auza
- Language and Cognition Laboratory, Hospital General Dr. Manuel Gea González, Mexico City, Mexico
| | - Maretha de Jonge
- Faculty of Social Science, Education and Child Studies, Clinical Neuroscience and Developmental Disorders, Leiden University, Leiden, The Netherlands
| | | | | | - Rajna Knez
- Department of Women's and Children's Health, Skaraborgs Hospital, Skövde, Sweden.,Sahlgrenska Academy, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden
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15
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Murray AL, Speyer LG, Hall HA, Valdebenito S, Hughes C. Teacher Versus Parent Informant Measurement Invariance of the Strengths and Difficulties Questionnaire. J Pediatr Psychol 2021; 46:1249-1257. [PMID: 34333621 PMCID: PMC8561254 DOI: 10.1093/jpepsy/jsab062] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Revised: 05/07/2021] [Accepted: 05/07/2021] [Indexed: 11/17/2022] Open
Abstract
Background and Objectives Obtaining a multi-informant perspective is important when assessing mental health issues in childhood and adolescence. Obtaining ratings from both parents and teachers also facilitates the evaluation of similarities and contrasts in the nature and severity of symptoms across home and school contexts. However, these informants may differ in their interpretations of observed behaviors, raising questions about the validity of comparing parents’ and teachers’ ratings. Methods We evaluated the cross-informant measurement invariance of one of the most widely used measures of child and adolescent mental health: The Strengths and Difficulties Questionnaire (SDQ). Using data from the UK-population representative Millennium Cohort Study, we evaluated configural, metric, and scalar measurement invariance across parents and teachers when children were aged 7 (N = 10,221) and 11 (N = 10,543). Results Scalar measurement invariance held at both ages. Parents reported higher levels of symptoms in all domains measured at both ages as well as higher prosociality. Conclusions For a UK sample, valid comparisons of parent and teacher SDQ ratings at ages 7 and 11 appear to be possible, facilitating the evaluation of contextual differences in child mental health problems. Further, parents report more problem and prosocial behavior in their children than teachers attribute to them.
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Affiliation(s)
| | | | | | | | - Claire Hughes
- Department of Psychology, Centre for Family Research, University of Cambridge
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16
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Forging a career as a child and adolescent psychiatry researcher in Nigeria: Surmounting challenges and taking opportunities. EBioMedicine 2021; 66:103304. [PMID: 33774328 PMCID: PMC8024905 DOI: 10.1016/j.ebiom.2021.103304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Accepted: 03/10/2021] [Indexed: 11/23/2022] Open
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Atilola O, Stevanovic D, Moreira P, Dodig-Ćurković K, Franic T, Djoric A, Davidovic N, Avicenna M, Noor IM, Monteiro AL, Ribas A, Stupar D, Deljkovic A, Nussbaum L, Thabet A, Ubalde D, Petrov P, Vostanis P, Knez R. External locus-of-control partially mediates the association between cumulative trauma exposure and posttraumatic stress symptoms among adolescents from diverse background. ANXIETY, STRESS, AND COPING 2021; 34:626-644. [PMID: 33650438 DOI: 10.1080/10615806.2021.1891224] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Locus of control (LOC) is a modifiable mediator of symptoms of posttraumatic stress disorder (PTSD) among traumatized individuals and a potential target of intervention. Compared with studies involving adults, the potential mediation effect of LOC on PTSD symptoms among trauma-exposed children and adolescents is relatively under-explored. This study, therefore, assessed the mediation effects of LOC on the association between lifetime cumulative trauma and PTSD symptoms among a large cohort of adolescents from different cultural background. Cross-sectional study. LOC was determined using the Multi-Dimension Locus of Control Scale; Posttraumatic stress symptoms using the UCLA PTSD Reaction Index; and other significant negative life events using the Life Events Checklist. Among 3826 adolescents who completed the study, external LOC explained 24% of variance (R2 = .24; F2,3823 = 619.01; p < .01) in PTSD symptoms and had significant indirect effect on the relationship between self-reported cumulative traumatic event exposure and PTSD symptoms (ß = .14; 95% BC CI [.10, .20]). Moderated mediation results showed significant potentiation of the moderation effects among older adolescents; boys; and those from more affluent families. The study further strengthened the hitherto limited evidence that external LOC partially mediate the relationship between cumulative trauma exposure and PTSD symptoms among adolescents.
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Affiliation(s)
- Olayinka Atilola
- Department of Behavioural Medicine, Lagos State University College of Medicine Ikeja, Lagos, Nigeria
| | - Dejan Stevanovic
- Clinic for Neurology and Psychiatry for Children and Youth, Belgrade, Serbia
| | - Paulo Moreira
- University Lusíada North (Porto), CIPD; CLISSIS, Lisboa, Portugal
| | | | - Tomislav Franic
- Child and Adolescent Psychiatry, School of Medicine, University of Split, Split, Croatia
| | - Ana Djoric
- Department of psychology, Faculty of Humanities and Social Sciences, Rijeka, Croatia
| | - Nikolina Davidovic
- Child and Adolescent Psychiatry, School of Medicine, University of Split, Split, Croatia
| | - Mohamad Avicenna
- Faculty of Psychology, State Islamic University Syarif Hidayatullah, Jakarta, Indonesia
| | | | | | - Adriana Ribas
- Institute of Psychology, Federal University, Rio de Janeiro, Brazil
| | - Dusko Stupar
- Clinic for Neurology and Psychiatry for Children and Youth, Belgrade, Serbia
| | | | - Laura Nussbaum
- Department of Department of Neurosciences, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | | | - Dino Ubalde
- Department of Psychology, St. Dominic College of Asia, City of Bacoor, Philippines
| | - Petar Petrov
- Department of Child and Adolescent Psychiatry, University Hospital St. Marina, Varna, Bulgaria
| | - Panos Vostanis
- School of Psychology, Leicester University, Leicester, UK
| | - Rajna Knez
- Medical school, University of Rijeka, Rijeka, Croatia
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18
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Exploring the Contributions of School Belonging to Complete Mental Health Screening. EDUCATIONAL AND DEVELOPMENTAL PSYCHOLOGIST 2020. [DOI: 10.1017/edp.2016.8] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Hur YM. Relationships between cognitive abilities and prosocial behavior are entirely explained by shared genetic influences: A Nigerian twin study. INTELLIGENCE 2020. [DOI: 10.1016/j.intell.2020.101483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Runge RA, Soellner R. Measuring children's emotional and behavioural problems: are SDQ parent reports from native and immigrant parents comparable? Child Adolesc Psychiatry Ment Health 2019; 13:46. [PMID: 31798684 PMCID: PMC6882192 DOI: 10.1186/s13034-019-0306-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2019] [Accepted: 11/16/2019] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND The number of immigrants worldwide is growing and migration might be a risk factor for the mental health of children. A reliable instrument is needed to measure immigrants' childrens mental health. The aim of the study was to test the measurement invariance of the parent version of the Strengths and Difficulties Questionnaire (SDQ) between German native, Turkish origin and Russian origin immigrant parents in Germany. The SDQ is one of the most frequently used screening instruments for mental health disorders in children. METHODS Differential Item Functioning (DIF) was tested in samples matched by socio-economic status, age and gender of the child. A logistic regression/item response theory hybrid method and a multiple indicators- multiple causes model (MIMIC) was used to test for DIF. Multi Group Confirmatory Factor analysis (MGCFA) was used to test for configural invariance. Parent reports of 10610 German native, 534 Russian origin and 668 Turkish origin parents of children aged 3-17 years were analysed. RESULTS DIF items were found in both groups and with both methods. We did not find an adequate fit of the original five factor model of the SDQ for the Turkish origin group, but for the Russian origin group. An analysis of functional equivalence indicated that the SDQ is equally useful for the screening of mental health disorders in all three groups. CONCLUSION Using the SDQ in order to compare the parent reports of native and immigrant parents should be done cautiously. Thus, the use of the SDQ in epidemiological studies and for prevention planning is questionable. However, the SDQ turns out to be a valid instrument for screening purposes in parents of native and immigrant children.
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Affiliation(s)
- Ronja A. Runge
- 0000 0001 0197 8922grid.9463.8Institut für Psychologie, Stiftung Universität Hildesheim, Universitätsplatz 1, 31141 Hildesheim, Germany
| | - Renate Soellner
- 0000 0001 0197 8922grid.9463.8Institut für Psychologie, Stiftung Universität Hildesheim, Universitätsplatz 1, 31141 Hildesheim, Germany
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Revising the self-report strengths and difficulties questionnaire for cross-country comparisons of adolescent mental health problems: the SDQ-R. Epidemiol Psychiatr Sci 2019; 29:e35. [PMID: 31046859 PMCID: PMC8061161 DOI: 10.1017/s2045796019000246] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
AIMS The Strengths and Difficulties Questionnaire (SDQ) has been used in many epidemiological studies to assess adolescent mental health problems, but cross-country comparisons of the self-report SDQ are scarce and so far failed to find a good-fitting, common, invariant measurement model across countries. The present study aims to evaluate and establish a version of the self-report SDQ that allows for a valid cross-country comparison of adolescent self-reported mental health problems. METHODS Using the Health Behaviour in School-aged Children study, the measurement model and measurement invariance of the 20 items of the self-report SDQ measuring adolescent mental health problems were evaluated. Nationally representative samples of 11-, 13- and 15-year old adolescents (n = 33 233) from seven countries of different regions in Europe (Bulgaria, Germany, Greece, the Netherlands, Poland, Romania, Slovenia) were used. RESULTS In order to establish a good-fitting and common measurement model, the five reverse worded items of the self-report SDQ had to be removed. Using this revised version of the self-report SDQ, the SDQ-R, partial measurement invariance was established, indicating that latent factor means assessing conduct problems, emotional symptoms, peer relationships problems and hyperactivity-inattention problems could be validly compared across the countries in this study. Results showed that adolescents in Greece scored relatively low on almost all problem subscales, whereas adolescents in Poland scored relatively high on almost all problem subscales. Adolescents in the Netherlands reported the most divergent profile of mental health problems with the lowest levels of conduct problems, low levels of emotional symptoms and peer relationship problems, but the highest levels of hyperactivity-inattention problems. CONCLUSIONS With six factor loadings being non-invariant, partial measurement invariance was established, indicating that the 15-item SDQ-R could be used in our cross-country comparison of adolescent mental health problems. To move the field of internationally comparative research on adolescent mental health forward, studies should test the applicability of the SDQ-R in other countries in- and outside Europe, continue to develop the SDQ-R as a cross-country invariant measure of adolescent mental health, and examine explanations for the found country differences in adolescent mental health problems.
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Harry ML, Acevedo J, Crea TM. Assessing the factor structure of the Spanish language parent Strengths and Difficulties Questionnaire (SDQ) in Honduras. PLoS One 2019; 14:e0214394. [PMID: 30921369 PMCID: PMC6438563 DOI: 10.1371/journal.pone.0214394] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2018] [Accepted: 03/12/2019] [Indexed: 11/19/2022] Open
Abstract
With worldwide prevalence rates between 10% and 20%, mental illness in children and adolescents is an issue for which culturally sensitive screening tools are needed. The Strengths & Difficulties Questionnaire (SDQ) is a commonly used measure that has been translated into numerous languages, although some research suggests issues with cross-cultural validity. Only four other studies have tested the Spanish-language SDQ in Latin America. In this study, we aimed to help fill this gap by assessing the factor structure of the parent or teacher version of the Spanish-language SDQ (for children ages 4–17) with 967 parent or other caregiver respondents of primary school-aged children (ages 4 to 17) in the Department of Intibucá, Honduras. When unable to find a good fitting factor model previously identified in the literature, we conducted split sample exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), along with measurement invariance testing with the best fitting EFA-extracted model based on gender for caregiver respondent and child gender. Results showed that while many EFA models had a good fit, CFI and TLI was < .90 for all extracted models when confirmed in the second sample with CFA. We then modified the best fitting extracted three-factor, 24-item model, which dropped item 15, by allowing select item residuals to correlate, increasing CFI and TLI to > .90 for female child gender. This modified three-factor model was partially invariant for configural and scalar models between child genders. Configural and scalar models would not converge for adult genders. Of note, metric models were not produced in Mplus related to items’ cross-loading on more than one factor. These findings suggest that the SDQ Spanish language parent or teacher version may not perform optimally cross-culturally in this area of Honduras. Future research should confirm these findings with other Honduran populations.
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Affiliation(s)
- Melissa L. Harry
- Essentia Institute of Rural Health, Essentia Health, Duluth, Minnesota, United States of America
| | - José Acevedo
- School of Sociology, National Autonomous University of Honduras, Tegucigalpa, Honduras
| | - Thomas M. Crea
- School of Social Work, Boston College, Chestnut Hill, Massachusetts, United States of America
- * E-mail:
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Religious Attendance Moderates the Environmental Effect on Prosocial Behavior in Nigerian Adolescents. Twin Res Hum Genet 2019; 22:42-47. [PMID: 30661511 DOI: 10.1017/thg.2018.71] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
There is a growing body of literature linking religious attendance to prosocial behavior (PB). The main purposes of the present study were to estimate genetic and environmental influences on the frequency of religious attendance (FRA) and to explore whether and how FRA moderates genetic and/or environmental influences on PB. As part of the Nigerian Twin and Sibling Study, 2860 (280 monozygotic male, 417 monozygotic female, 544 dizygotic male, 699 dizygotic female, and 920 opposite-sex dizygotic) twins (mean age = 14.2 years; SD = 1.7 years; age range = 12-18 years) completed a questionnaire regarding FRA and a PB scale. Similar to the findings from western twin samples, FRA showed substantial shared environmental influences of 74% (95% CI = 69%, 78%), with absence of genetic effects. The phenotypic correlation between FRA and PB was modest but positive and significant (r = .12; p < .01), suggesting that PB is higher among more frequent attenders than among less frequent attenders. The results of gene-environment (G × E) interaction model-fitting analysis revealed that FRA changed individual environmental experiences rather than genetic effects on PB such that while genetic variance was stable, non-shared environmental variance declined, leading the total phenotypic variance of PB to decrease with increasing levels of religious attendance.
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Finch JE, Yousafzai AK, Rasheed M, Obradović J. Measuring and understanding social-emotional behaviors in preschoolers from rural Pakistan. PLoS One 2018; 13:e0207807. [PMID: 30481197 PMCID: PMC6258542 DOI: 10.1371/journal.pone.0207807] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2018] [Accepted: 11/06/2018] [Indexed: 11/20/2022] Open
Abstract
The Strengths and Difficulties Questionnaire (SDQ) is widely-used to measure symptoms of common childhood behavioral problems that may lead to mental health difficulties. In a sample of 1,302 highly-disadvantaged mothers and their preschoolers, we evaluated the factor structure and reliability of the parent-report version of the SDQ in rural Pakistan. Confirmatory factor analyses suggested that the original structure of the SDQ was not appropriate for our data. We created conceptually- and empirically-coherent measures of children's externalizing behavior problems and prosocial skills. Child and family correlates of social-emotional behaviors were similar to those found in other countries, supporting the validity of our new composites. Girls and children with more siblings had fewer externalizing behavior problems and more prosocial behaviors at four years. Further, maternal depressive symptoms and food insecurity were uniquely linked to more externalizing behavior problems at four years. In contrast, maternal education, home environment quality, and social-emotional skills at two years were associated with more prosocial behaviors at four years.
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Affiliation(s)
- Jenna E. Finch
- Department of Psychology, University of Nebraska-Lincoln, Lincoln, Nebraska, United States of America
| | - Aisha K. Yousafzai
- Department of Global Health and Population, T.H. Chan School of Public Health, Harvard University, Cambridge, Massachusetts, United States of America
| | - Muneera Rasheed
- Department of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan
| | - Jelena Obradović
- Graduate School of Education, Stanford University, Stanford, California, United States of America
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Vierhaus M, Rueth JE, Buchberger ES, Lohaus A. Zur Angleichung von Itemwortlauten bei SDQ-Fremd- und Selbstbericht und deren Auswirkung auf Beurteilungsdiskrepanzen. DIAGNOSTICA 2018. [DOI: 10.1026/0012-1924/a000204] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. In der vorliegenden Studie wurde ein Vergleich zwischen den deutschsprachigen Selbst- und Fremdberichtskalen des Fragebogens zu Stärken und Schwächen (Strengths and Difficulties Questionnaire; SDQ) vorgenommen, um mögliche Einschätzungsdiskrepanzen zu analysieren. Verglichen wurden die Originalskalen mit modifizierten Skalen, die eine stärkere sprachliche Angleichung zwischen den Selbst- und Fremdberichtsitems enthielten. In einer Stichprobe mit 217 Mutter-Kind-Dyaden kamen die Originalversionen des SDQ zum Einsatz, während in einer zweiten Stichprobe mit 276 Dyaden eine bezüglich der Itemwortlaute angeglichene Version genutzt wurde. Sowohl für die Selbsteinschätzungen der Kinder und Jugendlichen als auch für die Fremdeinschätzungen konnte eine partielle Messinvarianz zwischen den Originalversionen und den modifizierten Fragebogenversionen nachgewiesen werden. Weiterhin ließ sich zeigen, dass die Einschätzungsdiskrepanzen sowohl auf der Ebene der Mittelwerte als auch der Korrelationen zwischen Selbst- und Fremdurteilen in der modifizierten Fassung geringer sind. Die Ergebnisse zeigen die Bedeutung der Itemformulierungen für Fragebogenergebnisse im Allgemeinen und für das Entstehen von Beurteilungsdiskrepanzen im Besonderen.
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Affiliation(s)
- Marc Vierhaus
- Universität Bielefeld, Fakultät für Psychologie und Sportwissenschaft, Abteilung für Psychologie
| | - Jana Elisa Rueth
- Universität Bielefeld, Fakultät für Psychologie und Sportwissenschaft, Abteilung für Psychologie
| | - Elisa Sophie Buchberger
- Universität Bielefeld, Fakultät für Psychologie und Sportwissenschaft, Abteilung für Psychologie
| | - Arnold Lohaus
- Universität Bielefeld, Fakultät für Psychologie und Sportwissenschaft, Abteilung für Psychologie
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de Vries PJ, Davids EL, Mathews C, Aarø LE. Measuring adolescent mental health around the globe: psychometric properties of the self-report Strengths and Difficulties Questionnaire in South Africa, and comparison with UK, Australian and Chinese data. Epidemiol Psychiatr Sci 2018; 27:369-380. [PMID: 28112065 PMCID: PMC6998978 DOI: 10.1017/s2045796016001207] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2016] [Accepted: 12/15/2016] [Indexed: 11/06/2022] Open
Abstract
AIMS This study evaluated the psychometric properties of the Strengths and Difficulties Questionnaire Self-Report (SDQ-S) in South African adolescents, and compared findings with data from the UK, Australia and China. METHODS A sample of 3451 South African adolescents in grade 8, the first year of secondary school (Mage = 13.7 years), completed the SDQ-S in Afrikaans, English or isiXhosa. Means, group differences and internal consistency were analysed using SPSS V22, and confirmatory factor analyses were conducted using MPlus V7. RESULTS In the South African sample, significant gender differences were found for four of the five sub-scale means and for total difficulties, but gender differences of alpha scores were negligible. The internal consistency for the total difficulties, prosocial behaviour and emotional symptoms sub-scales were fair. UK cut-off values for caseness (set to identify the top 10% of scores in a UK sample) led to a higher proportion of South African adolescents classified in the 'abnormal' range on emotional and peer difficulties and a lower proportion classified in the 'abnormal' range for hyperactivity. South African cut-offs were therefore generated. The cross-country comparison with UK, Australian and Chinese data showed that South African adolescent boys and girls had the highest mean scores on total difficulties as well as on the subscales of emotional symptoms and conduct problems. In contrast, South African boys and girls had the lowest mean scores for hyperactivity/inattention. The UK boys and girls had the highest mean scores for hyperactivity/inattention, while the Australian sample had the highest scores for prosocial behaviours. The Chinese boys had the highest peer problem mean scores and Chinese boys and girls had the lowest means on prosocial behaviours. Confirmatory factor analyses showed significant item loadings with loadings higher than 0.40 for the emotional and prosocial behaviour sub-scales on the five-factor model, but not for all relevant items on the other three domains. CONCLUSIONS Findings support the potential usefulness of the SDQ-S in a South African setting, but suggest that the SDQ-S should not be used with UK cut-off values, and indicate the need for further validation and standardisation work in South African adolescents. We recommend that in-country cut-offs for 'caseness' should be used for clinical purposes in South Africa, that cross-country comparisons should be made with caution, and that further examination of naturalistic clusters and factors of the SDQ should be performed in culturally and contextually diverse settings.
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Affiliation(s)
- P. J. de Vries
- Division of Child & Adolescent Psychiatry, University of Cape Town, South Africa
- Adolescent Health Research Unit, University of Cape Town, South Africa
| | - E. L. Davids
- Division of Child & Adolescent Psychiatry, University of Cape Town, South Africa
- Adolescent Health Research Unit, University of Cape Town, South Africa
| | - C. Mathews
- Adolescent Health Research Unit, University of Cape Town, South Africa
- Health Systems Research Unit, Medical Research Council; & School of Public Health and Family Medicine, University of Cape Town, South Africa
| | - L. E. Aarø
- Department of Health Promotion, Norwegian Institute of Public Health, Bergen, Norway
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Garrido LE, Barrada JR, Aguasvivas JA, Martínez-Molina A, Arias VB, Golino HF, Legaz E, Ferrís G, Rojo-Moreno L. Is Small Still Beautiful for the Strengths and Difficulties Questionnaire? Novel Findings Using Exploratory Structural Equation Modeling. Assessment 2018; 27:1349-1367. [PMID: 29911418 DOI: 10.1177/1073191118780461] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
During the present decade a large body of research has employed confirmatory factor analysis (CFA) to evaluate the factor structure of the Strengths and Difficulties Questionnaire (SDQ) across multiple languages and cultures. However, because CFA can produce strongly biased estimations when the population cross-loadings differ meaningfully from zero, it may not be the most appropriate framework to model the SDQ responses. With this in mind, the current study sought to assess the factorial structure of the SDQ using the more flexible exploratory structural equation modeling approach. Using a large-scale Spanish sample composed of 67,253 youths aged between 10 and 18 years (M = 14.16, SD = 1.07), the results showed that CFA provided a severely biased and overly optimistic assessment of the underlying structure of the SDQ. In contrast, exploratory structural equation modeling revealed a generally weak factorial structure, including questionable indicators with large cross-loadings, multiple error correlations, and significant wording variance. A subsequent Monte Carlo study showed that sample sizes greater than 4,000 would be needed to adequately recover the SDQ loading structure. The findings from this study prevent recommending the SDQ as a screening tool and suggest caution when interpreting previous results in the literature based on CFA modeling.
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Affiliation(s)
- Luis Eduardo Garrido
- University of Virginia, Charlottesville, VA, USA.,Pontificia Universidad Católica Madre y Maestra, Santo Domingo, Dominican Republic
| | | | | | | | | | | | - Eva Legaz
- Dirección General de Salud Pública, Consellería de Sanidad, Valencia, Spain
| | - Gloria Ferrís
- Dirección General de Salud Pública, Consellería de Sanidad, Valencia, Spain
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van Vuuren CL, Uitenbroek DG, van der Wal MF, Chinapaw MJM. Sociodemographic differences in 10-year time trends of emotional and behavioural problems among adolescents attending secondary schools in Amsterdam, The Netherlands. Eur Child Adolesc Psychiatry 2018; 27:1621-1631. [PMID: 29700615 PMCID: PMC6245132 DOI: 10.1007/s00787-018-1157-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Accepted: 04/11/2018] [Indexed: 01/08/2023]
Abstract
Societal change in western societies may impact emotional and behavioural problems of adolescents. Firm epidemiological evidence of changes in emotional and behavioural problems during the last decade is lacking. Insight into secular changes in emotional and behavioural problems among adolescents from various sociodemographic groups is crucial for adequate and targeted policy making. Therefore, the purpose of this study was to examine 10-year time trends in emotional and behavioural problems among adolescents, and potential differences in time trends between sociodemographic groups. Analyses were based on annually repeated cross-sectional data including 56,159 multi-ethnic students (13-14 years old) in the second year of various levels of secondary education in Amsterdam, The Netherlands, using the internationally validated Strengths and Difficulties Questionnaire. In general, emotional and behavioural problems increased over a 10-year time period (i.e., relative increase of total difficulties by 19%). This increase was mainly due to an increase in hyperactivity/inattention problems, while peer-relationship problems decreased. Time trends differed somewhat by sex: total difficulties and emotional problems increased in girls but remained fairly stable in boys. In Amsterdam, emotional and behavioural problems in adolescents seemingly increased over time, especially hyperactivity/inattention problems. Further research is needed to clarify the underlying causes. We cannot totally exclude potential confounders underlying our findings. Our findings can inform policies to target health programs at sociodemographic groups at increased risk.
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Affiliation(s)
- Cornelia Leontine van Vuuren
- Department of Epidemiology, Health Promotion and Healthcare Innovation, Public Health Service (GGD) Amsterdam, PO Box 2200, 1000 CE, Amsterdam, The Netherlands. .,Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
| | - Daan G. Uitenbroek
- 0000 0000 9418 9094grid.413928.5Department of Epidemiology, Health Promotion and Healthcare Innovation, Public Health Service (GGD) Amsterdam, PO Box 2200, 1000 CE Amsterdam, The Netherlands
| | - Marcel F. van der Wal
- 0000 0000 9418 9094grid.413928.5Department of Epidemiology, Health Promotion and Healthcare Innovation, Public Health Service (GGD) Amsterdam, PO Box 2200, 1000 CE Amsterdam, The Netherlands
| | - Mai J. M. Chinapaw
- 0000 0004 0435 165Xgrid.16872.3aDepartment of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
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29
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Stolk Y, Kaplan I, Szwarc J. Review of the strengths and difficulties questionnaire translated into languages spoken by children and adolescents of refugee background. Int J Methods Psychiatr Res 2017; 26:e1568. [PMID: 28449279 PMCID: PMC6877132 DOI: 10.1002/mpr.1568] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/02/2016] [Revised: 02/17/2017] [Accepted: 03/15/2017] [Indexed: 12/28/2022] Open
Abstract
The Strengths and Difficulties Questionnaire (SDQ), routinely used to screen for children's and adolescents' emotional and behavioural problems, has been translated into at least 80 languages. As children of refugee background are particularly vulnerable to mental health problems resulting from their refugee experiences, this review examines whether SDQs translated into languages spoken by major refugee groups are validated and culturally equivalent to the original SDQ and sensitive to change following interventions. No reviewed studies of translated SDQs reported on challenges in achieving conceptual and linguistic equivalence in translation. Factor analysis predominantly showed structural inequivalence with the original 5-factor model, suggesting translated SDQ subscales may measure different constructs. Predictive equivalence findings tended to show somewhat higher sensitivity for detecting disorder than the original SDQ's low sensitivity, and somewhat lower specificity. Outcome studies yielded equivocal results with refugee and immigrant groups. SDQ items do not detect the psychological sequelae of trauma; hence it is recommended that the SDQ be used with caution to screen refugee children, with a follow-up clinical interview for verification. Cross-cultural qualitative research is needed into parents' and adolescents' interpretation of translated SDQ items.
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Affiliation(s)
- Yvonne Stolk
- Victorian Foundation for Survivors of TortureBrunswickVictoriaAustralia
| | - Ida Kaplan
- Victorian Foundation for Survivors of TortureBrunswickVictoriaAustralia
| | - Josef Szwarc
- Victorian Foundation for Survivors of TortureBrunswickVictoriaAustralia
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30
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Salmanian M, Asadian-Koohestani F, Mohammadi MR. A systematic review on the prevalence of conduct disorder in the Middle East. Soc Psychiatry Psychiatr Epidemiol 2017; 52:1337-1343. [PMID: 28681265 DOI: 10.1007/s00127-017-1414-9] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2017] [Accepted: 06/21/2017] [Indexed: 11/28/2022]
Abstract
OBJECTIVE Several epidemiological studies have been done on conduct disorder in the Middle East, but no systematic review has been conducted on this topic. Thus, we aimed at investigating the prevalence of conduct disorder in the Middle East in this systematic review of the literature. METHODS We searched all the cross-sectional studies in the scientific databases of PubMed, Scopus, Google Scholar, Index Medicus for the Eastern Mediterranean Region, Islamic World Science Citation Center, and Grey Literature including conference proceedings, and hand searching of key journals from 1995 to the end of 2014. Included studies described the prevalence of conduct disorder prior to age of 18, with any type of random or non-random sampling for at least one gender in the general or school-based populations who resided in Middle Eastern countries. Two reviewers assessed the quality of the included studies independently and extracted the relevant data. RESULTS Twenty-four studies were included in this review. Sample sizes varied from 136 to 9636 with the age range of 6-18 years. These studies were conducted in Iran, Turkey, Israel, Cyprus, Egypt, United Arab Emirates, Iraq, Afghanistan, Yemen, and Palestine. Strengths and Difficulties Questionnaire (SDQ) was used in most of the included studies. The prevalence of conduct disorder was reported from 2.4% by diagnostic criteria taken from DSM-IV-TR in Iraq to 32.9% by SDQ in Iran; the prevalence rates ranged from 1 to 29.9% for females and from 3.3 to 34.6% for males. However, the prevalence of conduct disorder was reported 0.34% by the diagnostic instrument of Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime in Iranian children and adolescents. CONCLUSIONS The prevalence of conduct disorder in this study was higher than the worldwide prevalence, thus, it seems essential to design preventive and treatment programs for children and adolescents with conduct disorder.
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Affiliation(s)
- Maryam Salmanian
- Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, South Kargar Ave, Tehran, Iran
| | - Fatemeh Asadian-Koohestani
- Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, South Kargar Ave, Tehran, Iran
| | - Mohammad Reza Mohammadi
- Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, South Kargar Ave, Tehran, Iran.
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31
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Dang HM, Nguyen H, Weiss B. Incremental validity of the Child Behavior Checklist (CBCL) and the Strengths and Difficulties Questionnaire (SDQ) in Vietnam. Asian J Psychiatr 2017; 29:96-100. [PMID: 29061439 PMCID: PMC5679093 DOI: 10.1016/j.ajp.2017.04.023] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Revised: 04/22/2017] [Accepted: 04/28/2017] [Indexed: 10/19/2022]
Abstract
OBJECTIVE Valid but efficient psychiatric assessment is essential for mental health development in Asian low and middle-income countries. This study's objective was to assess the validity of Vietnamese versions of the Child Behavior Checklist (CBCL), and the Strengths and Difficulties Questionnaire (SDQ) in Vietnam. METHODS Measures were completed by a community sample of 1314 parents of children 6-16 years old from 10 Vietnamese provinces, and by parents of 208 children recruited from 3 psychiatric facilities in Hanoi. RESULTS Internal consistency was in the fair to excellent range for all CBCL scales (.76-.96) and for the SDQ Total Problems scale (.81); SDQ subscale internal consistency was in the poor to fair range (.31-.73). All CBCL and SDQ scales and most individual items significantly discriminated between referred and non-referred children, with referred children scoring in the more pathological direction; the CBCL had significantly larger referral effect sizes than the SDQ for all four pairs of comparable scales. At the item level, the largest referral status effect for the CBCL were #73 (Sexual Problems), #84 (Strange Behavior), and #91 (Talks about suicide), and for the SDQ they were #10 (Constantly fidgeting), #15 (Easily Distracted) and # 25 (Good Attention Span-reverse scored). Five CBCL (#2 Drinks alcohol; #99 Uses tobacco, #32 Has to be perfect; #53 Overeats; #56A Aches and pains) and one SDQ items (#23 Gets along better with adults than children) did not discriminate referral status, suggesting the influence of cultural values on clinical referrability (e.g., that Vietnamese parents may not see use of tobacco as an issue of concern, or related to health). CONCLUSIONS There is good support for the reliability and validity of the Vietnamese version of the CBCL, and for the SDQ Total Problems scale. Overall, the CBCL appears to be the stronger measure psychometrically, particularly if in-depth assessment is needed.
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Affiliation(s)
- Hoang-Minh Dang
- College of Education, Vietnam National University at Hanoi, G7 Building, 144 Xuan Thuy Street, Cau Giay District, Hanoi, Viet Nam.
| | - Ha Nguyen
- National Institute of Mental Health, Bach Mai Hospital, 78 Giai Phong Street, Dong Da District, Hanoi, Viet Nam
| | - Bahr Weiss
- Clinical Sciences Program, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203, USA
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32
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Stevanovic D, Bagheri Z, Atilola O, Vostanis P, Stupar D, Moreira P, Franic T, Davidovic N, Knez R, Nikšić A, Dodig-Ćurković K, Avicenna M, Multazam Noor I, Nussbaum L, Deljkovic A, Aziz Thabet A, Petrov P, Ubalde D, Monteiro LA, Ribas R. Cross-cultural measurement invariance of the Revised Child Anxiety and Depression Scale across 11 world-wide societies. Epidemiol Psychiatr Sci 2017; 26:430-440. [PMID: 27353487 PMCID: PMC6998552 DOI: 10.1017/s204579601600038x] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2016] [Accepted: 05/12/2016] [Indexed: 02/01/2023] Open
Abstract
BACKGROUND In order to compare estimates by one assessment scale across various cultures/ethnic groups, an important aspect that needs to be demonstrated is that its construct across these groups is invariant when measured using a similar and simultaneous approach (i.e., demonstrated cross-cultural measurement invariance). One of the methods for evaluating measurement invariance is testing for differential item functioning (DIF), which assesses whether different groups respond differently to particular items. The aim of this study was to evaluate the cross-cultural measurement invariance of the Revised Child Anxiety and Depression Scale (RCADS) in societies with different socioeconomic, cultural, and religious backgrounds. METHODS The study was organised by the International Child Mental Health Study Group. Self-reported data were collected from adolescents residing in 11 countries: Brazil, Bulgaria, Croatia, Indonesia, Montenegro, Nigeria, Palestinian Territories, the Philippines, Portugal, Romania and Serbia. The multiple-indicators multiple-causes model was used to test the RCADS items for DIF across the countries. RESULTS Ten items exhibited DIF considering all cross-country comparisons. Only one or two items were flagged with DIF in the head-to-head comparisons, while there were three to five items flagged with DIF, when one country was compared with the others. Even with all cross-culturally non-invariant items removed from nine language versions tested, the original factor model representing six anxiety and depressive symptoms subscales was not significantly violated. CONCLUSIONS There is clear evidence that relatively small number of the RCADS items is non-invariant, especially when comparing two different cultural/ethnic groups, which indicates on its sound cross-cultural validity and suitability for cross-cultural comparisons in adolescent anxiety and depressive symptoms.
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Affiliation(s)
- D. Stevanovic
- Clinic for Neurology and Psychiatry for Children and Youth, Belgrade, Serbia
| | - Z. Bagheri
- Department of Biostatistics, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | - P. Vostanis
- School of Psychology, Leicester University, Leicester, UK
| | - D. Stupar
- Clinic for Neurology and Psychiatry for Children and Youth, Belgrade, Serbia
| | | | - T. Franic
- Child and Adolescent Psychiatry, School of Medicine, University of Split, Split, Croatia
| | - N. Davidovic
- Child and Adolescent Psychiatry, School of Medicine, University of Split, Split, Croatia
| | - R. Knez
- Medical School, University of Rijeka, Croatia
| | - A. Nikšić
- Department of Psychology, Faculty of Humanities and Social Sciences in Rijeka, Croatia
| | | | - M. Avicenna
- Faculty of Psychology, State Islamic University Syarif Hidayatullah, Jakarta, Indonesia
| | | | - L. Nussbaum
- Department of Child and Adolescent Psychiatry, University of Medicine and Pharmacy ‘Victor Babes’, Timisoara, Romania
| | | | | | - P. Petrov
- Department of Child and Adolescent Psychiatry, University Hospital St. Marina, Varna, Bulgaria
| | - D. Ubalde
- Department of Psychology, St. Dominic College of Asia, City of Bacoor, Philippines
| | | | - R. Ribas
- Federal University of Rio de Janeiro, Brazil
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Perceived Family Cohesion Moderates Environmental Influences on Prosocial Behavior in Nigerian Adolescent Twins. Twin Res Hum Genet 2017; 20:226-235. [PMID: 28347396 DOI: 10.1017/thg.2017.15] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Research shows that perceived family cohesion is positively related to prosocial behavior in adolescents. In this study, we investigated heritability of prosocial behavior (PB) and perceived family cohesion (FC) among Nigerian twins attending public schools in Lagos State, Nigeria (mean age = 14.7 years, SD = 1.7 years), and explored the issue of whether children's perception of cohesive family environment moderated genetic and environmental influences on (PB). The PB scale of the Strengths and Difficulties Questionnaire and the FC scale of the Family Adaptability and Cohesion Evaluation Scale III were completed by 2,376 twins (241 monozygotic (MZ) male, 354 MZ female, 440 dizygotic (DZ) male, 553 DZ female, and 788 opposite-sex DZ twins). A general sex-limitation and the bivariate genotype by environment interaction (G×E) models were applied to the data. The general sex-limitation model showed no significant sex differences, indicating that additive genetic and non-shared environmental influences were, 38% (95% CI = 31, 46) and 62% (95% CI = 54, 69) for PB and 33% (95% CI = 24, 40) and 67% (95% CI = 60, 76) for FC in both sexes. These estimates were similar to those found in Western and Asian twin studies to date. The correlation between PB and FC was 0.36. The best-fitting bivariate G×E model indicated that FC significantly moderated non-shared environmental influence unique to PB (E×E interaction). Specifically, non-shared environmental contributions to PB were highest when FC was lowest, and decreased as the levels of FC increased. However, genetic variances in PB were stable across all levels of FC. These findings suggest that FC reduces individual differences in PB by changing non-shared environmental experiences rather than genetic factors in PB.
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Möhrle B, Dölitzsch C, Fegert JM, Keller F. Verhaltensauffälligkeiten und Lebensqualität bei männlichen unbegleiteten minderjährigen Flüchtlingen in Jugendhilfe einrichtungen in Deutschland. KINDHEIT UND ENTWICKLUNG 2016. [DOI: 10.1026/0942-5403/a000206] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Unbegleitete minderjährige Flüchtlinge (UMF) gelten als Hochrisikogruppe für die Entwicklung psychischer Erkrankungen. Hinsichtlich Häufigkeit und Art psychischer Störungen sowie gesundheitsbezogener Lebensqualität (LQ) fehlen für Deutschland bislang Originalarbeiten. Anhand der Daten von 191 männlichen UMF, erhoben in Jugendhilfeeinrichtungen in Deutschland, wurden emotionale und Verhaltensauffälligkeiten (SDQ) sowie gesundheitsbezogene LQ (ILK) untersucht und Vergleiche zur Normstichprobe durchgeführt. Internalisierende Verhaltensauffälligkeiten zeigten sich laut Selbst- und Fremdbeurteilung bei 35 bis 61 % der Jugendlichen signifikant häufiger als in der Normstichprobe (20 %). Hyperaktivitätssymptome waren dagegen sehr selten (4 bis 7 %). Externalisierende Verhaltensprobleme wurden von Betreuungspersonen häufiger (20 %) berichtet als von den Jugendlichen (8 %). Gesundheitsbezogene LQ wurde niedrig eingeschätzt, als Ressource konnte prosoziales Verhalten identifiziert werden.
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Affiliation(s)
- Birgit Möhrle
- Klinik für Kinder- und Jugendpsychiatrie/Psychotherapie, Universitätsklinikum Ulm
| | - Claudia Dölitzsch
- Klinik für Kinder- und Jugendpsychiatrie/Psychotherapie, Universitätsklinikum Ulm
| | - Jörg M. Fegert
- Klinik für Kinder- und Jugendpsychiatrie/Psychotherapie, Universitätsklinikum Ulm
| | - Ferdinand Keller
- Klinik für Kinder- und Jugendpsychiatrie/Psychotherapie, Universitätsklinikum Ulm
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Abdulmalik J, Ani C, Ajuwon AJ, Omigbodun O. Effects of problem-solving interventions on aggressive behaviours among primary school pupils in Ibadan, Nigeria. Child Adolesc Psychiatry Ment Health 2016; 10:31. [PMID: 27594903 PMCID: PMC5010727 DOI: 10.1186/s13034-016-0116-5] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Accepted: 08/18/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Aggressive patterns of behavior often start early in childhood, and tend to remain stable into adulthood. The negative consequences include poor academic performance, disciplinary problems and encounters with the juvenile justice system. Early school intervention programs can alter this trajectory for aggressive children. However, there are no studies evaluating the feasibility of such interventions in Africa. This study therefore, assessed the effect of group-based problem-solving interventions on aggressive behaviors among primary school pupils in Ibadan, Nigeria. METHODS This was an intervention study with treatment and wait-list control groups. Two public primary schools in Ibadan Nigeria were randomly allocated to an intervention group and a waiting list control group. Teachers rated male Primary five pupils in the two schools on aggressive behaviors and the top 20 highest scorers in each school were selected. Pupils in the intervention school received 6 twice-weekly sessions of group-based intervention, which included problem-solving skills, calming techniques and attribution retraining. Outcome measures were; teacher rated aggressive behaviour (TRAB), self-rated aggression scale (SRAS), strengths and difficulties questionnaire (SDQ), attitude towards aggression questionnaire (ATAQ), and social cognition and attribution scale (SCAS). RESULTS The participants were aged 12 years (SD = 1.2, range 9-14 years). Both groups had similar socio-demographic backgrounds and baseline measures of aggressive behaviors. Controlling for baseline scores, the intervention group had significantly lower scores on TRAB and SRAS 1-week post intervention with large Cohen's effect sizes of 1.2 and 0.9 respectively. The other outcome measures were not significantly different between the groups post-intervention. CONCLUSIONS Group-based problem solving intervention for aggressive behaviors among primary school students showed significant reductions in both teachers' and students' rated aggressive behaviours with large effect sizes. However, this was a small exploratory trial whose findings may not be generalizable, but it demonstrates that psychological interventions for children with high levels of aggressive behaviour are feasible and potentially effective in Nigeria.
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Affiliation(s)
- Jibril Abdulmalik
- Department of Psychiatry, College of Medicine, University of Ibadan & University College Hospital, Ibadan, Nigeria ,Centre for Child and Adolescent Mental Health, University of Ibadan, Ibadan, Nigeria
| | - Cornelius Ani
- Centre for Mental Health, Imperial College London, London, UK
| | - Ademola J. Ajuwon
- Department of Health Promotion and Education, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Olayinka Omigbodun
- Department of Psychiatry, College of Medicine, University of Ibadan & University College Hospital, Ibadan, Nigeria ,Centre for Child and Adolescent Mental Health, University of Ibadan, Ibadan, Nigeria
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Kovess-Masfety V, Husky MM, Keyes K, Hamilton A, Pez O, Bitfoi A, Carta MG, Goelitz D, Kuijpers R, Otten R, Koç C, Lesinskiene S, Mihova Z. Comparing the prevalence of mental health problems in children 6-11 across Europe. Soc Psychiatry Psychiatr Epidemiol 2016; 51:1093-103. [PMID: 27314494 PMCID: PMC5279951 DOI: 10.1007/s00127-016-1253-0] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2016] [Accepted: 06/09/2016] [Indexed: 10/21/2022]
Abstract
BACKGROUND Worldwide, approximately one in eight children or adolescents suffer from a mental disorder. The present study was designed to determine the cross-national prevalence of mental health problems in children aged 6-11 across seven European countries including Italy, Germany, the Netherlands, Lithuania, Bulgaria, Romania, and Turkey. METHODS Data were collected on 7682 children for whom either parent- or teacher SDQ were completed. RESULTS The present study provides country-specific normative banding for both parent- and teacher SDQ scores. Overall, 12.8 % of children have any probable disorder, with rates ranging from 15.5 % in Lithuania to 7.8 % in Italy, 3.8 % of children have a probable emotional disorder, 8.4 % probable conduct disorder, and 2.0 % probable hyperactivity/inattention. However, when adjusting for key sociodemographic variables and parental psychological distress, country of residence did not predict the odds of having any disorder. For specific disorders, however, country of residence does have an effect on the odds of presenting with mental health problems. CONCLUSIONS As normative data are key in the comparison of mental health status on an international level, the present data considerably advance the possibilities of future research. Furthermore, the findings underline the importance of controlling for a number of sociodemographic and parental variables when conducting international comparisons of child mental health. In addition, the findings suggest that efforts are needed locally to assist in the detection and prevention of parental psychological distress.
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Affiliation(s)
- Viviane Kovess-Masfety
- Université Paris Descartes, Sorbonne Paris Cité, Paris, France,EHESP French School of Public Health, Paris, France
| | - Mathilde M. Husky
- Université Paris Descartes, Sorbonne Paris Cité, Paris, France,INSERM U1219, Université de Bordeaux, Institut Universitaire de France, 3 ter, place de la Victoire, 33076 Bordeaux, France
| | - Katherine Keyes
- Mailman School of Public Health, Columbia University, New York, NY, USA
| | - Ava Hamilton
- Mailman School of Public Health, Columbia University, New York, NY, USA
| | - Ondine Pez
- EHESP French School of Public Health, Paris, France
| | - Adina Bitfoi
- The Romanian League for Mental Health, Bucharest, Romania
| | - Mauro Giovanni Carta
- Centro di Psichiatria di Consulenza e Psicosomatica Azienda Ospedaliero Universitaria di Cagliari, Cagliari, Italy
| | - Dietmar Goelitz
- Institute of Psychology, University of Koblenz-Landau, Koblenz, Germany
| | - Rowella Kuijpers
- Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, The Netherlands
| | - Roy Otten
- Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, The Netherlands
| | - Ceren Koç
- Yeniden Health and Education Society, Istanbul, Turkey
| | - Sigita Lesinskiene
- Clinic of Psychiatry, Faculty of Medicine, University of Vilnius, Vilnius, Lithuania
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Prady SL, Pickett KE, Croudace T, Mason D, Petherick ES, McEachan RRC, Gilbody S, Wright J. Maternal psychological distress in primary care and association with child behavioural outcomes at age three. Eur Child Adolesc Psychiatry 2016; 25:601-13. [PMID: 26415597 PMCID: PMC4889639 DOI: 10.1007/s00787-015-0777-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2015] [Accepted: 09/16/2015] [Indexed: 01/04/2023]
Abstract
Observational studies indicate children whose mothers have poor mental health are at increased risk of socio-emotional behavioural difficulties, but it is unknown whether these outcomes vary by the mothers' mental health recognition and treatment status. To examine this question, we analysed linked longitudinal primary care and research data from 1078 women enrolled in the Born in Bradford cohort. A latent class analysis of treatment status and self-reported distress broadly categorised women as (a) not having a common mental disorder (CMD) that persisted through pregnancy and the first 2 years after delivery (N = 756, 70.1 %), (b) treated for CMD (N = 67, 6.2 %), or (c) untreated (N = 255, 23.7 %). Compared to children of mothers without CMD, 3-year-old children with mothers classified as having untreated CMD had higher standardised factor scores on the Strengths and Difficulties Questionnaire (d = 0.32), as did children with mothers classified as having treated CMD (d = 0.27). Results were only slightly attenuated in adjusted analyses. Children of mothers with CMD may be at risk for socio-emotional and behavioural difficulties. The development of effective treatments for CMD needs to be balanced by greater attempts to identify and treat women.
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Affiliation(s)
- Stephanie L Prady
- Department of Health Sciences, University of York, York, YO10 5DD, UK.
| | - Kate E Pickett
- Department of Health Sciences, University of York, York, YO10 5DD, UK
| | - Tim Croudace
- School of Nursing and Health Sciences, University of Dundee, Dundee, DD1 4HN, UK
- Social Dimensions of Health Institute, University of Dundee, Dundee, DD1 4HN, UK
| | - Dan Mason
- Bradford Institute for Health Research, Bradford Royal Infirmary, Duckworth Lane, Bradford, BD9 6RJ, UK
| | - Emily S Petherick
- Bradford Institute for Health Research, Bradford Royal Infirmary, Duckworth Lane, Bradford, BD9 6RJ, UK
| | - Rosie R C McEachan
- Bradford Institute for Health Research, Bradford Royal Infirmary, Duckworth Lane, Bradford, BD9 6RJ, UK
| | - Simon Gilbody
- Department of Health Sciences, University of York, York, YO10 5DD, UK
- Hull York Medical School, University of York, York, YO10 5DD, UK
| | - John Wright
- Bradford Institute for Health Research, Bradford Royal Infirmary, Duckworth Lane, Bradford, BD9 6RJ, UK
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Bøe T, Hysing M, Skogen JC, Breivik K. The Strengths and Difficulties Questionnaire (SDQ): Factor Structure and Gender Equivalence in Norwegian Adolescents. PLoS One 2016; 11:e0152202. [PMID: 27138259 PMCID: PMC4854391 DOI: 10.1371/journal.pone.0152202] [Citation(s) in RCA: 50] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2015] [Accepted: 03/10/2016] [Indexed: 11/18/2022] Open
Abstract
Although frequently used with older adolescents, few studies of the factor structure, internal consistency and gender equivalence of the SDQ exists for this age group, with inconsistent findings. In the present study, confirmatory factor analysis (CFA) was used to evaluate the five-factor structure of the SDQ in a population sample of 10,254 16-18 year-olds from the youth@hordaland study. Measurement invariance across gender was assessed using multigroup CFA. A modestly modified five-factor solution fitted the data acceptably, accounting for one cross loading and some local dependencies. Importantly, partial measurement non-invariance was identified, with differential item functioning in eight items, and higher correlations between emotional and conduct problems for boys compared to girls. Implications for use clinically and in research are discussed.
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Affiliation(s)
- Tormod Bøe
- Regional centre for child and youth mental health and child welfare, Uni Research Health, Bergen, Norway
- * E-mail:
| | - Mari Hysing
- Regional centre for child and youth mental health and child welfare, Uni Research Health, Bergen, Norway
| | - Jens Christoffer Skogen
- Division of Mental Health, Department of Public Mental Health, Norwegian Institute of Public Health, Bergen, Norway
- Alcohol and Drug Research Western Norway, Stavanger University Hospital, Stavanger, Norway
| | - Kyrre Breivik
- Regional centre for child and youth mental health and child welfare, Uni Research Health, Bergen, Norway
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Kim MH, Ahn JS, Min S. Psychometric Properties of the Self-Report Version of the Strengths and Difficulties Questionnaire in Korea. Psychiatry Investig 2015; 12:491-9. [PMID: 26508960 PMCID: PMC4620306 DOI: 10.4306/pi.2015.12.4.491] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2014] [Revised: 01/19/2015] [Accepted: 02/12/2015] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVE To examine the reliability and validity of the self-report Korean version of Strengths and Difficulties Questionnaire (SDQ-Kr) in the community sample. METHODS The SDQ-Kr was administered to a large sample of school children and adolescents (n=2814) and youth attendees of a psychiatric clinic (n=385) aged 11-16 years. To examine temporal stability, the same questionnaire was administered to a subsample of 167 school youths five to six weeks after the initial assessment. To examine the reliability, we calculated Cronbach's alpha coefficients for internal consistency and Pearson's correlations for test-retest stability. In order to evaluate the factorial structure of the SDQ-Kr items, we conducted an exploratory factor analysis (EFA) with varimax rotation. Finally, discriminant validity was examined by using receiver operating characteristic (ROC) curves employing the area under the curve (AUC) as an index of discriminant ability. RESULTS Although the internal consistency of some subscales of the SDQ-Kr was somewhat less satisfactory (alpha coefficients; 0.28-0.54) than the English original, coefficients for the total difficulties scores approached sufficient levels (coefficients; 0.69). Other psychometric properties including discriminant validity (AUC for total difficulties and four subscales >0.7) were comparable to those obtained in other language studies. CONCLUSION The self-report SDQ-Kr exhibited a low level of reliability, indicating that some items need to be further evaluated and revised to improve the psychometric properties. We suggest that the total difficulties score could be used with more confidence for screening possible mental health problems in youths.
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Affiliation(s)
- Min-Hyuk Kim
- Department of Psychiatry, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea
| | - Joung-Sook Ahn
- Department of Psychiatry, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea
| | - Seongho Min
- Department of Psychiatry, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea
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Fanaj N, Melonashi E, Shkëmbi F. Self-esteem and Hopelessness as Predictors of Emotional Difficulties: A Cross-sectional Study among Adolescents in Kosovo. ACTA ACUST UNITED AC 2015. [DOI: 10.1016/j.sbspro.2014.12.626] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Kandemir H, Aydemir Ö, Ekinci S, Selek S, Kandemir SB, Bayazit H. Validity and reliability of the Turkish version of CRAFFT Substance Abuse Screening Test among adolescents. Neuropsychiatr Dis Treat 2015; 11:1505-9. [PMID: 26150721 PMCID: PMC4484694 DOI: 10.2147/ndt.s82232] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
AIM This study aimed to validate the CRAFFT diagnostic test, against the Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition, Axis 1-based diagnostic inventory in a Turkish population of adolescents. METHOD The 124 adolescents who were 15-18 years old were enrolled to this study. CRAFFT was self-administered. Interviews took approximately 30 minutes, including the DSM-IV diagnostic interview for alcohol/drug dependence. RESULTS The mean age of subjects was 16.653 years (minimum: 15 years, maximum: 18 years). A score of 2 or higher in part B was found to be optimal for detecting youths with substance dependence problems (sensitivity: 0.82; specificity: 0.88) and it was sufficiently discriminative. CONCLUSION The CRAFFT is a valid and reliable instrument for identifying Turkish-speaking youths at risk for substance use disorders.
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Affiliation(s)
- Hasan Kandemir
- Department of Child and Adolescent Psychiatry, School of Medicine, Harran University, Sanliurfa, Turkey
| | - Ömer Aydemir
- Department of Psychiatry, School of Medicine, Celal Bayar University, Manisa, Turkey
| | | | - Salih Selek
- Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center, Houston, Texas, USA
| | - Sultan B Kandemir
- Department of Psychiatry, Balikligol State Hospital, Sanliurfa, Turkey
| | - Hüseyin Bayazit
- Department of Psychiatry, School of Medicine, Harran University, Sanliurfa, Turkey
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