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Behavioural changes after anaesthesia: validity and liability of the Post Hospitalization Behavior Questionnaire in a

Mats Karling1, Hans Stenlund, Bruno Hägglöf

  • 1Division of Anaesthesia, University Hospital of Northern Sweden, University of Umeå, Umeå, Sweden. mats.karling@vll.se

Acta Paediatrica (Oslo, Norway : 1992)
|February 25, 2006
PubMed

Insights

The Swedish Post Hospitalization Behavior Questionnaire (PHBQ) is valid for assessing behavioral changes in children after hospitalization. A five-factor model demonstrated a better fit for Swedish children

Area of Science:

  • Pediatric Psychology
  • Child Psychiatry
  • Health Psychology

Background:

  • The Post Hospitalization Behavior Questionnaire (PHBQ) assesses behavioral changes in children post-hospitalization.
  • Validating translated instruments is crucial for cross-cultural research and clinical application.

Purpose of the Study:

  • To establish the validity and reliability of a Swedish translation of the PHBQ.
  • To adapt the PHBQ for use with pediatric populations in Sweden.

Main Methods:

  • The PHBQ underwent a rigorous back-translation process.
  • 340 children (ages 2-13) undergoing elective procedures participated.
  • Exploratory and confirmatory factor analyses were employed to assess model fit.

Main Results:

  • A five-factor structure (general anxiety-withdrawal, eating disturbances, separation anxiety, regression-aggression, sleep anxiety) showed optimal fit.
  • Face validity was confirmed by child psychologists.
  • Adequate to excellent internal consistency (Cronbach's alpha 0.75-0.93) was observed.
  • Younger children (<5 years) exhibited higher scores than older children.

Conclusions:

  • The five-factor model of the Swedish PHBQ is a valid and reliable measure for children in Sweden.
  • The findings support the use of this translated instrument in clinical and research settings.
  • Age-related differences in post-hospitalization behavior warrant consideration.
Abstract

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