Characteristics of the strengths and difficulties questionnaire in preschool children

Meinou H C Theunissen1, Anton G C Vogels, Marianne S de Wolff

  • 1TNO Child Health, PO Box 2215, 2301 CE, Leiden, Netherlands. meinou.theunissen@tno.nl

Pediatrics
|January 9, 2013
PubMed

Insights

The Strengths and Difficulties Questionnaire (SDQ) effectively identifies psychosocial problems in preschool children within preventive child healthcare (PCH). While the overall SDQ score is reliable, some subscales need caution for treatment decisions.

Area of Science:

  • Child Psychology
  • Preventive Healthcare
  • Psychometric Validation

Background:

  • Validated questionnaires are crucial for identifying psychosocial issues in children.
  • Preventive child healthcare (PCH) systems aim to detect these problems early.
  • The Strengths and Difficulties Questionnaire (SDQ) is a potential tool for this purpose.

Purpose of the Study:

  • To assess the psychometric properties of the SDQ in preschool-aged children.
  • To evaluate the added value of the SDQ in identifying psychosocial problems within PCH.
  • To determine the SDQ's utility for PCH professionals.

Main Methods:

  • Included 839 children aged 3-4 years in routine PCH assessments.
  • Parents completed the SDQ and Child Behavior Checklist (CBCL).
  • Assessed internal consistency, scale structure, and validity against CBCL and treatment status.

Main Results:

  • SDQ total difficulties score showed good internal consistency (Cronbach's α = 0.78).
  • High accuracy in identifying psychosocial problems (AUC = 0.94, sensitivity = 0.79, specificity = 0.93) when compared to CBCL.
  • SDQ significantly improved identification compared to clinical assessment alone (OR = 36.48).

Conclusions:

  • The SDQ is a valid instrument for identifying psychosocial problems in preschool children via PCH.
  • Reliability issues in some SDQ subscales limit their use for treatment decisions.
  • The SDQ enhances the detection of psychosocial difficulties in early childhood care settings.
Abstract

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