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Screening for psychopathology in child welfare: the Strengths and Difficulties Questionnaire (SDQ) compared with the Achenbach System of Empirically Based Assessment (ASEBA)

机译:儿童福利中的心理病理学筛查:优势与困难问卷(SDQ)与基于经验的评估的阿亨巴赫系统(ASEBA)比较

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摘要

Whilst children in child welfare suffer more psychopathology than their community peers, only a small percentage of them actually receive mental health care. Previous literature suggested that all children entering child welfare should be screened. This study evaluated whether the Strengths and Difficulties Questionnaire (SDQ) could be used for this purpose. The extended version of the SDQ and the Achenbach System of Empirically Based Assessment (ASEBA) questionnaire were administered to parents and caregivers of 292 children in child welfare. Children older than 11 years also completed the SDQ self-report and the Youth Self Report (YSR). Furthermore, the child’s history of service use was recorded and informants were asked if the actual care was sufficient. Inter-informant correlations for the scores from the SDQ and ASEBA were high and comparable or favoured the use of the SDQ (for parents and caregivers). Internal consistency was satisfactory to good. For all informants, high correlations were found between SDQ and ASEBA. Despite high scores on the SDQ, only 29% of the children had received mental health care. Service use was only correlated with the parent SDQ and the CBCL and TRF. Additional help, as requested by 21% of the parents and 37% of the caregivers, correlated moderately with the SDQ and ASEBA scores. Compared to the total difficulties score, the impact supplement is a better predictor of service use and the informant’s request for additional help. This study illustrates that the Dutch version of the SDQ, similar to the English and German versions, has equal validity as the Dutch ASEBA for screening children. Caution is warranted when the SDQ is the only source of information for referrals to specialized care.
机译:尽管享有儿童福利的儿童比同龄儿童遭受更多的精神病理学困扰,但实际上只有一小部分儿童得到了心理保健。先前的文献建议应筛选所有进入儿童福利的儿童。这项研究评估了长处和困难问卷(SDQ)是否可以用于此目的。 SDQ和Achenbach基于经验的评估系统(ASEBA)问卷的扩展版本已向292名儿童福利儿童的父母和照顾者进行了管理。 11岁以上的孩子也完成了SDQ自我报告和青年自我报告(YSR)。此外,还记录了孩子使用服务的历史,并询问举报人实际护理是否足够。 SDQ和ASEBA得分的信息间相关性很高,并且可比或赞成使用SDQ(适用于父母和照顾者)。内部一致性令人满意。对于所有知情者,在SDQ和ASEBA之间发现高度相关。尽管在SDQ上得分很高,但只有29%的儿童接受了精神保健。服务使用仅与父SDQ,CBCL和TRF相关。根据21%的父母和37%的看护者的要求,额外的帮助与SDQ和ASEBA分数适度相关。与总困难评分相比,影响补充可以更好地预测服务使用情况以及线人请求其他帮助的情况。这项研究表明,SDQ的荷兰语版本与英语和德语版本相似,与荷兰ASEBA筛查儿童的有效性相同。当SDQ是转介至专门护理的唯一信息来源时,应格外小心。

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