Essex Marilyn J, Boyce W Thomas, Goldstein Lauren Heim, Armstrong Jeffrey M, Kraemer Helena C, Kupfer David J
Department of Psychiatry, University of Wisconsin, Madison, USA.
J Am Acad Child Adolesc Psychiatry. 2002 May;41(5):588-603. doi: 10.1097/00004583-200205000-00017.
(1) To evaluate the psychometric properties of the MacArthur Health and Behavior Questionnaire (HBQ) in two studies of 4- to 8-year-old children and (2) to explore the empirical and theoretical implications of HBQ-based study findings.
Samples of children were recruited from (1) mental health clinics (n = 53) and community schools (n = 67) for a case-control study in three research sites and (2) a Wisconsin-based community cohort study of families and work, comprising children with high levels of internalizing and/or externalizing behavior problems and asymptomatic children (N = 122). Combinations of mothers, fathers, and teachers completed the HBQ at one or two time points in four geographically and culturally distinctive settings.
Assessment of HBQ reliability showed high test-retest stability and cross-informant agreement. The instrument discriminated strongly and significantly among symptom groups (i.e., high internalizing, high externalizing, high both, and low both) and showed moderate to large effect sizes for between-group differences. Substantial covariance was also found among the HBQ mental, physical, social, and academic problem subscales.
The HBQ is a reliable and valid parent- and teacher-report instrument for assessing multiple dimensions of health and dysfunction in middle childhood and for identifying children on whom more intensive diagnostic procedures may be warranted. Confluences among the four health dimensions suggest phenomenological and perhaps etiological commonalities among traditionally partitioned childhood difficulties and suggest possible artificiality in the conventional distinction between pediatric and child psychiatric morbidities.
（1）在两项针对4至8岁儿童的研究中评估麦克阿瑟健康与行为问卷（HBQ）的心理测量特性；（2）探讨基于HBQ的研究结果的实证和理论意义。
从以下两组中招募儿童样本：（1）在三个研究地点的心理健康诊所（n = 53）和社区学校（n = 67）进行病例对照研究；（2）一项基于威斯康星州的家庭与工作社区队列研究，包括有高度内化和/或外化行为问题的儿童以及无症状儿童（N = 122）。母亲、父亲和教师的组合在四个地理和文化特征不同的环境中的一个或两个时间点完成了HBQ。
对HBQ可靠性的评估显示出高重测稳定性和跨信息提供者一致性。该工具在症状组（即高度内化、高度外化、两者都高和两者都低）之间有强烈且显著的区分，并且组间差异显示出中等至较大的效应量。在HBQ的心理、身体、社会和学业问题子量表之间也发现了大量协方差。
HBQ是一种可靠且有效的家长和教师报告工具，用于评估童年中期健康和功能障碍的多个维度，并识别可能需要更深入诊断程序的儿童。四个健康维度之间的融合表明，传统上划分的儿童困难之间在现象学上甚至可能在病因学上存在共性，并表明儿科和儿童精神病发病率之间的传统区分可能存在人为性。
