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[听力受损儿童的社会情感问题——德文版长处与困难问卷(SDQ-D)的初步结果]

[Socio-emotional problems among hearing-impaired children--initial results of the German version of the Strengths and Difficulties Questionnaire (SDQ-D)].

作者信息

Hintermair Manfred

机构信息

Institut für Sonderpädagogik, Pädagogische Hochschule Heidelberg.

出版信息

Z Kinder Jugendpsychiatr Psychother. 2006 Jan;34(1):49-61. doi: 10.1024/1422-4917.34.1.49.

Abstract

OBJECTIVES

Many studies demonstrate the precariousness of hearing-impaired children's socio-emotional development and bring home the necessity of early and reliable diagnosis. The German version of the Strengths and Difficulties Questionnaire (SDQ-D) is a fairly new screening procedure examined here with a view to its usefulness in diagnosing hearing-impaired children.

METHODS

The SDQ-D parent version was completed by 213 mothers and 213 fathers of hearing-impaired children within their families as part of a larger study on familial socialisation. The procedure's factorial structure and measurement accuracy were tested, and the prevalence rate of emotional and behavioural disorders was determined in comparison to the German standardization sample (Woerner et al., 2002a) in the context of other variables (age, sex, communicative competence, educational status).

RESULTS

With the exception of the "Behaviour Disorders" scale, the SDQ-D factorial structure can be reproduced in a satisfactory manner. The same can be said for its measurement accuracy. The prevalence of behaviour disorders under the condition "Hearing Impairment" is clearly higher on almost all scales, as well as for the total problem score. Special attention should be paid to the scores in the fields "Emotional Problems" and "Peer Problems" because of their significant correlation to the children's age.

CONCLUSIONS

The SDQ-D provides a valid yet economical screening procedure which can also be applied in the diagnosis of hearing-impaired children; children whose psychological development is especially endangered at an early age can be identified and referred for a more exact diagnosis and continuing counselling and therapy.

摘要

目的

许多研究表明听力受损儿童的社会情感发展不稳定,并强调了早期可靠诊断的必要性。《优势与困难问卷》德文版(SDQ-D)是一种相当新的筛查程序,本文对其在诊断听力受损儿童方面的有用性进行了研究。

方法

作为一项关于家庭社会化的大型研究的一部分,213名听力受损儿童的母亲和213名父亲在家庭中完成了SDQ-D家长版问卷。测试了该程序的因子结构和测量准确性,并在其他变量(年龄、性别、沟通能力、教育程度)的背景下,与德国标准化样本(沃纳等人,2002a)相比,确定了情绪和行为障碍的患病率。

结果

除“行为障碍”量表外,SDQ-D的因子结构能够以令人满意的方式重现。其测量准确性也是如此。在“听力受损”情况下,几乎所有量表以及总问题得分上,行为障碍的患病率明显更高。由于“情绪问题”和“同伴问题”领域的得分与儿童年龄显著相关,因此应特别关注这些得分。

结论

SDQ-D提供了一种有效且经济的筛查程序,也可应用于听力受损儿童的诊断;可以识别出那些在幼年时心理发展特别危险的儿童,并将其转介进行更精确的诊断以及持续的咨询和治疗。

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