Department of Psychiatry, Chinese University of Hong Kong, Shatin, Hong Kong,
Child Psychiatry Hum Dev. 2014 Dec;45(6):703-11. doi: 10.1007/s10578-014-0439-5.
The extended Strengths and Difficulties Questionnaire (SDQ) provides information on problem behaviours and impairment measures. Western studies found impairment measures to be as good as symptom scores in predicting clinical caseness. The high levels of comorbidities among child psychiatric disorders also meant that disorders not specifically captured by the questionnaire could be identified. This study examines its applicability among Chinese school children in Hong Kong. Results found that impairment measures were more predictive of clinical status than were symptom scores. Children with low symptom but high impairment ratings had profiles that were intermediate between the low symptom low impairment and high symptom low impairment groups. The extended SDQ is useful in identifying children who might otherwise be missed if symptom scores alone were used in screening. The acceptance of child psychiatric care in Hong Kong is a multi-step process that depends on how symptoms are perceived.
扩展的长处和困难问卷 (SDQ) 提供了有关问题行为和损伤程度的信息。西方研究发现，损伤程度在预测临床病例方面与症状评分一样好。儿童精神障碍的高共病率也意味着可以识别问卷未特别捕捉到的障碍。本研究检验了其在香港的中国学童中的适用性。结果发现，损伤程度比症状评分更能预测临床状况。症状低但损伤程度高的儿童的特征介于症状低损伤程度和症状高损伤程度低两组之间。扩展的 SDQ 有助于识别那些仅使用症状评分进行筛查可能会遗漏的儿童。香港对儿童精神保健的接受程度是一个多步骤的过程，这取决于如何看待症状。
