Department of Clinical, Educational and Health Psychology, University College London, Gower Street, London WC1E 6BT, UK ; Evidence Based Practice Unit (EBPU), University College London and the Anna Freud Centre, 21 Maresfield Gardens, London NW3 5SU, UK.
Evidence Based Practice Unit (EBPU), University College London and the Anna Freud Centre, 21 Maresfield Gardens, London NW3 5SU, UK.
Child Adolesc Psychiatry Ment Health. 2014 Jun 11;8:17. doi: 10.1186/1753-2000-8-17. eCollection 2014.
The Me and My School Questionnaire (M&MS) is a self-report measure for children aged eight years and above that measures emotional difficulties and behavioural difficulties, and has been previously validated in a community sample. The present study aimed to assess its clinical sensitivity to justify its utility as a screening tool in schools.
Data were collected from service-users (n = 91, 8-15 years) and accompanying parent/carer in outpatient mental health services in England. A matched community sample (N = 91) were used to assess the measure's ability to discriminate between low- and high-risk samples.
Receiver operating curves (area under the curve, emotional difficulties = .79; behavioural difficulties = .78), mean comparisons (effect size, emotional difficulties d = 1.17, behavioural difficulties = 1.12) and proportions above clinical thresholds indicate that the measure satisfactorily discriminates between the samples. The scales have good internal reliability (emotional difficulties α = .84; behavioural difficulties α = .82) and cross-informant agreement with parent-reported symptoms is comparable to existing measures (r = .30).
The findings of this study indicate that the M&MS sufficiently discriminates between high-risk (clinic) and low-risk (community) samples, has good internal reliability, compares favourably with existing self-report measures of mental health and has comparable levels of agreement between parent-report and self-report to other measures. Alongside existing validation of the M&MS, these findings justify the measures use as a self-report screening tool for mental health problems in community settings for children aged as young as 8 years.
《我和我的学校问卷》（M&MS）是一种针对 8 岁及以上儿童的自我报告式测量工具，用于评估情绪困难和行为困难，此前已在社区样本中得到验证。本研究旨在评估其临床敏感性，以证明其在学校作为筛查工具的效用。
本研究的数据来自英格兰门诊心理健康服务的使用者（n=91，8-15 岁）及其陪同的家长/照顾者。使用匹配的社区样本（n=91）评估该测量工具区分低风险和高风险样本的能力。
接受者操作特征曲线（曲线下面积，情绪困难=0.79；行为困难=0.78）、均值比较（效应量，情绪困难 d=1.17，行为困难 d=1.12）和超过临床阈值的比例表明，该测量工具能够较好地区分样本。该量表具有良好的内部一致性（情绪困难α=0.84；行为困难α=0.82），与家长报告的症状的跨报告者一致性与现有测量工具相当（r=0.30）。
本研究的结果表明，M&MS 能够较好地区分高风险（诊所）和低风险（社区）样本，具有良好的内部一致性，与现有的心理健康自我报告测量工具相比具有优势，并且与其他测量工具相比，家长报告和自我报告之间的一致性水平相当。除了对 M&MS 的现有验证外，这些发现证明了该测量工具可用于社区环境中 8 岁及以上儿童的心理健康问题自我报告筛查。
