Kuhn Christine, Aebi Marcel, Jakobsen Helle, Banaschewski Tobias, Poustka Luise, Grimmer Yvonne, Goodman Robert, Steinhausen Hans-Christoph
Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital of Psychiatry Zurich, Postbox 1482, 8032, Zurich, Switzerland.
Child and Youth Forensic Psychiatry, Department of Forensic Psychiatry, University Hospital of Psychiatry, Zurich, Switzerland.
Child Psychiatry Hum Dev. 2017 Jun;48(3):385-392. doi: 10.1007/s10578-016-0665-0.
Youth- and parent-rated screening measures derived from the Strengths and Difficulties Questionnaire (SDQ) and Development and Well-Being Assessment (DAWBA) were compared on their psychometric properties as predictors of caseness in adolescence (mean age 14). Successful screening was judged firstly against the likelihood of having an ICD-10 psychiatric diagnosis and secondly by the ability to discriminate between community (N = 252) and clinical (N = 86) samples (sample status). Both, SDQ and DAWBA measures adequately predicted the presence of an ICD-10 disorder as well as sample status. The hypothesis that there was an informant gradient was confirmed: youth self-reports were less discriminating than parent reports, whereas combined parent and youth reports were more discriminating-a finding replicated across a diversity of measures. When practical constraints only permit screening for caseness using either a parent or an adolescent informant, parents are the better source of information.
对源自优势与困难问卷（SDQ）和发展与幸福评估（DAWBA）的青少年及家长评定的筛查指标，就其作为青少年（平均年龄14岁）病例预测指标的心理测量特性进行了比较。成功筛查首先依据患有国际疾病分类第10版（ICD - 10）精神疾病诊断的可能性来判断，其次依据区分社区样本（N = 252）和临床样本（N = 86）（样本状态）的能力来判断。SDQ和DAWBA指标均能充分预测ICD - 10障碍的存在以及样本状态。存在信息提供者差异梯度的假设得到了证实：青少年自我报告的区分度低于家长报告，而家长与青少年联合报告的区分度更高——这一发现通过多种指标得以重现。当实际限制仅允许使用家长或青少年信息提供者进行病例筛查时，家长是更好的信息来源。
