Kleppang Annette Løvheim, Hagquist Curt
Department of Public Health, Hedmark University of Applied Sciences, Faculty of Public Health, Elverum, Norway and
Department of Public Health, Hedmark University of Applied Sciences, Faculty of Public Health, Elverum, Norway and.
Fam Pract. 2016 Dec;33(6):740-745. doi: 10.1093/fampra/cmw091. Epub 2016 Sep 10.
The Hopkins Symptom Checklist (HSCL-10) is widely used for both clinical and epidemiological purposes to measure psychological distress among adolescents and adults.
The purpose of this study was to investigate the psychometric properties of the HSCL-10 among adolescents in Norway using Rasch analysis.
The study is based on cross-sectional data from the Norwegian Youth Health Surveys, conducted by the Norwegian Institute of Public Health in 2001 and 2009. The target group comprised of 15- to 16-year olds (Grade 10 students) in Hedmark County, Norway. Ten items with four response categories, intended to measure anxiety and depression, were analysed. The analysis focused on invariance, including differential item functioning (DIF) across genders and years of investigations. In addition, the categorization of the items, targeting, possible multidimensionality and response dependency, was analysed.
The HSCL-10 shows good reliability and on the whole, the items work well. However, one item, 'Sleeping difficulties', clearly misfit and some items work differently for boys and girls and between years of investigations. There is also need for a better targeting of the scale.
The HSCL-10 has the potential to measure the psychological distress among adolescents but there is a room for improvement. Further judgement needs to be made as to whether the misfitting item 'Sleeping difficulties' should be removed or retained.
霍普金斯症状清单（HSCL - 10）广泛用于临床和流行病学目的，以测量青少年和成年人的心理困扰。
本研究旨在使用拉施分析调查HSCL - 10在挪威青少年中的心理测量特性。
该研究基于挪威公共卫生研究所于2001年和2009年进行的挪威青少年健康调查的横断面数据。目标群体包括挪威海德马克郡15至16岁（10年级学生）的青少年。对旨在测量焦虑和抑郁的10个具有四个反应类别的项目进行了分析。分析。分析重点在于不变性，包括跨性别和不同调查年份的项目功能差异（DIF）。此外，还对项目的分类、针对性、可能的多维性和反应依赖性进行了分析。
HSCL - 10显示出良好的可靠性，总体而言，这些项目效果良好。然而，一个项目“睡眠困难”明显不匹配，并且一些项目在男孩和女孩之间以及不同调查年份的表现有所不同。该量表也需要更好地确定目标人群。
HSCL - 10有潜力测量青少年的心理困扰，但仍有改进空间。对于不匹配的项目“睡眠困难”是否应删除或保留，还需要进一步判断。
