Verhulst F C, Achenbach T M, Akkerhuis G W
J Am Acad Child Adolesc Psychiatry. 1989 Jul;28(4):516-24. doi: 10.1097/00004583-198907000-00008.
Child Behavior Checklists completed by parents of 50 children of each sex at each age from 4 to 16 seen in 28 American and 21 Dutch mental health services (N = 2,600) were examined. Analyses controlling for sex, age, and socioeconomic status showed somewhat higher total problem scores for American than Dutch children, with a mean of 57.27 versus 53.18 on a scale ranging from 0 to 240. This nationality difference accounted for less than 1% of the variance in total scores. American children obtained higher scores on more externalizing items than Dutch children. Small but significant differences in total, externalizing, and internalizing problems found between the two samples may reflect nationality differences in referral patterns. Competence scores were significantly higher for American than Dutch referred children, but did not differ as much as in comparable normative samples. Competence scores may reflect cultural differences more than problem scores do.
对在美国28家心理健康服务机构和荷兰21家心理健康服务机构就诊的4至16岁各年龄段的50名男孩和50名女孩的父母填写的儿童行为清单进行了检查（N = 2600）。控制性别、年龄和社会经济地位的分析表明，美国儿童的总体问题得分略高于荷兰儿童，在0至240分的量表上，平均分分别为57.27分和53.18分。这种国籍差异在总分方差中所占比例不到1%。美国儿童在更多外化项目上的得分高于荷兰儿童。两个样本在总体、外化和内化问题上发现的微小但显著的差异可能反映了转诊模式的国籍差异。美国转诊儿童的能力得分显著高于荷兰转诊儿童，但差异程度不如可比的常模样本。能力得分可能比问题得分更能反映文化差异。
