Department of Epidemiology, Health Promotion, and Health Care Innovation, Public Health Service Amsterdam, Nieuwe Achtergracht 100, Amsterdam, The Netherlands.
Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, De Boelelaan 1117, Amsterdam, The Netherlands.
Qual Life Res. 2021 Sep;30(9):2683-2695. doi: 10.1007/s11136-021-02852-y. Epub 2021 May 13.
This study aims to validate the Dutch-Flemish PROMIS pediatric item banks v2.0 Anxiety and Depressive Symptoms, the short forms 8a, and computerized adaptive tests (CATs) in a general Dutch population and to provide reference data.
Participants (N = 2,893, aged 8-18), recruited by two internet survey providers, completed both item banks. These item banks were assessed on unidimensionality, local independence, monotonicity, Graded Response Model (GRM) item fit, and differential item functioning (DIF) for gender, age group, region, ethnicity, and language. The short forms and CATs were assessed on reliability and construct validity compared to the Revised Child Anxiety and Depression Scale short version (RCADS-22) subscales. Reference scores were calculated.
Both item banks showed sufficient unidimensionality, local independence, monotonicity, and GRM item fit, except for three Depressive Symptoms items that showed insufficient GRM item fit. No DIF was found when using ordinal regression analyses, except for two Depressive Symptoms items that showed DIF for language; all items showed DIF for language when using IRT PRO, except for one Anxiety item. Both short forms and CATs revealed sufficient reliability for moderate and severe levels of anxiety and depression, as well as high positive correlations with corresponding RCADS-22 subscales and slightly lower correlations with non-corresponding RCADS-22 subscales.
The Dutch-Flemish PROMIS pediatric item banks v2.0 Anxiety and Depressive Symptoms, the short forms 8a and CATs are useful to assess and monitor anxiety and depression in a general population. Reference data are presented.
本研究旨在验证荷兰-佛兰芒 PROMIS 儿科项目银行 v2.0 焦虑和抑郁症状、8a 短式和计算机自适应测试 (CAT) 在一般荷兰人群中的有效性，并提供参考数据。
通过两个互联网调查提供商招募的参与者（N=2893，年龄 8-18 岁），完成了这两个项目银行。这些项目银行在单维性、局部独立性、单调性、等级反应模型（GRM）项目拟合和性别、年龄组、地区、种族和语言的差异项目功能（DIF）方面进行了评估。短式和 CAT 在可靠性和结构有效性方面与修订儿童焦虑和抑郁量表短版（RCADS-22）子量表进行了比较。计算参考分数。
两个项目银行均表现出足够的单维性、局部独立性、单调性和 GRM 项目拟合，除了三个抑郁症状项目表现出不足的 GRM 项目拟合。使用有序回归分析未发现 DIF，除了两个抑郁症状项目显示语言上的 DIF；使用 IRT PRO 时，所有项目都显示语言上的 DIF，除了一个焦虑项目。两个短式和 CAT 均显示出足够的可靠性，用于中度和重度焦虑和抑郁，以及与相应的 RCADS-22 子量表的高度正相关，以及与非相应的 RCADS-22 子量表的稍低相关性。
荷兰-佛兰芒 PROMIS 儿科项目银行 v2.0 焦虑和抑郁症状、8a 短式和 CAT 可用于评估和监测一般人群中的焦虑和抑郁。提供了参考数据。
