Faculty of Medicine, Imperial College London, London, United Kingdom.
Centre for Psychiatry, Imperial College London, London, United Kingdom.
Infancy. 2021 Sep;26(5):724-734. doi: 10.1111/infa.12425. Epub 2021 Jul 20.
Behavioral and emotional problems in infants and toddlers are common, often persist and put children at risk of later mental health problems. Reliable, efficient, and sensitive tools are needed to identify young children who may benefit from further assessment and support. The Strengths and Difficulties Questionnaire (SDQ), offers a brief, convenient means of screening for early problems, however, it lacks psychometric validation in infants. The aim of this study was to assess the validity and reliability of the SDQ in children aged 12-24 months. Ninety-three participants, with children aged 12-24 months, completed the SDQ and Child Behavior Checklist (CBCL) online. Concurrent validity of the SDQ was assessed through comparison with the CBCL. The results demonstrated that key subscales of the SDQ and CBCL were significantly correlated (r range= -.19 to -.57). Key SDQ subscales showed moderate reliability (Cronbach's alpha range = .38-.79, mean inter-item correlation range = .06-.43). The SDQ shows promising reliability and validity as a measure for rating the behavior of 12-24-months-old children, particularly for externalizing symptoms. Further research is needed to assess its predictive utility.
婴儿和幼儿的行为和情绪问题很常见，往往会持续存在，并使儿童面临以后出现心理健康问题的风险。需要可靠、高效和敏感的工具来识别可能需要进一步评估和支持的幼儿。《长处和困难问卷》（SDQ）提供了一种简短、方便的早期问题筛查方法，但在婴儿中缺乏心理测量学验证。本研究旨在评估 12-24 个月儿童的 SDQ 的有效性和可靠性。93 名参与者，其子女年龄在 12-24 个月，在线完成了 SDQ 和儿童行为检查表（CBCL）。通过与 CBCL 的比较来评估 SDQ 的同时效度。结果表明，SDQ 和 CBCL 的关键分量表显著相关（r 范围=-.19 至 -.57）。关键 SDQ 分量表具有中等可靠性（Cronbach's alpha 范围=.38-.79，平均项目间相关性范围=.06-.43）。SDQ 作为评价 12-24 个月儿童行为的一种测量方法具有良好的可靠性和有效性，特别是对于外化症状。需要进一步研究来评估其预测效用。
