Shetty Janavi, Perquier Florence, Campisi Susan C, Wasan Yaqub, Aitken Madison, Korczak Daphne J, Monga Suneeta, Soofi Sajid Bashir, Szatmari Peter, Bhutta Zulfiqar A
Cundill Centre for Child and Youth Depression, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
PLOS Glob Public Health. 2022 Nov 17;2(11):e0000968. doi: 10.1371/journal.pgph.0000968. eCollection 2022.
There is a need for reliable and valid screening tools that assess depressive symptoms in adolescents in Pakistan. To address this need, the present study examined the psychometric properties and factor structure of a Sindhi-translated and adapted version of the child-report Mood and Feelings Questionnaire (MFQ-C) and the Short Mood and Feelings Questionnaire (SMFQ-C) in a community sample of adolescents living in Matiari, Pakistan. Questionnaires were translated into Sindhi and administered by study psychologists to 1350 participants (52.3% female) 9.0 to 15.9 years old. Measurement structure was examined using confirmatory factor analysis. Internal consistency was estimated, and convergent and divergent validity were explored using subscales from the Strengths and Difficulties Questionnaire and the Screen for Child Anxiety Related Emotional Disorders. The unidimensional structure of the MFQ-C was found to be adequate, but a four-factor structure comprising core mood, vegetative, cognitive and agitated distress symptoms best fit the data (CFI = 0.97, TLI = 0.97, RMSEA = 0.05). The original unidimensional structure of the SMFQ-C was supported (CFI = 0.97, TLI = 0.96, RMSEA = 0.07). The MFQ-C and the SMFQ-C respectively showed excellent (α = 0.92) and good internal consistency (α = 0.87) as well as satisfactory construct validity with some differences observed across the MFQ-C subscales. The SMFQ-C and the adapted MFQ-C appear to be reliable and valid measures of depressive symptoms among early adolescents living in rural Pakistan. Both total and subscale scores can be derived from the MFQ-C to assess general and specific dimensions of depressive symptoms in this population.
在巴基斯坦，需要有可靠且有效的筛查工具来评估青少年的抑郁症状。为满足这一需求，本研究在巴基斯坦马蒂亚里的一个青少年社区样本中，检验了信德语翻译并改编版的儿童报告版情绪与感受问卷（MFQ-C）以及简版情绪与感受问卷（SMFQ-C）的心理测量特性和因子结构。问卷被翻译成信德语，由研究心理学家对1350名参与者（52.3%为女性）进行施测，这些参与者年龄在9.0至15.9岁之间。使用验证性因子分析来检验测量结构。估计了内部一致性，并使用优势与困难问卷以及儿童焦虑相关情绪障碍筛查量表的子量表来探索收敛效度和区分效度。发现MFQ-C的单维结构是合适的，但一个由核心情绪、植物神经、认知和激越性痛苦症状组成的四因子结构最能拟合数据（CFI = 0.97，TLI = 0.97，RMSEA = 0.05）。SMFQ-C的原始单维结构得到了支持（CFI = 0.97，TLI = 0.96，RMSEA = 0.07）。MFQ-C和SMFQ-C分别显示出优异的（α = 0.92）和良好的内部一致性（α = 0.87），以及令人满意的结构效度，在MFQ-C各子量表上观察到了一些差异。对于生活在巴基斯坦农村的青少年，SMFQ-C和改编后的MFQ-C似乎是可靠且有效的抑郁症状测量工具。MFQ-C的总分和子量表分数均可用于评估该人群抑郁症状的总体和特定维度。
