Gabunia Maia, Zirakashvili Medea, Mebonia Nana, Mikiahvili Tamar, Lomidze Giorgi, Leventhal Bennett L, Shin Kim Young
Georgian Academy of Childhood Disability, Tbilisi, Georgia.
Ilia State University, Tbilisi, Georgia.
Alpha Psychiatry. 2023 Jul 1;24(4):128-135. doi: 10.5152/alphapsychiatry.2023.221003. eCollection 2023 Jul.
Children in low-resource countries like Georgia often have limited access to assessment measures for mental health care services. This study adapts and validates the mental health screening tool the Strength and Difficulties Questionnaire for use in Georgian children.
A total of 16 654 children were assessed by a parent and/or teacher using Georgian-adapted Strength and Difficulties Questionnaire. Receiver operating characteristic analyses were performed to assess the discriminative validity of the Strength and Difficulties Questionnaires and to establish an optimal cutoff score.
Data from 15 738 parents- and 13 560 teachers-administered Strength and Difficulties Questionnaire were analyzed. The internal consistency analysis showed Cronbach's alpha to be 0.625 and 0.621 for parent- and teacher-administered Strength and Difficulties Questionnaire, respectively. The area under the curve (95% CI) shows that the Strength and Difficulties Questionnaire can differentiate risk group children from typically developing peers: parent-administered questionnaires-0.629 (0.556-0.702) and teacher-administered questionnaires-0.680 (0.611-0.789). Parent-administered Strength and Difficulties Questionnaire has a cutoff value of 16 or more with 92.5% of sensitivity and teacher-administered Strength and Difficulties Questionnaire-14 or more with a sensitivity of 85.6%.
The study finds that the Strength and Difficulties Questionnaire is a valid screening instrument and does not depend on the informant-parent or teacher. It suggests that with appropriate cultural adaptation, the SDQ can be used in the Republic of Georgia to identify children at risk for mental disorders and help guide resource allocation.
在格鲁吉亚这样资源匮乏的国家，儿童往往难以获得心理健康护理服务的评估手段。本研究对心理健康筛查工具——优势与困难问卷进行了改编和验证，以供格鲁吉亚儿童使用。
共有16654名儿童由家长和/或教师使用格鲁吉亚语改编版的优势与困难问卷进行评估。进行了受试者工作特征分析，以评估优势与困难问卷的区分效度，并确定最佳临界值。
对来自15738名家长和13560名教师所使用的优势与困难问卷的数据进行了分析。内部一致性分析显示，家长版和教师版优势与困难问卷的克朗巴哈系数分别为0.625和0.621。曲线下面积（95%置信区间）表明，优势与困难问卷能够区分风险组儿童和发育正常的同龄人：家长版问卷为0.629（0.556 - 0.702），教师版问卷为0.680（0.611 - 0.789）。家长版优势与困难问卷的临界值为16分及以上，灵敏度为92.5%；教师版优势与困难问卷的临界值为14分及以上，灵敏度为85.6%。
该研究发现优势与困难问卷是一种有效的筛查工具，且不依赖于信息提供者是家长还是教师。这表明，经过适当的文化改编后，优势与困难问卷可在格鲁吉亚共和国用于识别有精神障碍风险的儿童，并帮助指导资源分配。
