Riglin Lucy, Dennison Charlotte, Martin Joanna, Tseliou Foteini, Armitage Jessica M, Shakeshaft Amy, Heron Jon, Tilling Kate, Thapar Anita, Collishaw Stephan
Wolfson Centre for Young People's Mental Health and Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, UK.
Wolfson Centre for Young People's Mental Health, Cardiff University, Hadyn Ellis Building, Maindy Road, Cardiff, CF24 4HQ, UK.
Eur Child Adolesc Psychiatry. 2024 Dec;33(12):4237-4245. doi: 10.1007/s00787-024-02461-3. Epub 2024 May 16.
Emotional problems (anxiety, depression) are prevalent in children, adolescents and young adults with varying ages at onset. Studying developmental changes in emotional problems requires repeated assessments using the same or equivalent measures. The parent-rated Strengths and Difficulties Questionnaire is commonly used to assess emotional problems in childhood and adolescence, but there is limited research about whether it captures a similar construct across these developmental periods. Our study addressed this by investigating measurement invariance in the scales' emotional problems subscale (SDQ-EP) across childhood, adolescence and early adulthood. Data from two UK population cohorts were utilised: the Millennium Cohort Study (ages 3-17 years) and the Avon Longitudinal Study of Parents and Children (4-25 years). In both samples we observed weak (metric) measurement invariance by age, suggesting that the parent-rated SDQ-EP items contribute to the underlying construct of emotional problems similarly across age. This supports the validity of using the subscale to rank participants on their levels of emotional problems in childhood, adolescence and early adulthood. However strong (scalar) measurement invariance was not observed, suggesting that the same score may correspond to different levels of emotional problems across developmental periods. Comparisons of mean parent-rated SDQ-EP scores across age may therefore not be valid.
情绪问题(焦虑、抑郁)在儿童、青少年和青年中普遍存在,发病年龄各不相同。研究情绪问题的发展变化需要使用相同或等效的测量方法进行重复评估。家长评定的《长处与困难问卷》常用于评估儿童期和青少年期的情绪问题,但关于该问卷在这些发育阶段是否能捕捉到相似的结构,相关研究有限。我们的研究通过调查童年期、青少年期和成年早期各量表的情绪问题分量表(SDQ-EP)的测量不变性来解决这一问题。我们使用了来自英国两个总体队列的数据:千禧队列研究(年龄3 - 17岁)和阿冯亲子纵向研究(4 - 25岁)。在两个样本中,我们均观察到按年龄划分的弱(度量)测量不变性,这表明家长评定的SDQ-EP项目在不同年龄对情绪问题的潜在结构的贡献相似。这支持了使用该分量表对儿童期、青少年期和成年早期参与者的情绪问题水平进行排名的有效性。然而,我们未观察到强(标量)测量不变性,这表明在不同发育阶段相同的分数可能对应不同程度的情绪问题。因此,跨年龄比较家长评定的SDQ-EP平均分数可能无效。