Brown Felicity L, Steen Frederik, Taha Karine, Koppenol-Gonzalez Gabriela V, Aoun May, Bryant Richard, Jordans Mark J D
Research and Development Department, War Child Alliance, Helmholtzstraat 61G, Amsterdam, The Netherlands.
Amsterdam Institute of Social Science Research, University of Amsterdam, Amsterdam , 1098LE, The Netherlands.
Int J Ment Health Syst. 2024 May 30;18(1):21. doi: 10.1186/s13033-024-00640-y.
In humanitarian settings, brief screening instruments for child psychological distress have potential to assist in assessing prevalence, monitoring outcomes, and identifying children and adolescents in most need of scarce resources, given few mental health professionals for diagnostic services. Yet, there are few validated screening tools available, particularly in Arabic.
We translated and adapted the Child Psychosocial Distress Screener (CPDS) and the Pediatric Symptom Checklist (PSC) and conducted a validation study with 85 adolescents (aged 10-15) in Lebanon. We assessed internal consistency; test-retest reliability; convergent validity between adolescent- and caregiver-report and between the two measures; ability to distinguish between clinical and non-clinical samples; and concurrent validity against psychiatrist interview using the Kiddie Schedule for Affective Disorders and Schizophrenia.
The translated and adapted child-reported PSC-17 and PSC-35, and caregiver-reported PSC-35 all showed adequate internal consistency and test-retest reliability and high concurrent validity with psychiatrist interview and were able to distinguish between clinical and non-clinical samples. However, the caregiver-reported PSC-17 did not demonstrate adequate performance in this setting. Child-reported versions of the PSC outperformed caregiver-reported versions and the 35-item PSC scales showed stronger performance than 17-item scales. The CPDS showed adequate convergent validity with the PSC, ability to distinguish between clinical and non-clinical samples, and concurrent validity with psychiatrist interview. Internal consistency was low for the CPDS, likely due to the nature of the brief risk-screening tool. There were discrepancies between caregiver and child-reports, worthy of future investigation. For indication of any diagnosis requiring treatment, we recommend cut-offs of 5 for CPDS, 12 for child-reported PSC-17, 21 for child-reported PSC-35, and 26 for caregiver-reported PSC-35.
The Arabic PSC and CPDS are reliable and valid instruments for use as primary screening tools in Lebanon. Further research is needed to understand discrepancies between adolescent and caregiver reports, and optimal methods of using multiple informants.
在人道主义环境中，鉴于从事诊断服务的心理健康专业人员稀缺，用于儿童心理困扰的简短筛查工具有助于评估患病率、监测结果以及识别最需要稀缺资源的儿童和青少年。然而，可用的经过验证的筛查工具很少，尤其是阿拉伯语版本的。
我们翻译并改编了儿童心理社会困扰筛查量表（CPDS）和儿童症状清单（PSC），并在黎巴嫩对85名青少年（10 - 15岁）进行了验证研究。我们评估了内部一致性、重测信度、青少年报告与照顾者报告之间以及两种量表之间的收敛效度、区分临床样本和非临床样本的能力，以及与使用儿童情感障碍和精神分裂症量表进行的精神科医生访谈的同时效度。
翻译并改编后的儿童报告的PSC - 17和PSC - 35，以及照顾者报告的PSC - 35均显示出足够的内部一致性和重测信度，与精神科医生访谈具有较高的同时效度，并且能够区分临床样本和非临床样本。然而，照顾者报告的PSC - 17在此环境中表现不佳。儿童报告版本的PSC优于照顾者报告版本，35项的PSC量表比17项量表表现更强。CPDS与PSC显示出足够的收敛效度、区分临床样本和非临床样本的能力以及与精神科医生访谈的同时效度。CPDS的内部一致性较低，可能是由于简短风险筛查工具的性质所致。照顾者和儿童报告之间存在差异，值得未来研究。对于任何需要治疗的诊断指征，我们建议CPDS的临界值为5，儿童报告的PSC - 17为12，儿童报告的PSC - 35为21，照顾者报告的PSC - 35为26。
阿拉伯语版的PSC和CPDS是黎巴嫩可靠且有效的主要筛查工具。需要进一步研究以了解青少年与照顾者报告之间的差异以及使用多个信息提供者的最佳方法。
