Ivarsson Magnus, Danielsson Henrik, Imms Christine
Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Department of Paediatrics and Healthy Trajectories Child and Youth Disability Research Hub, University of Melbourne, Melbourne, Australia.
BMC Psychol. 2025 Mar 18;13(1):267. doi: 10.1186/s40359-025-02450-4.
To develop and test an approach for assessing the risk of bias in four measurement-related domains key to the study of mental health problem trajectories in children with neurodevelopmental disorders (NDD): (1) conceptual overlap between mental health problems and NDD diagnostic criteria, (2) over-reliance on a single informant, (3) unwarranted omission of the child's perspective, and (4) the use of instruments not designed for or adapted to the population.
Building upon a previous systematic review, this study established supplementary criteria for assessing the risk of bias domains. Following this, the criteria were applied to measures used in 49 longitudinal studies of mental health problems in children with NDD.
The general risk of bias across domains was rated as high in 57.1% of the 49 included studies. The highest risk of bias was seen in domain four (rated as high in 87.8% of studies) and the lowest in domain three (24.5%).
The risk of bias items enhance our understanding of the quality of the evidence about mental health problem trajectories in children with NDD. The methodological quality of future research can be increased by selecting conceptually clear scales developed for the population - preferably in the form of cognitively accessible self-report scales - and adopting a multi-informant approach.
开发并测试一种方法，用于评估神经发育障碍（NDD）儿童心理健康问题轨迹研究中四个与测量相关的关键领域的偏倚风险：（1）心理健康问题与NDD诊断标准之间的概念重叠；（2）过度依赖单一信息提供者；（3）无端忽略儿童的观点；（4）使用未针对该人群设计或改编的工具。
基于先前的系统评价，本研究建立了评估偏倚领域风险的补充标准。随后，将这些标准应用于49项关于NDD儿童心理健康问题的纵向研究中所使用的测量方法。
在纳入的49项研究中，57.1%的研究各领域总体偏倚风险被评为高。第四领域的偏倚风险最高（87.8%的研究被评为高），第三领域最低（24.5%）。
偏倚风险项目增进了我们对NDD儿童心理健康问题轨迹证据质量的理解。通过选择为该人群开发的概念清晰的量表——最好采用认知上易于理解的自我报告量表形式——并采用多信息提供者方法，可以提高未来研究的方法学质量。
