The Strengths and Difficulties Questionnaire among Finnish school-aged children and adolescents

Abstract The emotional and behavioural problems of 7- to 15-year-old Finnish children and adolescents (n = 735) were assessed in a community population by a brief screening instrument, the Strengths and Difficulties Questionnaire (SDQ). The parent-, teacher- and self-reports of the SDQ were obtained. The results show that for the total scores, the inter-rater agreement between the pairs of reports was 0.38–0.44. The internal consistency in all three questionnaires was 0.71. Functioning above the 90th percentile of the SDQ total difficulties scores in parent-, teacher- and self-reports was strongly associated with help-seeking variables and problematic behaviour according to parents. The correlation of the parental SDQ total scores and the Child Behaviour Checklist total scores was 0.75 and the correlation of the self-report SDQ total scores with the Youth Self Report total scores was 0.71. The differences in sex, grade and informants of the SDQ total difficulties scores are reported. The study gives further evidence of the usefulness of the SDQ as a promising screening instrument for epidemiological research and clinical purposes.

[1]  F. Verhulst,et al.  Factors associated with child mental health service use in the community. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[2]  B. Hanson,et al.  Alcohol habits among teenagers in Sweden: factors of importance. , 1994, Journal of studies on alcohol.

[3]  R. Goodman The Strengths and Difficulties Questionnaire: a research note. , 1997, Journal of child psychology and psychiatry, and allied disciplines.

[4]  D. Fergusson,et al.  The prevalence and risk factors associated with abusive or hazardous alcohol consumption in 16-year-olds. , 1995, Addiction.

[5]  B. Larsson,et al.  Social competence and emotional/behaviour problems in 6–16 year-old Swedish school children , 1999, European Child & Adolescent Psychiatry.

[6]  R. Goodman,et al.  Psychometric properties of the strengths and difficulties questionnaire. , 2001, Journal of the American Academy of Child and Adolescent Psychiatry.

[7]  R. Goodman A modified version of the Rutter parent questionnaire including extra items on children's strengths: a research note. , 1994, Journal of child psychology and psychiatry, and allied disciplines.

[8]  D. Hay,et al.  Prosocial development. , 1994, Journal of child psychology and psychiatry, and allied disciplines.

[9]  S. Sandberg Hyperkinetic or Attention Deficit Disorder , 1996, British Journal of Psychiatry.

[10]  M. Koskelainen Dieting and weight concerns among Finnish adolescents , 2001, Nordic journal of psychiatry.

[11]  A. Rothenberger,et al.  Comparing the German Versions of the Strengths and Difficulties Questionnaire (SDQ-Deu) and the Child Behavior Checklist , 2000, European Child & Adolescent Psychiatry.

[12]  S. Karvonen Regional differences in drinking among Finnish adolescents. , 1995, Addiction.

[13]  F. Lifshitz,et al.  Nutritional dwarfing: growth, dieting, and fear of obesity. , 1988, Journal of the American College of Nutrition.

[14]  R. Goodman,et al.  Questionnaire screening for mental health problems in Bangladeshi children: a preliminary study , 2001, Social Psychiatry and Psychiatric Epidemiology.

[15]  M. J. Maloney,et al.  Dieting behavior and eating attitudes in children. , 1989, Pediatrics.

[16]  Phil A. Silva,et al.  The Rutter scale for completion by teachers: factor structure and relationships with cognitive abilities and family adversity for a sample of New Zealand children. , 1985, Journal of child psychology and psychiatry, and allied disciplines.

[17]  M. Kovacs The Children's Depression, Inventory (CDI). , 1985, Psychopharmacology bulletin.

[18]  S. Wonderlich,et al.  The neglected link between eating disturbances and aggressive behavior in girls. , 1999, Journal of the American Academy of Child and Adolescent Psychiatry.

[19]  D. Garner,et al.  The Eating Attitudes Test: psychometric features and clinical correlates , 1982, Psychological Medicine.

[20]  R. Blum,et al.  Demographic and risk factors associated with chronic dieting in adolescents. , 1991, American journal of diseases of children.

[21]  K. Schleimer Dieting in Teenage Schoolgirls A Longitudinal Prospective Study , 1983, Acta paediatrica Scandinavica. Supplement.

[22]  M. Rutter,et al.  Use and development of the Rutter parents' and teachers' scales. , 1996 .

[23]  J. Tuominen,et al.  Validity of child psychiatric screening methods , 1998, European Child & Adolescent Psychiatry.

[24]  G. Duveen,et al.  Further development and validation of the prosocial behaviour questionnaire for use by teachers. , 1981, Journal of child psychology and psychiatry, and allied disciplines.

[25]  G. O'brien,et al.  Hyperactivity: prevalence and relationship with conduct disorder. , 1995, Journal of child psychology and psychiatry, and allied disciplines.

[26]  J B Carlin,et al.  Onset of adolescent eating disorders: population based cohort study over 3 years , 1999, BMJ.

[27]  E. Taylor,et al.  Conduct Disorder and Hyperactivity: I , 1986, British Journal of Psychiatry.

[28]  E. Fombonne The use of questionnaires in child psychiatry research: measuring their performance and choosing an optimal cut-off. , 1991, Journal of child psychology and psychiatry, and allied disciplines.

[29]  Joseph Biederman,et al.  Influence of gender on attention deficit hyperactivity disorder in children referred to a psychiatric clinic. , 2002, The American journal of psychiatry.

[30]  K. Halmi,et al.  Psychiatric comorbidity in patients with eating disorders , 1994, Psychological Medicine.

[31]  C. Hoven,et al.  Mental health service use in the community and schools: Results from the four-community MECA study , 1996 .

[32]  G. Zahner,et al.  Children's mental health service needs and utilization patterns in an urban community: an epidemiological assessment. , 1992, Journal of the American Academy of Child and Adolescent Psychiatry.

[33]  P. Szatmari,et al.  Ontario Child Health Study. II. Six-month prevalence of disorder and rates of service utilization. , 1987, Archives of general psychiatry.

[34]  Robert Goodman,et al.  Comparing the Strengths and Difficulties Questionnaire and the Child Behavior Checklist: Is Small Beautiful? , 1999, Journal of abnormal child psychology.

[35]  A. Sourander,et al.  Self-reported strengths and difficulties in a community sample of Finnish adolescents , 2001, European Child & Adolescent Psychiatry.

[36]  J. Epstein,et al.  Conners Rating Scales-Revised. , 1999 .

[37]  R. Breteler,et al.  The discriminant validity of the Eating Disorder Inventory--2. , 1997, The British journal of clinical psychology.

[38]  R. Goodman,et al.  Predicting type of psychiatric disorder from Strengths and Difficulties Questionnaire (SDQ) scores in child mental health clinics in London and Dhaka , 2000, European Child & Adolescent Psychiatry.

[39]  Michael Lewis,et al.  Agreement Among Parents, Teachers, and Children on Internalizing and Externalizing Behavior Problems , 1993 .

[40]  E. Hartka,et al.  THE COLLABORATIVE ALCOHOL-RELATED LONGITUDINAL PROJECT , 1991 .

[41]  M. Mallick Health hazards of obesity and weight control in children: a review of the literature. , 1983, American journal of public health.

[42]  C. Reynolds,et al.  What I Think and Feel: A Revised Measure of Children's Manifest Anxiety , 1997, Journal of abnormal child psychology.

[43]  J. Hanley,et al.  The meaning and use of the area under a receiver operating characteristic (ROC) curve. , 1982, Radiology.

[44]  E. Costello,et al.  The Child and Adolescent Burden Assessment (CABA): Measuring the Family Impact of Emotional and Behavioral Problems. , 1996 .

[45]  M. Althaus,et al.  Mental health in Dutch children: (I) a cross‐cultural comparison , 1985, Acta psychiatrica Scandinavica. Supplementum.

[46]  J. Broman,et al.  Psychometric properties of a Swedish version of the “Strengths and Difficulties Questionnaire” , 1999, European Child & Adolescent Psychiatry.

[47]  P. Lewinsohn,et al.  Psychiatric comorbidity with problematic alcohol use in high school students. , 1996, Journal of the American Academy of Child and Adolescent Psychiatry.

[48]  M. Rutter,et al.  Psychiatric disorder in 10- and 11-year-old children. , 1966, Proceedings of the Royal Society of Medicine.

[49]  M. Rutter A children's behaviour questionnaire for completion by teachers: preliminary findings. , 1967, Journal of child psychology and psychiatry, and allied disciplines.

[50]  R. Goodman,et al.  The extended version of the Strengths and Difficulties Questionnaire as a guide to child psychiatric caseness and consequent burden. , 1999, Journal of child psychology and psychiatry, and allied disciplines.