The Strengths and Difficulties Questionnaire (SDQ) as a screening measure prior to admission to a Child and Adolescent Mental Health Service (CAMHS)

Mathai, John; Anderson, Peter J.; Bourne, Angela

doi:10.5172/jamh.1.3.235

Cited by 58 publications

(49 citation statements)

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“…Our finding that the HoNOSCA total score had medium correlation ( r = 0.49) with the CBCL total problems reflects the correlations reported by others with the SDQ total difficulties score assigned by parents [18,24] and with the CBCL [25]. Our results show higher correlations than the results of a meta-analysis [27] (including both clinical and non-clinical samples), with a mean correlation of 0.28 between the scores of parents and those of mental health workers.…”

Section: Discussionsupporting

confidence: 82%

“…Our results show higher correlations than the results of a meta-analysis [27] (including both clinical and non-clinical samples), with a mean correlation of 0.28 between the scores of parents and those of mental health workers. A correlation of 0.41 between the HoNOSCA total score and the YSR total problems and a correlation of 0.32 between the HoNOSCA total score and the TRF total problems are similar to the correlations reported in studies that compared the HoNOSCA and SDQ, with ratings by young people and teachers [24], and in a study that compared the HoNOSCA and TRF [25]. They are also similar to the mean correlations previously found between the scores of mental health workers and self-reports (0.27), and between the scores of mental health workers and those of teachers (0.34) [27].…”

Section: Discussionsupporting

confidence: 79%

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Clinician-rated mental health in outpatient child and adolescent mental health services: associations with parent, teacher and adolescent ratings

Hanssen‐Bauer

Langsrud

Kvernmo

et al. 2010

Child Adolesc Psychiatry Ment Health

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BackgroundClinician-rated measures are used extensively in child and adolescent mental health services (CAMHS). The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) is a short clinician-rated measure developed for ordinary clinical practice, with increasing use internationally. Several studies have investigated its psychometric properties, but there are few data on its correspondence with other methods, rated by other informants. We compared the HoNOSCA with the well-established Achenbach System of Empirically Based Assessment (ASEBA) questionnaires: the Child Behavior Checklist (CBCL), the Teacher's Report Form (TRF), and the Youth Self-Report (YSR).MethodsData on 153 patients aged 6-17 years at seven outpatient CAMHS clinics in Norway were analysed. Clinicians completed the HoNOSCA, whereas parents, teachers, and adolescents filled in the ASEBA forms. HoNOSCA total score and nine of its scales were compared with similar ASEBA scales. With a multiple regression model, we investigated how the ASEBA ratings predicted the clinician-rated HoNOSCA and whether the different informants' scores made any unique contribution to the prediction of the HoNOSCA scales.ResultsWe found moderate correlations between the total problems rated by the clinicians (HoNOSCA) and by the other informants (ASEBA) and good correspondence between eight of the nine HoNOSCA scales and the similar ASEBA scales. The exception was HoNOSCA scale 8 psychosomatic symptoms compared with the ASEBA somatic problems scale. In the regression analyses, the CBCL and TRF total problems scores together explained 27% of the variance in the HoNOSCA total scores (23% for the age group 11-17 years, also including the YSR). The CBCL provided unique information for the prediction of the HoNOSCA total score, HoNOSCA scale 1 aggressive behaviour, HoNOSCA scale 2 overactivity or attention problems, HoNOSCA scale 9 emotional symptoms, and HoNOSCA scale 10 peer problems; the TRF for all these except HoNOSCA scale 9 emotional symptoms; and the YSR for HoNOSCA scale 9 emotional symptoms only.ConclusionThis study supports the concurrent validity of the HoNOSCA. It also demonstrates that parents, teachers and adolescents all contribute unique information in relation to the clinician-rated HoNOSCA, indicating that the HoNOSCA ratings reflect unique perspectives from multiple informants.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 79%

Clinician-rated mental health in outpatient child and adolescent mental health services: associations with parent, teacher and adolescent ratings

Hanssen‐Bauer

Langsrud

Kvernmo

et al. 2010

Child Adolesc Psychiatry Ment Health

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“…Scores for each scale range from 0 (no problems in a given area) to 10 (indicates clinical range of functioning for a given scale). Studies have cited its usefulness as a screening instrument for psychiatric disorders [24]; in addition, studies have shown the SDQ to have adequate reliability, and discriminant and predictive validity [25,26]. …”

Section: Methodsmentioning

confidence: 99%

Working memory and inattentive behaviour in a community sample of children

Lui

Tannock

2007

Behav Brain Funct

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“…17–22 Although the SDQ has not been used extensively in the United States, it is a component of the National Health Interview Survey, where it has shown strong associations with MH service use. 17,23 Here we present findings from the largest sample of children and adolescents screened with the SDQ in the pediatric primary care setting in the United States.…”

mentioning

confidence: 99%

Parent Reports of Mental Health Concerns and Functional Impairment on Routine Screening With the Strengths and Difficulties Questionnaire

Biel

Kahn

Srivastava

et al. 2015

Academic Pediatrics

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Objective This study used the Strengths and Difficulties Questionnaire (SDQ) to describe the prevalence of parent-reported mental health (MH) concerns in youth presenting for primary care appointments and to examine relationships between children’s MH issues and functional impairment. We hypothesized that increased MH symptomology would be associated with increased impairment and family burden. Methods Parents of 4–17 years old children were approached at routine visits in 13 primary care sites. Chi-square tests, independent samples t-tests, and a one-way analysis of variance (ANOVA) were used to make comparisons between demographic groups. Age-, sex-, and race-adjusted ordered logistic regression models and ANOVAs examined relationships between impact and SDQ scales. Results Boys had higher total Hyperactivity and Peer Problems. Adolescents showed higher Emotional Symptoms, while younger children showed more Hyperactivity. Latinos reported more Conduct Problems, Hyperactivity, and Peer Problems. Latinos also indicated less distress on the child, impairment at home and school, and family burden. Regression analyses indicated increased odds of impairment with higher scale scores. MH symptoms identified with the SDQ in pediatric primary care settings were associated with parent-reported impairment affecting youth and their families. Conclusions The presence of significant impairment suggests that parents’ concerns identified by screening are likely to be clinically important and worthy of practice strategies designed to promote assessment, treatment, and referral for these common problems. Identifying and exploring parents’ concerns with strategic use of screening tools may allow PCPs to directly engage families around the MH issues that affect them most.

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The Strengths and Difficulties Questionnaire (SDQ) as a screening measure prior to admission to a Child and Adolescent Mental Health Service (CAMHS)

Cited by 58 publications

References 5 publications

Clinician-rated mental health in outpatient child and adolescent mental health services: associations with parent, teacher and adolescent ratings

Clinician-rated mental health in outpatient child and adolescent mental health services: associations with parent, teacher and adolescent ratings

Working memory and inattentive behaviour in a community sample of children

Parent Reports of Mental Health Concerns and Functional Impairment on Routine Screening With the Strengths and Difficulties Questionnaire

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