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Gepubliceerd in: Journal of Child and Family Studies 5/2023

04-03-2023 | Original Paper

Evaluation of the Strengths and Difficulties Questionnaire for Preschoolers in Urban Primary Care

Auteurs: Whitney J. Raglin Bignall, Constance A. Mara, Lori J. Stark, Stuart Taylor, Rachel B. Herbst, Jessica M. McClure, Mary Carol Burkhardt, Robert T. Ammerman

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 5/2023

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Abstract

The Strengths and Difficulties Questionnaire (SDQ) is a screening tool widely used in both pediatric research and clinical practice. Few studies have examined the psychometric properties of the U.S. version of this measure, and none have examined the structure of the measure with children younger than 4 years of age. The goal of this study was to assess the psychometric properties of the parent informant version of the SDQ administered in a pediatric practice serving a low-income, predominately Black, urban population of children ages 2–5 years. Parents routinely completed the SDQ electronically during annual well-child visits from July 2016 to June 2017. Confirmatory factor analysis was used to test 3-factor, 5-factor, and modified 5-factor (with positive construal response style) models. Responses to age-appropriate SDQ forms were analyzed. There were N = 622 for the 4–12 year old version (only collected on 4–5 year olds) and N = 672 of the 2–3 year old version. In both groups, the modified 5-factor model was the best fitting model. The internal consistency for the modified 5-factor model was lower than the original 5-factor model with the alpha coefficient lower on the Conduct Problems, Emotional Problems and Peer Problems subscales. Measurement invariance testing found non-invariance due to gender among the 4–5 year olds on the emotional problems subscale. Our study found that the SDQ shows satisfactory psychometric properties in preschool-aged children in a low-income urban U.S. population. More research is needed to deepen our understanding of the measure’s clinical utility.
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Literatuur
go back to reference Achenbach, T. M. & Rescorla, L. A. (2001). Manual for the ASEBA School-Age Forms and Profiles. University of Vermont, Research Center for Children, Youth, & Families. Achenbach, T. M. & Rescorla, L. A. (2001). Manual for the ASEBA School-Age Forms and Profiles. University of Vermont, Research Center for Children, Youth, & Families.
go back to reference Becker-Haimes, E. M., Tabachnick, A. R., Last, B. S., Stewart, R. E., Hasan-Granier, A., & Beidas, R. S. (2020). Evidence base update for brief, free, and accessible youth mental health measures. Journal of Clinical and Child Adolescent Psychology, 49, 1–17.CrossRef Becker-Haimes, E. M., Tabachnick, A. R., Last, B. S., Stewart, R. E., Hasan-Granier, A., & Beidas, R. S. (2020). Evidence base update for brief, free, and accessible youth mental health measures. Journal of Clinical and Child Adolescent Psychology, 49, 1–17.CrossRef
go back to reference Bourdon, K. H., Goodman, R., Rae, D. S., Simpson, G., & Koretz, D. S. (2005). The Strengths and Difficulties Questionnaire: U.S. normative data and psychometric properties. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 557–564.CrossRefPubMed Bourdon, K. H., Goodman, R., Rae, D. S., Simpson, G., & Koretz, D. S. (2005). The Strengths and Difficulties Questionnaire: U.S. normative data and psychometric properties. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 557–564.CrossRefPubMed
go back to reference Briggs, R. D., Silver, E. J., Krug, L. M., Mason, Z. S., Schrag, R. D. A., Chinitz, S., & Racine, A. D. (2014). Healthy Steps as a moderator: The impact of maternal trauma on child social-emotional development. Clinical Practice in Pediatric Psychology, 2, 166–175.CrossRef Briggs, R. D., Silver, E. J., Krug, L. M., Mason, Z. S., Schrag, R. D. A., Chinitz, S., & Racine, A. D. (2014). Healthy Steps as a moderator: The impact of maternal trauma on child social-emotional development. Clinical Practice in Pediatric Psychology, 2, 166–175.CrossRef
go back to reference Caspi, A., Moffitt, T. E., Newman, D. L., & Silva, P. A. (1996). Behavioral observations at age 3 years predict adult psychiatric disorders: Longitudinal evidence from a birth cohort. Archives of General Psychiatry, 53, 1033–1039.CrossRefPubMed Caspi, A., Moffitt, T. E., Newman, D. L., & Silva, P. A. (1996). Behavioral observations at age 3 years predict adult psychiatric disorders: Longitudinal evidence from a birth cohort. Archives of General Psychiatry, 53, 1033–1039.CrossRefPubMed
go back to reference Chen, F. F. (2007). Sensitivity of goodness of fit indexes to lack of measurement invariance. Structural Equation Modeling, 14, 464–504.CrossRef Chen, F. F. (2007). Sensitivity of goodness of fit indexes to lack of measurement invariance. Structural Equation Modeling, 14, 464–504.CrossRef
go back to reference Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling, 9, 233–255.CrossRef Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling, 9, 233–255.CrossRef
go back to reference D’Souza, S., Waldie, K. E., Peterson, E. R., Underwood, L., & Morton, S. M. (2017). Psychometric properties and normative data for the preschool Strengths and Difficulties Questionnaire in two-year-old children. Journal of Abnormal Child Psychology, 45, 345–357.CrossRefPubMed D’Souza, S., Waldie, K. E., Peterson, E. R., Underwood, L., & Morton, S. M. (2017). Psychometric properties and normative data for the preschool Strengths and Difficulties Questionnaire in two-year-old children. Journal of Abnormal Child Psychology, 45, 345–357.CrossRefPubMed
go back to reference De Feyter, J. J., & Winsler, A. (2009). The early developmental competencies and school readiness of low-income, immigrant children: Influences of generation, race/ethnicity, and national origins. Early Childhood Research Quarterly, 24, 411–431.CrossRef De Feyter, J. J., & Winsler, A. (2009). The early developmental competencies and school readiness of low-income, immigrant children: Influences of generation, race/ethnicity, and national origins. Early Childhood Research Quarterly, 24, 411–431.CrossRef
go back to reference Dickey, W. C., & Blumberg, S. J. (2004). Revisiting the factor structure of the Strengths and Difficulties Questionnaire: United States, 2001. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 1159–1167.CrossRefPubMed Dickey, W. C., & Blumberg, S. J. (2004). Revisiting the factor structure of the Strengths and Difficulties Questionnaire: United States, 2001. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 1159–1167.CrossRefPubMed
go back to reference Doi, Y., Ishihara, K., & Uchiyama, M. (2014). Reliability of the Strengths and Difficulties Questionnaire in Japanese preschool children aged 4-6 years. Journal of Epidemiology, 24, 514–518.CrossRefPubMed Doi, Y., Ishihara, K., & Uchiyama, M. (2014). Reliability of the Strengths and Difficulties Questionnaire in Japanese preschool children aged 4-6 years. Journal of Epidemiology, 24, 514–518.CrossRefPubMed
go back to reference Egger, H. L., & Angold, A. (2006). Common emotional and behavioral disorders in preschool children: Presentation, nosology, and epidemiology. Journal of Child Psychology and Psychiatry, 47, 313–337.CrossRefPubMed Egger, H. L., & Angold, A. (2006). Common emotional and behavioral disorders in preschool children: Presentation, nosology, and epidemiology. Journal of Child Psychology and Psychiatry, 47, 313–337.CrossRefPubMed
go back to reference Essau, C. A., Olaya, B., Anastassiou-Hadjicharalambous, X., Pauli, G., Gilvarry, C., Bray, D., O’Callaghan, J., & Ollendick, T. H. (2012). Psychometric properties of the Strength and Difficulties Questionnaire from five European countries. International Journal of Methods for Psychiatry Research, 21, 232–245.CrossRef Essau, C. A., Olaya, B., Anastassiou-Hadjicharalambous, X., Pauli, G., Gilvarry, C., Bray, D., O’Callaghan, J., & Ollendick, T. H. (2012). Psychometric properties of the Strength and Difficulties Questionnaire from five European countries. International Journal of Methods for Psychiatry Research, 21, 232–245.CrossRef
go back to reference Evans, G. W., & Kim, P. (2007). Childhood poverty and health: Cumulative risk exposure and stress dysregulation. Psychological Science, 18, 953–957.CrossRefPubMed Evans, G. W., & Kim, P. (2007). Childhood poverty and health: Cumulative risk exposure and stress dysregulation. Psychological Science, 18, 953–957.CrossRefPubMed
go back to reference Gilliam, W. S., Maupin, A. N., Reyes, C. R., Accavitti, M., & Shic, F. (2016). Do early educators’ implicit biases regarding sex and race relate to behavior expectations and recommendations of preschool expulsions and suspensions. Yale University Child Study Center, 9, 2016. Gilliam, W. S., Maupin, A. N., Reyes, C. R., Accavitti, M., & Shic, F. (2016). Do early educators’ implicit biases regarding sex and race relate to behavior expectations and recommendations of preschool expulsions and suspensions. Yale University Child Study Center, 9, 2016.
go back to reference Goodman, R. (1997). The Strengths and Difficulties Questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581–586.CrossRefPubMed Goodman, R. (1997). The Strengths and Difficulties Questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581–586.CrossRefPubMed
go back to reference Goodman, R. (2001). Psychometric properties of the Strengths and Difficulties Questionnaire. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1337–1345.CrossRefPubMed Goodman, R. (2001). Psychometric properties of the Strengths and Difficulties Questionnaire. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1337–1345.CrossRefPubMed
go back to reference Hager, E. R., Quigg, A. M., Black, M. M., Coleman, S. M., Heeren, T., Rose-Jacobs, R., Cook, J. T., Ettinger de Cuba, S. A., Casey, P. H., Chilton, M., Cutts, D. B., Meyers, A. F., & Frank, D. A. (2010). Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics, 126, e26–e32.CrossRefPubMed Hager, E. R., Quigg, A. M., Black, M. M., Coleman, S. M., Heeren, T., Rose-Jacobs, R., Cook, J. T., Ettinger de Cuba, S. A., Casey, P. H., Chilton, M., Cutts, D. B., Meyers, A. F., & Frank, D. A. (2010). Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics, 126, e26–e32.CrossRefPubMed
go back to reference He, J., Burstein, M., Schmitz, A., & Merikangas, K. R. (2013). The Strengths and Difficulties Questionnaire (SDQ): The factor structure and sclae validation in U.S. adolescents. Journal of Abnormal Child Psychology, 41, 583–595.CrossRefPubMed He, J., Burstein, M., Schmitz, A., & Merikangas, K. R. (2013). The Strengths and Difficulties Questionnaire (SDQ): The factor structure and sclae validation in U.S. adolescents. Journal of Abnormal Child Psychology, 41, 583–595.CrossRefPubMed
go back to reference Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef
go back to reference IBM Corp. Released. (2015). IBM SPSS Statistics for Windows, Version 23.0. Armonk, NY: IBM Corp. IBM Corp. Released. (2015). IBM SPSS Statistics for Windows, Version 23.0. Armonk, NY: IBM Corp.
go back to reference Kataoka, S. H., Zhang, L., & Wells, K. B. (2002). Unmet need for mental health care among U.S. children: Variation by ethnicity and insurance status. American Journal of Psychiatry, 159, 1548–1555.CrossRefPubMed Kataoka, S. H., Zhang, L., & Wells, K. B. (2002). Unmet need for mental health care among U.S. children: Variation by ethnicity and insurance status. American Journal of Psychiatry, 159, 1548–1555.CrossRefPubMed
go back to reference Kersten, P., Czuba, K., McPherson, K., Dudley, M., Elder, H., Tauroa, R., & Vandal, A. (2016). A systematic review of evidence for the psychometric properties of the Strengths and Difficulties Questionnaire. International Journal of Behavioral Development, 40, 64–75.CrossRef Kersten, P., Czuba, K., McPherson, K., Dudley, M., Elder, H., Tauroa, R., & Vandal, A. (2016). A systematic review of evidence for the psychometric properties of the Strengths and Difficulties Questionnaire. International Journal of Behavioral Development, 40, 64–75.CrossRef
go back to reference Knapp, P. K., & Harris, E. S. (1998). Consultation-liaison in child psychiatry: A review of the past 10 years. Part II: Research on treatment approaches and outcomes. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 139–146.CrossRefPubMed Knapp, P. K., & Harris, E. S. (1998). Consultation-liaison in child psychiatry: A review of the past 10 years. Part II: Research on treatment approaches and outcomes. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 139–146.CrossRefPubMed
go back to reference Lavigne, J. V., Meyers, K. M., & Feldman, M. (2016). Systematic review: Classification accuracy of behavioral screening measures for use in integrated primary care settings. Journal of Pediatric Psychology, 41, 1091–1109.CrossRefPubMed Lavigne, J. V., Meyers, K. M., & Feldman, M. (2016). Systematic review: Classification accuracy of behavioral screening measures for use in integrated primary care settings. Journal of Pediatric Psychology, 41, 1091–1109.CrossRefPubMed
go back to reference Leslie, L. K., Mehus, C. J., Hawkins, J. D., Boat, T., McCabe, M. A., Barkin, S., Perrin, E. C., Metzler, C. W., Prado, G., Tait, V. F., Brown, R., & Beardslee, W. (2016). Primary health care: Potential home for family-focused preventive interventions. American Journal of Preventative Medicine, 51, S106–S118.CrossRef Leslie, L. K., Mehus, C. J., Hawkins, J. D., Boat, T., McCabe, M. A., Barkin, S., Perrin, E. C., Metzler, C. W., Prado, G., Tait, V. F., Brown, R., & Beardslee, W. (2016). Primary health care: Potential home for family-focused preventive interventions. American Journal of Preventative Medicine, 51, S106–S118.CrossRef
go back to reference Minkovitz, C. S., Strobino, D., Mistry, K. B., Scharfstein, D. O., Grason, H., Hou, W., Ialongo, N., & Guyer, B. (2007). Healthy Steps for young children: Sustained results at 5.5 years. Pediatrics, 120, e658–e668.CrossRefPubMed Minkovitz, C. S., Strobino, D., Mistry, K. B., Scharfstein, D. O., Grason, H., Hou, W., Ialongo, N., & Guyer, B. (2007). Healthy Steps for young children: Sustained results at 5.5 years. Pediatrics, 120, e658–e668.CrossRefPubMed
go back to reference Minkovitz, C., Strobino, D., Hughart, N., Scharfstein, D., Guyer, B., & Healthy Steps Evaluation Team. (2001). Early effects of the healthy steps for young children program. Archives of Pediatrics & Adolescent Medicine, 155, 470–479. Minkovitz, C., Strobino, D., Hughart, N., Scharfstein, D., Guyer, B., & Healthy Steps Evaluation Team. (2001). Early effects of the healthy steps for young children program. Archives of Pediatrics & Adolescent Medicine, 155, 470–479.
go back to reference Muthén, L. K. and Muthén, B. O. (1998–2017). Mplus User’s Guide. Eighth Edition. Los Angeles, CA: Muthén & Muthén. Muthén, L. K. and Muthén, B. O. (1998–2017). Mplus User’s Guide. Eighth Edition. Los Angeles, CA: Muthén & Muthén.
go back to reference Palmieri, P. A., & Smith, G. C. (2007). Examining the structural validity of the Strengths and Difficulties Questionnaire (SDQ) in a U.S. sample of custodial grandmothers. Psychological Assessment, 19, 189–198.CrossRefPubMedPubMedCentral Palmieri, P. A., & Smith, G. C. (2007). Examining the structural validity of the Strengths and Difficulties Questionnaire (SDQ) in a U.S. sample of custodial grandmothers. Psychological Assessment, 19, 189–198.CrossRefPubMedPubMedCentral
go back to reference Schochet, O. N., Johnson, A. D., & Phillips, D. A. (2020). The effects of early care and education settings on the kindergarten outcomes of doubly vulnerable children. Exceptional Children, 87(1), 27–53.CrossRef Schochet, O. N., Johnson, A. D., & Phillips, D. A. (2020). The effects of early care and education settings on the kindergarten outcomes of doubly vulnerable children. Exceptional Children, 87(1), 27–53.CrossRef
go back to reference Schonwald, A., Huntington, N., Chan, E., Risko, W., & Bridgemohan, C. (2009). Routine developmental screening implemented in urban primary care settings: more evidence of feasibility and effectiveness. Pediatrics, 123, 660–668.CrossRefPubMed Schonwald, A., Huntington, N., Chan, E., Risko, W., & Bridgemohan, C. (2009). Routine developmental screening implemented in urban primary care settings: more evidence of feasibility and effectiveness. Pediatrics, 123, 660–668.CrossRefPubMed
go back to reference Simon, T. D., Haaland, W., Hawley, K., Lambka, K., & Mangione-Smith, R. (2018). Development and validation of the Pediatric Medical Complexity Algorithm (PMCA) Version 3.0. Academic Pediatrics, 18, 577–580.CrossRefPubMedPubMedCentral Simon, T. D., Haaland, W., Hawley, K., Lambka, K., & Mangione-Smith, R. (2018). Development and validation of the Pediatric Medical Complexity Algorithm (PMCA) Version 3.0. Academic Pediatrics, 18, 577–580.CrossRefPubMedPubMedCentral
go back to reference Simon, T. D., Cawthon, M. L., Stanford, S., Popalisky, J., Lyons, D., Woodcox, P., Hood, M., Chen, A. Y., & Mangione-Smith, R., Center of Excellence on Quality of Care Measures for Children with Complex Needs Medical Complexity Working Group. (2014). Pediatric medical complexity algorithm: A new method to stratify children by medical complexity. Pediatrics, 133, e1647–e1654.CrossRefPubMedPubMedCentral Simon, T. D., Cawthon, M. L., Stanford, S., Popalisky, J., Lyons, D., Woodcox, P., Hood, M., Chen, A. Y., & Mangione-Smith, R., Center of Excellence on Quality of Care Measures for Children with Complex Needs Medical Complexity Working Group. (2014). Pediatric medical complexity algorithm: A new method to stratify children by medical complexity. Pediatrics, 133, e1647–e1654.CrossRefPubMedPubMedCentral
go back to reference Spitzer, R. L., Williams, J. B., Kroenke, K., Hornyak, R., & McMurray, J. (2000). Validity and utility of the PRIME-MD patient health questionnaire in assessment of 3000 obstetric-gynecologic patients: The PRIME-MD Patient Health Questionnaire Obstetrics-Gynecology Study. American Journal Of Obstetrics And Gynecology, 183, 759–769.CrossRefPubMed Spitzer, R. L., Williams, J. B., Kroenke, K., Hornyak, R., & McMurray, J. (2000). Validity and utility of the PRIME-MD patient health questionnaire in assessment of 3000 obstetric-gynecologic patients: The PRIME-MD Patient Health Questionnaire Obstetrics-Gynecology Study. American Journal Of Obstetrics And Gynecology, 183, 759–769.CrossRefPubMed
go back to reference Talmi, A., Bunik, M., Asherin, R., Rannie, M., Watlington, T., Beaty, B., & Berman, S. (2014). Improving developmental screening documentation and referral completion. Pediatrics, 134, e1181–e1188.CrossRefPubMed Talmi, A., Bunik, M., Asherin, R., Rannie, M., Watlington, T., Beaty, B., & Berman, S. (2014). Improving developmental screening documentation and referral completion. Pediatrics, 134, e1181–e1188.CrossRefPubMed
go back to reference Weitzman, C. & Wegner, L. (2015). Section on Developmental and Behavioral Pediatrics, Committee on Psychosocial Aspects of Child and Family Health, Council on Early Childhood, Society for Developmental and Behavioral Pediatrics, & American Academy of Pediatrics. Pediatrics, 135, 384–395. Weitzman, C. & Wegner, L. (2015). Section on Developmental and Behavioral Pediatrics, Committee on Psychosocial Aspects of Child and Family Health, Council on Early Childhood, Society for Developmental and Behavioral Pediatrics, & American Academy of Pediatrics. Pediatrics, 135, 384–395.
Metagegevens
Titel
Evaluation of the Strengths and Difficulties Questionnaire for Preschoolers in Urban Primary Care
Auteurs
Whitney J. Raglin Bignall
Constance A. Mara
Lori J. Stark
Stuart Taylor
Rachel B. Herbst
Jessica M. McClure
Mary Carol Burkhardt
Robert T. Ammerman
Publicatiedatum
04-03-2023
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 5/2023
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-023-02552-w

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