Cross-national differences in questionnaires do not necessarily reflect comparable differences in disorder prevalence
| Contribuinte(s) |
UNIVERSIDADE DE SÃO PAULO |
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| Data(s) |
01/11/2013
01/11/2013
2012
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| Resumo |
To examine whether the widely used Strengths and Difficulties Questionnaire (SDQ) can validly be used to compare the prevalence of child mental health problems cross nationally. We used data on 29,225 5- to 16-year olds in eight population-based studies from seven countries: Bangladesh, Brazil, Britain, India, Norway, Russia and Yemen. Parents completed the SDQ in all eight studies, teachers in seven studies and youth in five studies. We used these SDQ data to calculate three different sorts of "caseness indicators" based on (1) SDQ symptoms, (2) SDQ symptoms plus impact and (3) an overall respondent judgement of 'definite' or 'severe' difficulties. Respondents also completed structured diagnostic interviews including extensive open-ended questions (the Development and Well-Being Assessment, DAWBA). Diagnostic ratings were all carried out or supervised by the DAWBA's creator, working in conjunction with experienced local professionals. As judged by the DAWBA, the prevalence of any mental disorder ranged from 2.2% in India to 17.1% in Russia. The nine SDQ caseness indicators (three indicators times three informants) explained 8-56% of the cross-national variation in disorder prevalence. This was insufficient to make meaningful prevalence estimates since populations with a similar measured prevalence of disorder on the DAWBA showed large variations across the various SDQ caseness indicators. The relationship between SDQ caseness indicators and disorder rates varies substantially between populations: cross-national differences in SDQ indicators do not necessarily reflect comparable differences in disorder rates. More generally, considerable caution is required when interpreting cross-cultural comparisons of mental health, particularly when these rely on brief questionnaires. Department of Health Department of Health Scottish Executive Scottish Executive City of Bergen City of Bergen Research Council of Norway Research Council of Norway Norwegian Directorate for Health and Social Affairs Norwegian Directorate for Health and Social Affairs Western Norway Regional Health Authority Western Norway Regional Health Authority Haukeland University Hospital Haukeland University Hospital Unifob Health Unifob Health Meltzer legacy Meltzer legacy Wellcome Trust Wellcome Trust WHO's Special Programme of Research, Development and Research Training in Human Reproduction WHOs Special Programme of Research, Development and Research Training in Human Reproduction World Health Organisation World Health Organisation Save the Children Sweden Save the Children Sweden Wellcome Trust Senior Clinical Research Fellowship in Tropical Medicine Wellcome Trust Senior Clinical Research Fellowship in Tropical Medicine |
| Identificador |
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, HEIDELBERG, v. 47, n. 8, supl., Part 3, pp. 1321-1331, AUG, 2012 0933-7954 http://www.producao.usp.br/handle/BDPI/37358 10.1007/s00127-011-0440-2 |
| Idioma(s) |
eng |
| Publicador |
SPRINGER HEIDELBERG HEIDELBERG |
| Relação |
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY |
| Direitos |
closedAccess Copyright SPRINGER HEIDELBERG |
| Palavras-Chave | #CROSS CULTURAL #QUESTIONNAIRE #PREVALENCE #REPORTING BIAS #CHILD MENTAL-HEALTH #WELL-BEING ASSESSMENT #DIFFICULTIES-QUESTIONNAIRE #PSYCHIATRIC-DISORDERS #BEHAVIOR-CHECKLIST #RISK-FACTORS #ADOLESCENT PSYCHOPATHOLOGY #SERVICE USE #STRENGTHS #SCHOOLCHILDREN #PSYCHIATRY |
| Tipo |
article original article publishedVersion |
