Måleegenskaper ved den norske versjonen av Strengths and Difficulties Questionnaire, foreldrerapport (SDQ-P)
DOI:
https://doi.org/10.21337/0048Emneord (Nøkkelord):
Generell psykisk helse, Barn i førskolealder, Barn i skolealder, UngdomSammendrag
Beskrivelse: Strengths and Difficulties Questionnaire (SDQ) er et sett spørreskjema for utfylling av foreldre, lærere og barn ≥ 11 år. SDQ ble opprinnelig utgitt på engelsk av Robert Goodman i 1997. I 1999 kom de norske versjonene, basert på en oversettelse og tilbakeoversettelse ved Einar Heiervang og kolleger. Robert Goodman eier rettighetene til testen. Foreldreversjonen (SDQ-P) har 25 ledd fordelt på fem delskalaer. Det er et skjema som skal fylles ut av foreldre for å kartlegge psykiske helse, vennerelasjoner og prososial atferd hos barn i alderen 4-17 år. Det tar noen få minutter å fylle ut. Forskere, klinikere og pedagoger kan administrere og tolke SDQ-P.
Litteratursøk: Våre systematiske søk etter dokumentasjon for måleegenskapene ved den norske versjonen av SDQ-P førte til 408 unike treff, hvorav 66 publikasjoner fra 34 studier ble inkludert. I alt 35 av publikasjonene rapporterte fra store befolkningsstudier i Akershus, Bergen, Trondheim, Bodø, Østfold, Romsdal, Oslo og andre deler av landet.
Psykometri: De store befolkningsstudiene bidro med regionale normdata for barn og ungdom i alderen 4-19 år. I tre av studiene undersøkte forskerne faktorstrukturen til SDQ-P, og fire studier og to delstudier rapporterte verdier for diagnostisk nøyaktighet. Gruppesammenlikninger mellom selekterte utvalg og referansegrupper belyste også validiteten ved instrumentet, spesielt resultater for ulike diagnostiske grupper. Tre studier undersøkte også samsvaret mellom SDQ-P-skårer og skårer på andre, tilsvarende instrumenter. Vi fant mål på indre konsistens (Cronbachs alfa) i 21 av de inkluderte artiklene.
Konklusjon: SDQ-P har regionale normdata, men nasjonale data mangler. Forventede gruppeforskjeller og konfirmatoriske faktoranalyser støtter opp under instrumentets begrepsvaliditet. Tre av skalaene hadde utilfredsstillende indre konsistens. Evnen til å fange opp barn med en psykiatrisk diagnose synes å være ganske god. Likevel er ikke den diagnostiske nøyaktighet så god at SDQ-P kan anbefales som universelt screening-instrument. Den norske versjonen av SDQ-P kan være egnet til å screene for psykiatriske diagnoser i selekterte utvalg med risiko for psykiske helseproblemer.
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