摘要
目的:检验儿童自评版长处和困难问卷(SDQ)与家长版Achenbach儿童行为量表(CBCL)在12~16岁青少年心理健康问题筛查中的一致性,为评估工具的合理选用及本土化评估体系完善提供依据。方法:于2024年9-11月选取山东省山东大学和内蒙古自治区通辽市12~16岁社区儿童及其家长共124对作为研究对象。通过儿童自评SDQ及家长评定CBCL评估青少年的心理健康问题,SDQ总分>15分及CBCL任一因子阳性提示存在心理健康问题。通过患者健康问卷(PHQ-9)和广泛性焦虑障碍问卷(GAD-7)检验效标关联效度。运用Spearman相关性分析、McNemar检验分析数据。结果:SDQ筛查出心理健康问题阳性率为40.3%(50/124);CBCL筛查阳性率为28.2%(35/124)。两种工具的总体一致率为50.81%,McNemar检验显示二者筛查结果无统计学关联(χ^(2)=3.21,P>0.05)。SDQ、CBCL得分与PHQ-9、GAD-7得分的相关性均无统计学意义(均P>0.05)。结论:儿童自评版SDQ与家长版CBCL在12~16岁青少年心理健康筛查中的一致性较弱,二者在核心情绪症状评估上缺乏足够效标关联效度。临床与科研实践中应审慎解读单一工具结果,同时需基于本土特征开发更精准的评估工具。
Objective:To examine the agreement between the self-reported Strengths and Difficulties Questionnaire(SDQ)and the parent-reported Achenbach Child Behavior Checklist(CBCL)in screening mental health problems among Chinese adolescents aged 12-16 years,and to provide evidence-based selection of screening tools and the development of localized evaluation systems.Methods:A convenience sample of 124 parent-adolescent dyads(adolescents aged 12-16 years)was recruited from Jinan City,Shandong Province and Tongliao City,Inner Mongolia Autonomous Region between September and November 2024.Mental health problems of adolescents were assessed using the self-reported SDQ and the parent-reported CBCL.A total SDQ score>15 or a positive result in any factor of the CBCL indicates the presence of mental health problems.The Patient Health Questionnaire(PHQ-9)and Generalized Anxiety Disorder Scale(GAD-7)were used to test the criterion-related validity.Data were analyzed using Spearman correlation analysis and the McNemar test.Results:The positive screening rate of mental health problems was 40.3%(50/124)by SDQ and 28.2%(35/124)by CBCL.The overall agreement rate between the two tools was 50.81%,and the McNemar test showed no statistically significant association between their screening results(χ^(2)=3.21,P>0.05).The scores of SDQ and CBCL showed no statistically significant correlations with the scores of PHQ-9 and GAD-7(Ps>0.05).Conclusion:The self-reported SDQ and parent-reported CBCL show weak agreement in screening mental health problems among Chinese adolescents aged 12-16 years,and both demonstrate limited criterion-related validity in assessing core emotional symptoms.Results from a single tool should be interpreted with caution in practices,and more accurate,culturally adapted assessment tools tailored should be developed.
作者
刘豫鑫
戴振威
刘倩丽
杨曦
黄悦勤
贾存显
于红梅
张婷婷
姜雯
刘肇瑞
LIU Yuxin;DAI Zhenwei;LIU Qianli;YANG Xi;HUANG Yueqin;JIA Cunxian;YU Hongmei;ZHANG Tingting;JIANG Wen;LIU Zhaorui(Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100083,China;National Center for Mental Health,Beijing 100029,China;School of Public Health,Shandong University,Jinan 250000,China;Tongliao Third People′s Hospital,Tongliao 028000,Inner Mongolia Autonomous Region,China)
出处
《中国心理卫生杂志》
北大核心
2026年第3期217-224,共8页
Chinese Mental Health Journal
基金
2024年度国家心理健康和精神卫生防治中心研究类项目。
关键词
青少年
心理健康
长处和困难问卷
ACHENBACH儿童行为量表
一致性
adolescents
mental health
Strengths and Difficulties Questionnaire
Achenbach Child Behavior Checklist
assessment agreement
