TY - JOUR
T1 - Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample
AU - Goodman, R
AU - Ford, T
AU - Simmons, H
AU - Gatward, R
AU - Meltzer, H
PY - 2000
Y1 - 2000
N2 - Background Child psychiatric disorders are common and treatable, but often go undetected and therefore remain untreated. Aims To assess the Strengths and Difficulties Questionnaire (SDQ) as a potential means for improving the detection of child psychiatric disorders in the community. Method SDQ predictions and independent psychiatric diagnoses were compared in a community sample of 7984 5- to 15-year-olds from the 1999 British Child Mental Health Survey. Results Multi-informant (parents, teachers, older children) SDQs identified individuals with a psychiatric diagnosis with a specificity of 94.6% (95% CI 94.1-95.1%) and a sensitivity of 63.3% (59.7-66.9%). The questionnaires identified over 70% of individuals with conduct. hyperactivity, depressive and some anxiety disorders, but under 50% of individuals with specific phobias, separation anxiety and eating disorders. Sensitivity was substantially poorer with single-informant rather than multi-informant SDQs. Conclusions Community screening programmes based on multi-informant SDQs could potentially increase the detection of child psychiatric disorders, thereby improving access to effective treatments.
AB - Background Child psychiatric disorders are common and treatable, but often go undetected and therefore remain untreated. Aims To assess the Strengths and Difficulties Questionnaire (SDQ) as a potential means for improving the detection of child psychiatric disorders in the community. Method SDQ predictions and independent psychiatric diagnoses were compared in a community sample of 7984 5- to 15-year-olds from the 1999 British Child Mental Health Survey. Results Multi-informant (parents, teachers, older children) SDQs identified individuals with a psychiatric diagnosis with a specificity of 94.6% (95% CI 94.1-95.1%) and a sensitivity of 63.3% (59.7-66.9%). The questionnaires identified over 70% of individuals with conduct. hyperactivity, depressive and some anxiety disorders, but under 50% of individuals with specific phobias, separation anxiety and eating disorders. Sensitivity was substantially poorer with single-informant rather than multi-informant SDQs. Conclusions Community screening programmes based on multi-informant SDQs could potentially increase the detection of child psychiatric disorders, thereby improving access to effective treatments.
UR - http://www.scopus.com/inward/record.url?scp=0034536356&partnerID=8YFLogxK
U2 - 10.1192/bjp.177.6.534
DO - 10.1192/bjp.177.6.534
M3 - Article
SN - 1472-1465
VL - 177
SP - 534
EP - 539
JO - British Journal of Psychiatry
JF - British Journal of Psychiatry
IS - DEC.
ER -