Accuracy of the strengths and difficulties questionnaire in identifying common mental health disorders in children and adolescents: a cross-sectional analytical study

Abstract Background and aim This cross-sectional analytic study, conducted in the Child and Adolescent Mental Health (CAMH) Clinic of Sultan Qaboos University Hospital (SQUH) for 12 months, aimed to evaluate the precision of the Strengths and Difficulties Questionnaire (SDQ) in identifying hyperacti...

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Main Authors: Maisaa Al-Dhahri, Salim Al-Huseini, Maisa AL-Jamoudi, Sanjay Jaju, Samir Al-Adawi, Hassan Mirza
Format: Article
Language:English
Published: Springer 2025-01-01
Series:Discover Mental Health
Subjects:
Online Access:https://doi.org/10.1007/s44192-025-00129-1
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author Maisaa Al-Dhahri
Salim Al-Huseini
Maisa AL-Jamoudi
Sanjay Jaju
Samir Al-Adawi
Hassan Mirza
author_facet Maisaa Al-Dhahri
Salim Al-Huseini
Maisa AL-Jamoudi
Sanjay Jaju
Samir Al-Adawi
Hassan Mirza
author_sort Maisaa Al-Dhahri
collection DOAJ
description Abstract Background and aim This cross-sectional analytic study, conducted in the Child and Adolescent Mental Health (CAMH) Clinic of Sultan Qaboos University Hospital (SQUH) for 12 months, aimed to evaluate the precision of the Strengths and Difficulties Questionnaire (SDQ) in identifying hyperactivity disorder (ADHD), conduct problems, and emotional difficulties in children and adolescents in an Arab-speaking population. Method The study involved 139 participants aged 4 to 17 years drawn from new referrals to CAMH services. SDQ scores were compared with the gold standard clinical diagnosis obtained through diagnostic interviews based on the Diagnostic and Statistical Manual of Mental Disorders criteria. The predictive accuracy of SDQ subscales for attention deficit hyperactivity disorder (ADHD) and emotional difficulties was evaluated using Kendall's tau-b. Result The results indicated moderate agreement for emotional problems (Kendall's tau b 0.265; p < 0.001) and between moderate and strong agreement for hyperactivity problems (Kendall's tau b 0.351; p < 0.001). Screening efficiency indices, including sensitivity and positive predictive values, varied between the two disorders (sensitivity: 56–80%; positive predictive values: 40% to 56%). Conclusion The study underscores the importance of understanding the strengths and limitations of SDQ in clinical settings, providing valuable information for mental health assessments in children and adolescents.
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spelling doaj-art-c9138bd61a8e4460bc3f234d8a67abe12025-01-26T12:17:26ZengSpringerDiscover Mental Health2731-43832025-01-01511710.1007/s44192-025-00129-1Accuracy of the strengths and difficulties questionnaire in identifying common mental health disorders in children and adolescents: a cross-sectional analytical studyMaisaa Al-Dhahri0Salim Al-Huseini1Maisa AL-Jamoudi2Sanjay Jaju3Samir Al-Adawi4Hassan Mirza5Psychiatry Residency Training Program, Oman Medical Specialty BoardDepartment of Psychiatry, AL Masarra Hospital, Ministry of HealthGeneral Foundation Program, Oman Medical Specialty BoardDepartment of Family Medicine and Public Health, College of Medicine & Health Sciences, Sultan Qaboos UniversityCollege of Medicine & Health Sciences, Sultan Qaboos UniversityDepartment of Behavioural Medicine, Sultan Qaboos University HospitalAbstract Background and aim This cross-sectional analytic study, conducted in the Child and Adolescent Mental Health (CAMH) Clinic of Sultan Qaboos University Hospital (SQUH) for 12 months, aimed to evaluate the precision of the Strengths and Difficulties Questionnaire (SDQ) in identifying hyperactivity disorder (ADHD), conduct problems, and emotional difficulties in children and adolescents in an Arab-speaking population. Method The study involved 139 participants aged 4 to 17 years drawn from new referrals to CAMH services. SDQ scores were compared with the gold standard clinical diagnosis obtained through diagnostic interviews based on the Diagnostic and Statistical Manual of Mental Disorders criteria. The predictive accuracy of SDQ subscales for attention deficit hyperactivity disorder (ADHD) and emotional difficulties was evaluated using Kendall's tau-b. Result The results indicated moderate agreement for emotional problems (Kendall's tau b 0.265; p < 0.001) and between moderate and strong agreement for hyperactivity problems (Kendall's tau b 0.351; p < 0.001). Screening efficiency indices, including sensitivity and positive predictive values, varied between the two disorders (sensitivity: 56–80%; positive predictive values: 40% to 56%). Conclusion The study underscores the importance of understanding the strengths and limitations of SDQ in clinical settings, providing valuable information for mental health assessments in children and adolescents.https://doi.org/10.1007/s44192-025-00129-1ChildrenMental healthPsychiatric diagnosisQuestionnairePrediction
spellingShingle Maisaa Al-Dhahri
Salim Al-Huseini
Maisa AL-Jamoudi
Sanjay Jaju
Samir Al-Adawi
Hassan Mirza
Accuracy of the strengths and difficulties questionnaire in identifying common mental health disorders in children and adolescents: a cross-sectional analytical study
Discover Mental Health
Children
Mental health
Psychiatric diagnosis
Questionnaire
Prediction
title Accuracy of the strengths and difficulties questionnaire in identifying common mental health disorders in children and adolescents: a cross-sectional analytical study
title_full Accuracy of the strengths and difficulties questionnaire in identifying common mental health disorders in children and adolescents: a cross-sectional analytical study
title_fullStr Accuracy of the strengths and difficulties questionnaire in identifying common mental health disorders in children and adolescents: a cross-sectional analytical study
title_full_unstemmed Accuracy of the strengths and difficulties questionnaire in identifying common mental health disorders in children and adolescents: a cross-sectional analytical study
title_short Accuracy of the strengths and difficulties questionnaire in identifying common mental health disorders in children and adolescents: a cross-sectional analytical study
title_sort accuracy of the strengths and difficulties questionnaire in identifying common mental health disorders in children and adolescents a cross sectional analytical study
topic Children
Mental health
Psychiatric diagnosis
Questionnaire
Prediction
url https://doi.org/10.1007/s44192-025-00129-1
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