Do Mothers and Fathers Assess their Children's Behavioral Problems in the Same Way as do their Children? An IRT Investigation on the Strengths and Difficulties Questionnaire

This study investigated the equivalence of different types of informants, such as children (or early adolescents) and parents, in evaluating child externalizing and internalizing problems. We applied a polytomous item response theory (IRT) model for the Strengths and Difficulties Questionnaire (SDQ). We obtained responses to three subscales—Conduct Problems, Hyperactivity/Inattention, and Emotional Symptoms—from 541 elementary school students aged 10–12 years, fathers for 233 students, mothers for 275 students, and the homeroom teachers for 524 students. Expected values on the individual item calculated by the discrimination and threshold parameters were compared among students, fathers, and mothers as an investigation of differential item functioning (DIF) or differential informant functioning. Assessing either externalizing or internalizing problems were mostly equivalent between fathers and mothers, and most items for externalizing problems functioned equally between students and parents, whereas items for internalizing problems showed DIF between them. IRT also yielded that the intervals of response categories varied across items, particularly for the conduct problems items “fight” and “steal,” and positively worded items showed an extremely low threshold.     

Swedish norms for the Strengths and Difficulties Questionnaire for children 3–5 years rated by parents and preschool teachers

The Strengths and Difficulties Questionnaire (SDQ) is a widespread tool for assessing behavior problems in children and adolescents. Despite being investigated thoroughly concerning both validity and reliability, peer reviewed studies that provide norms, especially for preschool children, are lacking. This paper provides Swedish norms using data from a large community sample of children aged 3–5, based on mothers’, fathers’, and preschool teacher’s ratings. Preschool teachers’ ratings were generally lower than parents’ ratings, which contradicts some previous studies. Differences between girls and boys were found, suggesting that boys display higher levels of behavior problems. Lower parental education and country of origin outside of Sweden were also associated with more difficulties. Cut-offs are presented for each age group, gender and rater category. Population-specific norms and percentile cut-offs provided in this study facilitate identifying children in need of interventions in paediatric care and enable cross-country comparisons of children’s mental health problems.     

The Effectiveness of Functional Family Therapy in Reducing Adolescent Mental Health Risk and Family Adjustment Difficulties in an Irish Context

To evaluate the effectiveness of Functional Family Therapy (FFT) 42 cases were randomized to FFT and 55 to a waiting‐list control group. Minimization procedures controlled the effects of potentially confounding baseline variables. Cases were treated by a team of five therapists who implemented FFT with a moderate degree of fidelity. Rates of clinical recovery were significantly higher in the FFT group than in the control group. Compared to the comparison group, parents in the FFT group reported significantly greater improvement in adolescent problems on the Strengths and Difficulties Questionnaire (SDQ) and both parents and adolescents reported improvements in family adjustment on the Systemic Clinical Outcomes and Routine Evaluation (SCORE). In addition, 93% of youth and families in the treatment condition completed FFT. Improvements shown immediately after treatment were sustained at 3‐month follow‐up. Results provide a current demonstration of FFT's effectiveness for youth with behavior problems in community‐based settings, expand our understanding of the range of positive outcomes of FFT to include mental health risk and family‐defined problem severity and impact, and suggests that it is an effective intervention when implemented in an Irish context.