Title
Detecting psychosocial problems among 5-6-year-old children in Preventive Child Health Care: The validity of a short questionnaire used in an assessment procedure for detecting psychosocial problems among children
Author
TNO Preventie en Gezondheid
Vogels, T.
Reijneveld, S.A.
Brugman, E.
Hollander-Gijsman, M.den
Verhulst, F.C.
Verloove-Vanhorick, S.P.
Publication year
2003
Abstract
Background: An extended re-assessment of the psychometric properties of the LSPPK, an instrument aimed at identifying children with emotional and behavioural problems. Methods: Data came from a national sample in the Netherlands of parents of 1248 children (aged 5-6 years) interviewed by child health professionals (CHP). Data were obtained regarding psychosocial problems, treatment status and scores on the LSPPK (Parent and CHP Index), and on the Child Behavior Checklist (CBCL). The scale structure, reliability, criterion and content validity and added value of the LSPPK were assessed using the CBCL and treatment status as criteria. Results: The scale structure corresponded with that found originally; the LSPPK improved the prediction of problems according to the CBCL, compared to predictions using readily available risk indicators alone. Reliability varied between 0.55 and 0.69. For the LSPPK Parent Index, sensitivity varied between 0.42 and 0.50. For the CHP Index sensitivity varied between 0.60 and 0.96, but specificity varied between 0.76 and 0.79. Both indices were very sensitive for attention and social problems, but less so for other problems. Conclusion: The LSPPK Parent Index cannot distinguish sufficiently between children with or without serious problems. Either too many children with problems remain unnoticed or too many children without problems are labelled as a case. The LSPPK CHP Index, reflecting the CHP's interpretation of the Parent Index after interviewing the parents does not compensate adequately for the weaknesses of the Parent Index. Better assessment procedures and strategies need to be developed.
Subject
Children
Mental health
Questionnaire
Child health care
Child parent relation
Emotion
Health status
Major clinical study
Priority journal
Psychosocial disorder
Reliability
Risk factor
Social aspect
Validation process
Child
Child Behavior Disorders
Child Health Services
Child, Preschool
Female
Humans
Logistic Models
Male
Mass Screening
Mood Disorders
Netherlands
Parent-Child Relations
Parents
Psychometrics
Questionnaires
Reproducibility of Results
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DOI
https://doi.org/10.1093/eurpub/13.4.353
TNO identifier
237506
ISSN
1101-1262
Source
European Journal of Public Health, 13 (13), 353-360
Document type
article