Feasibility of the Strengths and Difficulties Questionnaire in assessing children's mental health in primary care: Finnish parents', teachers' and public health nurses' experiences with the SDQ

J Child Adolesc Ment Health. 2014;26(3):229-38. doi: 10.2989/17280583.2014.923432.

Abstract

Background: The aim of the study was to evaluate the feasibility of the Strengths and Difficulties Questionnaire (SDQ).

Method: Following the administration of the SDQ in medical check-ups of 4-9 year-old children (n = 2 682) the involved parents, teachers and public health nurses were asked to complete a feedback questionnaire of the SDQ.

Results: Parents took a maximum of 10-15 minutes to complete the SDQ, and only the public health nurses reported that its use was rather burdensome. The SDQ was an age-appropriate method and it was helpful in increasing information and agreement about the child's mental health and need for support. Using the SDQ was a positive experience for parents, but they expected more dialogue with the professionals about the child's situation. The respondents criticised the questionnaire somewhat for being difficult to interpret and complete.

Conclusions: The SDQ was found to be a feasible method for screening children's mental health in primary health care together with parents, teachers and public health nurses. Using the SDQ was a positive experience for parents. However, they reminded the professionals of the importance of sensitive dialogue when assessing the mental health of the child.

MeSH terms

  • Child
  • Child, Preschool
  • Faculty / statistics & numerical data*
  • Feasibility Studies
  • Female
  • Finland
  • Humans
  • Male
  • Mass Screening / methods
  • Mental Disorders / diagnosis*
  • Nurses, Public Health / statistics & numerical data*
  • Parents*
  • Primary Health Care / methods*
  • Psychometrics
  • Reproducibility of Results
  • Surveys and Questionnaires / standards*
  • Time Factors