The Strengths and Difficulties Questionnaire (SDQ) in Africa: a scoping review of its application and validation

 

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dc.contributor.author Hoosen, Nikhat
dc.contributor.author Davids, Eugene Lee
dc.contributor.author de Vries, Petrus J
dc.contributor.author Shung-King, Maylene
dc.date.accessioned 2018-01-16T08:56:53Z
dc.date.available 2018-01-16T08:56:53Z
dc.date.issued 2018-01-11
dc.identifier.citation Hoosen, N., Davids, E. L., Vries, P. J., & Shung-King, M. (2018). The Strengths and Difficulties Questionnaire (SDQ) in Africa: a scoping review of its application and validation. Child and Adolescent Psychiatry and Mental Health, 12(1), 6.
dc.identifier.uri http://dx.doi.org/10.1186/s13034-017-0212-1
dc.identifier.uri http://hdl.handle.net/11427/26822
dc.description.abstract Background: Child and adolescent mental health in Africa remains largely neglected. Quick and cost-efective ways for early detection may aid early intervention. The Strengths and Difculties Questionnaire (SDQ) is globally used to screen for mental health problems, but little is known about its use in Africa. We set out to perform a scoping review to examine existing studies that have used the SDQ in Africa. Methods: A comprehensive scoping review methodology was used to identify all peer-reviewed studies ever pub lished that have used the SDQ in Africa. Data were extracted and analysed to assess the countries, languages and SDQ versions used, the purpose of the SDQ studies, psychometric properties of the SDQ, and to consider knowledge gaps for future in-country and cross-country studies. Results: Fifty-four studies from 12 African countries were identifed, most from South Africa. Many diferent lan guages were used, but authorized SDQs in those languages were not always available on the SDQinfo website. Authors frequently commented on challenges in the translation and backtranslation of mental health terminology in African languages. The SDQ was typically used to investigate internalisation/externalization disorders in diferent clinical populations, and was most frequently used in the evaluation of children and adolescents afected by HIV/ AIDS. Sixteen studies (29.6%) administered the SDQ to participants outside the intended age range, only 4 (7.4%) used triangulation of all versions to generate assessments, and eight studies (14.8%) used only subscales of the SDQ. Only one study conducted thorough psychometric validation of the SDQ, including examination of internal consistency and factor analysis. Where ‘caseness’ was defned in studies, UK cut-of scores were used in all but one of the studies. Conclusions: The SDQ may be a very useful tool in an African setting, but the scoping review suggested that, where it was used in Africa researchers did not always follow instrument guidelines, and highlighted that very little is known about the psychometric properties of the SDQ in Africa. We recommend comprehensive evaluation of the psycho metric properties of the SDQ in various African languages, including internal consistency, factor structure, need for local cut-of values and ensuring cultural equivalence of the instrument.
dc.language.iso en
dc.publisher BioMed Central
dc.source Child and Adolescent Psychiatry and Mental Health
dc.source.uri https://capmh.biomedcentral.com/
dc.title The Strengths and Difficulties Questionnaire (SDQ) in Africa: a scoping review of its application and validation
dc.type Journal Article
dc.date.updated 2018-01-14T04:17:12Z
dc.rights.holder The Author(s)
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Division of Child and Adolescent Psychiatry en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Hoosen, N., Davids, E. L., de Vries, P. J., & Shung-King, M. (2018). The Strengths and Difficulties Questionnaire (SDQ) in Africa: a scoping review of its application and validation. <i>Child and Adolescent Psychiatry and Mental Health</i>, http://hdl.handle.net/11427/26822 en_ZA
dc.identifier.chicagocitation Hoosen, Nikhat, Eugene Lee Davids, Petrus J de Vries, and Maylene Shung-King "The Strengths and Difficulties Questionnaire (SDQ) in Africa: a scoping review of its application and validation." <i>Child and Adolescent Psychiatry and Mental Health</i> (2018) http://hdl.handle.net/11427/26822 en_ZA
dc.identifier.vancouvercitation Hoosen N, Davids EL, de Vries PJ, Shung-King M. The Strengths and Difficulties Questionnaire (SDQ) in Africa: a scoping review of its application and validation. Child and Adolescent Psychiatry and Mental Health. 2018; http://hdl.handle.net/11427/26822. en_ZA
dc.identifier.ris TY - Journal Article AU - Hoosen, Nikhat AU - Davids, Eugene Lee AU - de Vries, Petrus J AU - Shung-King, Maylene AB - Background: Child and adolescent mental health in Africa remains largely neglected. Quick and cost-efective ways for early detection may aid early intervention. The Strengths and Difculties Questionnaire (SDQ) is globally used to screen for mental health problems, but little is known about its use in Africa. We set out to perform a scoping review to examine existing studies that have used the SDQ in Africa. Methods: A comprehensive scoping review methodology was used to identify all peer-reviewed studies ever pub lished that have used the SDQ in Africa. Data were extracted and analysed to assess the countries, languages and SDQ versions used, the purpose of the SDQ studies, psychometric properties of the SDQ, and to consider knowledge gaps for future in-country and cross-country studies. Results: Fifty-four studies from 12 African countries were identifed, most from South Africa. Many diferent lan guages were used, but authorized SDQs in those languages were not always available on the SDQinfo website. Authors frequently commented on challenges in the translation and backtranslation of mental health terminology in African languages. The SDQ was typically used to investigate internalisation/externalization disorders in diferent clinical populations, and was most frequently used in the evaluation of children and adolescents afected by HIV/ AIDS. Sixteen studies (29.6%) administered the SDQ to participants outside the intended age range, only 4 (7.4%) used triangulation of all versions to generate assessments, and eight studies (14.8%) used only subscales of the SDQ. Only one study conducted thorough psychometric validation of the SDQ, including examination of internal consistency and factor analysis. Where ‘caseness’ was defned in studies, UK cut-of scores were used in all but one of the studies. Conclusions: The SDQ may be a very useful tool in an African setting, but the scoping review suggested that, where it was used in Africa researchers did not always follow instrument guidelines, and highlighted that very little is known about the psychometric properties of the SDQ in Africa. We recommend comprehensive evaluation of the psycho metric properties of the SDQ in various African languages, including internal consistency, factor structure, need for local cut-of values and ensuring cultural equivalence of the instrument. DA - 2018-01-11 DB - OpenUCT DO - 10.1186/s13034-017-0212-1 DP - University of Cape Town J1 - Child and Adolescent Psychiatry and Mental Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - The Strengths and Difficulties Questionnaire (SDQ) in Africa: a scoping review of its application and validation TI - The Strengths and Difficulties Questionnaire (SDQ) in Africa: a scoping review of its application and validation UR - http://hdl.handle.net/11427/26822 ER - en_ZA


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