(SDQ-PR) as Screening Instrument of Children Mental Health in Indonesia

• Published in: Jurnal psikologi (Yogyakarta, Indonesia) Vol. 46; no. 2; pp. 130 - 144
• Main Authors: Supra Wimbarti, Juliarni Siregar, Mistety Oktaviani, Regi Astriningsih
• Format: Journal Article
• Language: Indonesian
• Published: Universitas Gadjah Mada 01.08.2019
• Subjects: child mental health; Indonesia; screening instrument; Strengths and Difficulties Questionnaire Parent Report (SDQ-PR)
• ISSN: 0215-8884; 2460-867X
• DOI: 10.22146/jpsi.46698

This study aimed at examining the agreement level between clinical diagnoses by senior psychologist in the hospital and diagnoses/screening on Strengths and Difficulties Questionnaire conducted by parents. Using International Classification of Diseases (ICD) 10 (Indonesian version) as the gold standard, clinical child psychologists diagnosed 253 male and female elementary school children aged 7-14 years old. Parents of the same children were requested to fill-out the SDQ questionnaire (SDQ-PR). Psychometric property of SDQ-PR was analyzed using test retest and Principal Axis Factoring Analysis. Screening quality of SDQ-PR was examined using Receiver Operating Characteristic (ROC), Likelihood Ratio (LR+ and LR-), and Chi square. Test retest reliability of SDQ-PR in all subscales were (r = 0.562 to r = 0.731) except subscale of peer-problem (r = 0.174). Different from the original version of SDQ-PR that consists of 5 subscales, this study revealed 8 subscales. LR and ROC analyses for hyperkinetic revealed LR+ = 1.84 and LR– = 0.51, sensitivity = 67.6% and specificity = 63.3% with cut-off score ≥ 6. For behavior disorder, the LR+ = 2.3, LR- = 0.42, sensitivity = 70.96%, and specificity = 69.15% with cut-off score ≥ 4. As for behavior disorder the LR+ = 1.07, LR- = 0.94, sensitivity = 50%, specificity 53.27% with cut-off score ≥ 4. Chi square score indicated significant correlation between SDQ-PR and the diagnoses from child psychologist for hyperkinetic and behavior disorder, but not for emotional problem. This study concludes that out of 5 original subscales of SDQ-PR, it was revealed that only 3 can be used for Indonesian children, filled out by parents.