Adolescent psychiatric outpatients and their caregivers: Comparing the Strengths and Difficulties Questionnaire

South African Journal of Psychiatry

Field Value
Title Adolescent psychiatric outpatients and their caregivers: Comparing the Strengths and Difficulties Questionnaire
Creator Mohangi, Yashna Magagula, Thulisile G. van der Westhuizen, Deborah
Subject Medicine; Psychiatry;Child and Adolescent Psychiatry adolescent; Strengths and Difficulties Questionnaire; caregiver; psychiatry; outpatients
Description Background: The use of the SDQs as a screening tool to monitor new or ongoing problems in adolescent psychiatric outpatients is needed to improve clinical outcomes. Discrepancies between parent and adolescent reports on the Strengths and Difficulties Questionnaire (SDQ), reflects the degree of emotional and behavioural symptoms. This may affect their ability to work together to reach therapeutic goals.Aim: The level of SDQ (dis)agreements between adolescent-parental self-reports in adolescent psychiatric outpatients was examined.Setting: Weskoppies Child and Adolescent outpatients.Methods: This two-group cross-sectional comparative study obtained SDQ responses from 74 psychiatrically diagnosed adolescents and their parents (148 completed SDQ questionnaires). Adolescent outpatients aged between 11 and 18 years following up at the outpatients between July 2017 and November 2017 were included. Adolescent and parent rating scores were compared using a paired sample t-test, and patterns of agreement were measured by using Pearson’s correlation coefficient and Cohen’s kappa.Results: Parents reported more difficulties than adolescents, although differences were non-significant (p 0.58). Caregivers and adolescents agreed on the conduct domain and on emotional symptoms (0.21 ≤ kappa ≤ 0.40, p 0.05). Caregivers and adolescents agreed on the presentation of internalising and externalising disorders (R = 0.48, p 0.001).Conclusions: The SDQ confirmed fair agreement between parents and adolescents. Parental perceptions of adolescent behavioural difficulties could influence parent– adolescent relations and communication. Using the SDQ as a screening tool in South Africa, requires further validation for it to be integrated as part of a multi-informant best-practice approach.
Publisher AOSIS
Contributor University of Pretoria Faculty of Health SCiences Department of Psychiatry Weskoppies Hospital Prof Piet Becker Mr M. Netshilema
Date 2020-11-09
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Quantitative; cross -sectional comparative study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajpsychiatry.v26i0.1394
Source South African Journal of Psychiatry; Vol 26 (2020); 7 pages 2078-6786 1608-9685
Language eng
Coverage South Africa; Gauteng; 2017 adolescents; gender; age
Rights Copyright (c) 2020 Yashna Mohangi, Thulisile G. Magagula, Deborah van der Westhuizen