Skip to main content
Top
Published in: BMC Pediatrics 1/2017

Open Access 01-12-2017 | Research article

Emotional and behavioural problems in Swedish preschool children rated by preschool teachers with the Strengths and Difficulties Questionnaire (SDQ)

Authors: Berit M. Gustafsson, Marie Proczkowska-Björklund, Per A. Gustafsson

Published in: BMC Pediatrics | Issue 1/2017

Login to get access

Abstract

Background

There is a high risk that young children who show early signs of mental health problems develop symptoms in the same or overlapping areas some years later. The Strengths and Difficulties Questionnaire (SDQ) is widely used to screen externalizing and internalizing problems early in life. In Sweden 80–90% of all children aged 1–5 years go to preschool and preschool is thus an appropriate context for finding early signs of mental health problems among children.

Methods

This study is part of a longitudinal project too investigate the frequency of emotional and behavioural problems for children between 1 and 5 years of age in Sweden. The SDQ including the impairment supplement questions were rated by preschool teachers too establish Swedish norms for SDQ in preschool children.

Results

The sample involved 815 children with a mean age of 42 months (SD = 16, range 13–71 months). 195 children were followed longitudinally for three years. There were significant differences between boys and girls on all subscales except for the Emotional subscale. The prevalence of behavioural problems was similar to other that in European countries, except for Prosocial behaviour, which was rated lower, and Conduct problems, rated higher. Swedish children were estimated to have more problems in the preschool setting, scored by preschool teachers. The development of behaviour over time differed for the different subscales of SDQ.

Conclusions

The teacher version of the SDQ, for 2–4 year-olds, can be used as a screening instrument to identify early signs of emotional distress/behavioural problems in young children. Preschool teachers seem to be able to identify children with problematic behaviour with the use of SDQ at an early age. The development of behaviour over time differs for the different subscales of SDQ. The Swedish norms for SDQ are to a large extent, similar to findings from other European countries.
Literature
5.
go back to reference Sim F, Haig C, O’Dowd J, Thompson L, Law J, McConnachie A, et al. Development of a triage tool for neurodevelopmental risk in children aged 30 months. Res Dev Disabil. 2015;45:69–82.CrossRefPubMed Sim F, Haig C, O’Dowd J, Thompson L, Law J, McConnachie A, et al. Development of a triage tool for neurodevelopmental risk in children aged 30 months. Res Dev Disabil. 2015;45:69–82.CrossRefPubMed
6.
go back to reference World Health Organization. International statistical classification of diseases and related health problems : ICD-10. Geneva: World Health Organization; 2009. World Health Organization. International statistical classification of diseases and related health problems : ICD-10. Geneva: World Health Organization; 2009.
7.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders : DSM-5. Arlington, Va.: American Psychiatric Association; 2013. American Psychiatric Association. Diagnostic and statistical manual of mental disorders : DSM-5. Arlington, Va.: American Psychiatric Association; 2013.
8.
go back to reference Egger HL, Angold A. Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology. J Child Psychol Psychiatry. 2006;47:313–37.CrossRefPubMed Egger HL, Angold A. Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology. J Child Psychol Psychiatry. 2006;47:313–37.CrossRefPubMed
9.
go back to reference Keenan K, Shaw DS, Walsh B, Delliquadri E, Giovannelli J. DSM-III-R disorders in preschool children from low-income families. J Am Acad Child Adolesc Psychiatry. 1997;36:620–7.CrossRefPubMed Keenan K, Shaw DS, Walsh B, Delliquadri E, Giovannelli J. DSM-III-R disorders in preschool children from low-income families. J Am Acad Child Adolesc Psychiatry. 1997;36:620–7.CrossRefPubMed
10.
go back to reference Lavigne JV, LeBailly SA, Hopkins J, Gouze KR, Binns HJ. The prevalence of ADHD, ODD, depression, and anxiety in a community sample of 4-year-olds. J Clin Child Adolesc Psychol. 2009;38:315–28.CrossRefPubMed Lavigne JV, LeBailly SA, Hopkins J, Gouze KR, Binns HJ. The prevalence of ADHD, ODD, depression, and anxiety in a community sample of 4-year-olds. J Clin Child Adolesc Psychol. 2009;38:315–28.CrossRefPubMed
11.
go back to reference Ravens-Sieberer U, Wille D-PN, Erhart M, Bettge S, Wittchen H-U, Rothenberger A, et al. Prevalence of mental health problems among children and adolescents in Germany: results of the BELLA study within the National Health Interview and Examination Survey. Eur Child Adolesc Psychiatry. 2008;17:22–33.CrossRefPubMed Ravens-Sieberer U, Wille D-PN, Erhart M, Bettge S, Wittchen H-U, Rothenberger A, et al. Prevalence of mental health problems among children and adolescents in Germany: results of the BELLA study within the National Health Interview and Examination Survey. Eur Child Adolesc Psychiatry. 2008;17:22–33.CrossRefPubMed
12.
go back to reference Goodman R, Ford T, Simmons H, Gatward R, Meltzer H. Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry. 2000;177:534–9.CrossRefPubMed Goodman R, Ford T, Simmons H, Gatward R, Meltzer H. Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry. 2000;177:534–9.CrossRefPubMed
13.
go back to reference Earls F. Cultural and national differences in the epidemiology of behavior problems of preschool children. Cult Med Psychiatry. 1982;6:45–56.CrossRefPubMed Earls F. Cultural and national differences in the epidemiology of behavior problems of preschool children. Cult Med Psychiatry. 1982;6:45–56.CrossRefPubMed
14.
go back to reference Lavigne JV, Binns HJ, Christoffel KK, Rosenbaum D, Arend R, Smith K, et al. Behavioral and emotional problems among preschool children in pediatric primary care: prevalence and pediatricians' recognition. Pediatrics. 1993;91:649–55.PubMed Lavigne JV, Binns HJ, Christoffel KK, Rosenbaum D, Arend R, Smith K, et al. Behavioral and emotional problems among preschool children in pediatric primary care: prevalence and pediatricians' recognition. Pediatrics. 1993;91:649–55.PubMed
15.
go back to reference Costello EJ, Egger H, Angold A. 10-year research update review: the epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. J Am Acad Child Adolesc Psychiatry. 2005;44:972–86.CrossRefPubMed Costello EJ, Egger H, Angold A. 10-year research update review: the epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. J Am Acad Child Adolesc Psychiatry. 2005;44:972–86.CrossRefPubMed
16.
go back to reference Heiervang E, Goodman A, Goodman R. The Nordic advantage in child mental health: separating health differences from reporting style in a cross-cultural comparison of psychopathology. J Child Psychol Psychiatry. 2008;49:678–85.CrossRefPubMed Heiervang E, Goodman A, Goodman R. The Nordic advantage in child mental health: separating health differences from reporting style in a cross-cultural comparison of psychopathology. J Child Psychol Psychiatry. 2008;49:678–85.CrossRefPubMed
17.
go back to reference Obel C, Heiervang E, Rodriguez A, Heyerdahl S, Smedje H, Sourander A, et al. The Strengths and Difficulties Questionnaire in the Nordic countries. Eur Child Adolesc Psychiatry. 2004;13(Suppl 2):Ii32–9. doi:10.1007/s00787-004-2006-2.PubMed Obel C, Heiervang E, Rodriguez A, Heyerdahl S, Smedje H, Sourander A, et al. The Strengths and Difficulties Questionnaire in the Nordic countries. Eur Child Adolesc Psychiatry. 2004;13(Suppl 2):Ii32–9. doi:10.​1007/​s00787-004-2006-2.PubMed
18.
go back to reference Heiervang E, Stormark KM, Lundervold AJ, Heimann M, Goodman R, Posserud M-B, et al. Psychiatric disorders in Norwegian 8-to 10-year-olds: an epidemiological survey of prevalence, risk factors, and service use. J Am Acad Child Adolesc Psychiatry. 2007;46:438–47.CrossRefPubMed Heiervang E, Stormark KM, Lundervold AJ, Heimann M, Goodman R, Posserud M-B, et al. Psychiatric disorders in Norwegian 8-to 10-year-olds: an epidemiological survey of prevalence, risk factors, and service use. J Am Acad Child Adolesc Psychiatry. 2007;46:438–47.CrossRefPubMed
19.
go back to reference Almqvist L. Patterns of engagement in young children with and without developmental delay. J Policy Pract Intellect Disabil. 2006;3:65–75.CrossRef Almqvist L. Patterns of engagement in young children with and without developmental delay. J Policy Pract Intellect Disabil. 2006;3:65–75.CrossRef
20.
go back to reference Goodman A, Lamping DL, Ploubidis GB. When to use broader internalising and externalising subscales instead of the hypothesised five subscales on the Strengths and Difficulties Questionnaire (SDQ): data from British parents, teachers and children. J Abnorm Child Psychol. 2010;38:1179–91.CrossRefPubMed Goodman A, Lamping DL, Ploubidis GB. When to use broader internalising and externalising subscales instead of the hypothesised five subscales on the Strengths and Difficulties Questionnaire (SDQ): data from British parents, teachers and children. J Abnorm Child Psychol. 2010;38:1179–91.CrossRefPubMed
21.
go back to reference Goodman R. Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adolesc Psychiatry. 2001;40:1337–45.CrossRefPubMed Goodman R. Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adolesc Psychiatry. 2001;40:1337–45.CrossRefPubMed
22.
go back to reference Essau CA. Olaya B, Anastassiou-Hadjicharalambous X, Pauli G, Gilvarry C, Bray D et al. Psychometric properties of the Strength and Difficulties Questionnaire from five European countries. Int J Methods Psychiatr Res. 2012;21:232–45. doi:10.1002/mpr.1364.CrossRefPubMed Essau CA. Olaya B, Anastassiou-Hadjicharalambous X, Pauli G, Gilvarry C, Bray D et al. Psychometric properties of the Strength and Difficulties Questionnaire from five European countries. Int J Methods Psychiatr Res. 2012;21:232–45. doi:10.​1002/​mpr.​1364.CrossRefPubMed
26.
go back to reference Mieloo C, Raat H, van Oort F, Bevaart F, Vogel I, Donker M, et al. Validity and reliability of the strengths and difficulties questionnaire in 5-6 year olds: differences by gender or by parental education? PLoS One. 2012;7(5):e36805.CrossRefPubMedPubMedCentral Mieloo C, Raat H, van Oort F, Bevaart F, Vogel I, Donker M, et al. Validity and reliability of the strengths and difficulties questionnaire in 5-6 year olds: differences by gender or by parental education? PLoS One. 2012;7(5):e36805.CrossRefPubMedPubMedCentral
27.
go back to reference Wichstrøm L, Berg-Nielsen TS, Angold A, Egger HL, Solheim E, Sveen TH. Prevalence of psychiatric disorders in preschoolers. J Child Psychol Psychiatry. 2012;53:695–705.CrossRefPubMed Wichstrøm L, Berg-Nielsen TS, Angold A, Egger HL, Solheim E, Sveen TH. Prevalence of psychiatric disorders in preschoolers. J Child Psychol Psychiatry. 2012;53:695–705.CrossRefPubMed
28.
go back to reference Smedje H, Broman JE, Hetta J, von Knorring AL. Psychometric properties of a Swedish version of the "Strengths and Difficulties Questionnaire". Eur Child Adolesc Psychiatry. 1999;8:63–70.CrossRefPubMed Smedje H, Broman JE, Hetta J, von Knorring AL. Psychometric properties of a Swedish version of the "Strengths and Difficulties Questionnaire". Eur Child Adolesc Psychiatry. 1999;8:63–70.CrossRefPubMed
30.
32.
go back to reference Ezpeleta L, Granero R, de la Osa N, Penelo E, Domènech JM. Psychometric properties of the Strengths and Difficulties Questionnaire 3–4 in 3-year-old preschoolers. Compr Psychiatry. 2013;54:282–91.CrossRefPubMed Ezpeleta L, Granero R, de la Osa N, Penelo E, Domènech JM. Psychometric properties of the Strengths and Difficulties Questionnaire 3–4 in 3-year-old preschoolers. Compr Psychiatry. 2013;54:282–91.CrossRefPubMed
33.
go back to reference Gustafsson BM, Gustafsson PA, Proczkowska-Bjorklund M. The Strengths and Difficulties Questionnaire (SDQ) for preschool children-a Swedish validation. Nord J Psychiatry. 2016:1–8. doi:10.1080/08039488.2016.1184309. Gustafsson BM, Gustafsson PA, Proczkowska-Bjorklund M. The Strengths and Difficulties Questionnaire (SDQ) for preschool children-a Swedish validation. Nord J Psychiatry. 2016:1–8. doi:10.​1080/​08039488.​2016.​1184309.
34.
go back to reference Granlund M, Almqvist L, Gustafsson P, Gustafsson B, Golsäter M, Marie P, et al. Slutrapport Tidig upptäckt - tidiga insatser (TUTI). National Board of Health and Welfare: Stockholm; 2016. Granlund M, Almqvist L, Gustafsson P, Gustafsson B, Golsäter M, Marie P, et al. Slutrapport Tidig upptäckt - tidiga insatser (TUTI). National Board of Health and Welfare: Stockholm; 2016.
36.
go back to reference Goodman R. The extended version of the Strengths and Difficulties Questionnaire as a guide to child psychiatric caseness and consequent burden. J Child Psychol Psychiatry. 1999;40:791–9.CrossRefPubMed Goodman R. The extended version of the Strengths and Difficulties Questionnaire as a guide to child psychiatric caseness and consequent burden. J Child Psychol Psychiatry. 1999;40:791–9.CrossRefPubMed
39.
go back to reference Achenbach TM, Rescorla LA. Manual for the ASEBA Preschool Forms & Profiles: An Integrated System of Multi-informant Assessment; Child Behavior Checklist for Ages 1 1/2–5; Language Development Survey. Caregiver-Teacher Report Form: University of Vermont; 2000. Achenbach TM, Rescorla LA. Manual for the ASEBA Preschool Forms & Profiles: An Integrated System of Multi-informant Assessment; Child Behavior Checklist for Ages 1 1/2–5; Language Development Survey. Caregiver-Teacher Report Form: University of Vermont; 2000.
40.
go back to reference McWilliam R. Children’s engagement questionnaire. Chapel Hill, NC: Frank Porter Graham Child Development Center, University of North Carolina; 1991. McWilliam R. Children’s engagement questionnaire. Chapel Hill, NC: Frank Porter Graham Child Development Center, University of North Carolina; 1991.
41.
42.
go back to reference Berk LE. Child development. Boston: Pearson; 2013. Berk LE. Child development. Boston: Pearson; 2013.
43.
go back to reference Howes C. Friendship in early childhood. Handbook of peer interactions, relationships, and groups. New York: The Guilford Press; 2009. Howes C. Friendship in early childhood. Handbook of peer interactions, relationships, and groups. New York: The Guilford Press; 2009.
44.
go back to reference Scott JG, Moore SE, Sly PD, Norman RE. Bullying in children and adolescents: a modifiable risk factor for mental illness. Aust N Z J Psychiatry. 2014;48:209–12.CrossRefPubMed Scott JG, Moore SE, Sly PD, Norman RE. Bullying in children and adolescents: a modifiable risk factor for mental illness. Aust N Z J Psychiatry. 2014;48:209–12.CrossRefPubMed
45.
go back to reference Goodman R. The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry. 1997;38:581–6.CrossRefPubMed Goodman R. The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry. 1997;38:581–6.CrossRefPubMed
46.
go back to reference Rescorla LA, Achenbach TM, Ivanova MY, Harder VS, Otten L, Bilenberg N, et al. International comparisons of behavioral and emotional problems in preschool children: parents' reports from 24 societies. J Clin Child Adolesc Psychol. 2011;40:456–67.CrossRefPubMedPubMedCentral Rescorla LA, Achenbach TM, Ivanova MY, Harder VS, Otten L, Bilenberg N, et al. International comparisons of behavioral and emotional problems in preschool children: parents' reports from 24 societies. J Clin Child Adolesc Psychol. 2011;40:456–67.CrossRefPubMedPubMedCentral
47.
go back to reference Kristensen S, Henriksen TB, Bilenberg N. The Child Behavior Checklist for Ages 1.5–5 (CBCL/1½–5): Assessment and analysis of parent-and caregiver-reported problems in a population-based sample of Danish preschool children. Nord J Psychiatry. 2010;64:203–9.CrossRefPubMed Kristensen S, Henriksen TB, Bilenberg N. The Child Behavior Checklist for Ages 1.5–5 (CBCL/1½–5): Assessment and analysis of parent-and caregiver-reported problems in a population-based sample of Danish preschool children. Nord J Psychiatry. 2010;64:203–9.CrossRefPubMed
48.
go back to reference Rescorla L, Achenbach T, Ivanova MY, Dumenci L, Almqvist F, Bilenberg N, et al. Behavioral and emotional problems reported by parents of children ages 6 to 16 in 31 societies. J Emot Behav Disord. 2007;15:130–42.CrossRef Rescorla L, Achenbach T, Ivanova MY, Dumenci L, Almqvist F, Bilenberg N, et al. Behavioral and emotional problems reported by parents of children ages 6 to 16 in 31 societies. J Emot Behav Disord. 2007;15:130–42.CrossRef
50.
go back to reference Broberg AG, Ekeroth K, Gustafsson P, Hansson K, Hägglöf B, Ivarsson T, et al. Self-reported competencies and problems among Swedish adolescents: a normative study of the YSR. Eur Child Adolesc Psychiatry. 2001;10:186–93.CrossRefPubMed Broberg AG, Ekeroth K, Gustafsson P, Hansson K, Hägglöf B, Ivarsson T, et al. Self-reported competencies and problems among Swedish adolescents: a normative study of the YSR. Eur Child Adolesc Psychiatry. 2001;10:186–93.CrossRefPubMed
Metadata
Title
Emotional and behavioural problems in Swedish preschool children rated by preschool teachers with the Strengths and Difficulties Questionnaire (SDQ)
Authors
Berit M. Gustafsson
Marie Proczkowska-Björklund
Per A. Gustafsson
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2017
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-017-0864-2

Other articles of this Issue 1/2017

BMC Pediatrics 1/2017 Go to the issue