Quality of Life Research

, Volume 16, Issue 8, pp 1347–1356

The KIDSCREEN-27 quality of life measure for children and adolescents: psychometric results from a cross-cultural survey in 13 European countries


    • School of Public Health, WHO Collaborating Center for Child and Adolescent Health PromotionUniversity of Bielefeld
  • Pascal Auquier
    • Department of Public HealthUniversity Hospital of Marseille
  • Michael Erhart
    • School of Public Health, WHO Collaborating Center for Child and Adolescent Health PromotionUniversity of Bielefeld
  • Angela Gosch
    • Munich University of Applied Sciences
  • Luis Rajmil
    • Agency for Quality, Research and Assessment in Health (AQuRAHealth)
  • Jeanet Bruil
    • TNOPrevention and Health
  • Mick Power
    • Department of PsychiatryUniversity of Edinburgh, Royal Edinburgh Hospital
  • Wolfgang Duer
    • Ludwig Boltzmann-Institute for Sociology of Health and MedicineUniversity of Vienna
  • Bernhard Cloetta
    • Social and Behavioural Health Research, Department of Social and Preventive MedicineUniversity of Berne
  • Ladislav Czemy
    • Prague Psychiatric Centre
  • Joanna Mazur
    • Department of EpidemiologyNational Research Institute of Mother & Child
  • Agnes Czimbalmos
    • Child Health DepartmentHealth Promotion and Development Centre
  • Yannis Tountas
    • Institute of Social and Preventive Medicine
  • Curt Hagquist
    • Karlstad University
  • Jean Kilroe
    • Knowledge Officer Child Health HeBEProgramme of Action for Children
  • the European KIDSCREEN Group
Original Paper

DOI: 10.1007/s11136-007-9240-2

Cite this article as:
Ravens-Sieberer, U., Auquier, P., Erhart, M. et al. Qual Life Res (2007) 16: 1347. doi:10.1007/s11136-007-9240-2



To assess the construct and criterion validity of the KIDSCREEN-27 health-related quality of life (HRQoL) questionnaire, a shorter version of the KIDSCREEN-52.


The five-dimensional KIDSCREEN-27 was tested in a sample of 22,827. For criterion validity the correlation with and the percentage explained variance of the scores of the KIDSCREEN-52 instrument were examined. Construct validity was assessed by testing a priori expected associations with other generic HRQoL measures (YQOL-S, PedsQL, CHIP), indicators of physical and mental health, and socioeconomic status. Age and gender differences were investigated.


Correlation with corresponding scales of the KIDSCREEN-52 ranged from r = 0.63 to r = 0.96, and r2 ranged from 0.39 to 0.92. Correlations between other HRQoL questionnaires and KIDSCREEN-27 dimensions were moderate to high for those assessing similar constructs (r = 0.36 to 0.63). Statistically significant and sizeable differences between physically and mentally healthy and ill children were found in all KIDSCREEN-27 dimensions together with strong associations with psychosomatic complaints (r = −0.52). Most of the KIDSCREEN-27 dimensions showed a gradient according to socio-economic status, age and gender.


The KIDSCREEN-27 seems to be a valid measure of HRQoL in children and adolescents. Further research is needed to assess longitudinal validity and sensitivity to change.


Children’s and adolescent’s healthCultural sensitivityMeasurementQuality of lifeResearch methodology



Child Health and Illness Profile-Adolescent Edition


Children with Special Health Care Needs Screener


Differential Item Functioning


Family Affluence Scale


Health Behavior in School-aged Children


Health-Related Quality of life


Item Response Theory


Ordinal Logistic Regression


Pediatric Quality of Life Inventory


Strengths and Difficulties Questionnaire


World Health Organization


Youth Quality of Life Instrument-Surveillance Version

Copyright information

© Springer Science+Business Media B.V. 2007