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Investigation of a bifactor model of the Strengths and Difficulties Questionnaire

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Abstract

The Strengths and Difficulties Questionnaire (SDQ) is used to measure psychopathological symptoms in children and adolescents from 4 to 17 years old, but its underlying structure is still a matter of debate. Indeed, on the basis of a systematic review of English and non-English articles conducted using multiple databases, 54 studies reporting on the factor structure of the SDQ were located. The original 5 first-order factor structure is generally supported by exploratory procedures, but support based on confirmatory factor analyses is not clear. We analysed data from 889 youths from the general French population, rated on the SDQ by their teachers. We tested the original model, hierarchical models and bifactor models. The best-fitting model is a bifactor model with the five a priori factors grouped in two global factors (Externalizing Disorders—Hyperactivity and Conduct—and Internalizing Disorders—Peer relationships and Emotions) and one Strength/Prosocial factor. However, we show that the Conduct-Specific factor should not be used in practice in its current state, that the Hyperactivity-Specific factor mainly covers hyperactivity rather than inattention, and that the Peer Problems-Specific factor mainly reflects a preference for solitude. Nevertheless, the measurement model proved to be fully invariant across gender and school levels (kindergarten, primary and secondary schools), with statistically significant differences in latent means between genders only. Beyond computing the five a priori scores when using the teacher ratings of the SDQ, our results prove the usefulness of computing Externalizing Disorders and Internalizing Disorders global scores.

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Acknowledgments

The ChiP-ARD study was founded by a grant to HC from the French Health Ministry and is recorded on clinicaltrials.gov under the reference NCT01260792. The authors are grateful to Eric FONTAS, MD for his help in setting up the study procedures, to Vanina OLIVERI and Kevin DOLLET for their help in the data collection and coordination, to the Inspection Académique des Alpes-Maritimes and to the Rectorat des Alpes-Maritimes et du Var for their valuable support, and to the teachers, pupils and parents for participating in this study.

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Correspondence to Hervé Caci.

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Caci, H., Morin, A.J.S. & Tran, A. Investigation of a bifactor model of the Strengths and Difficulties Questionnaire. Eur Child Adolesc Psychiatry 24, 1291–1301 (2015). https://doi.org/10.1007/s00787-015-0679-3

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