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09 SES 07 B: Qualitative Validity Evidence and Student Response Processes
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09. Assessment, Evaluation, Testing and Measurement
Paper The Measurement of Student Engagement: Qualitative Validity Evidence for a Novel German-language Scale Universität Münster, Germany Presenting Author:With a sixfold increase in the number of publications between 2010 and 2020 alone (Salmela-Aro et al., 2021), the construct of student engagement continues to attract international research interest. Defined as a meta-construct encompassing students’ behavioural, cognitive and emotional reactions to school (Fredricks et al., 2004), it is widely regarded as a robust predictor of academic performance (Wong et al., 2024) as well as dropout (Archambault et al., 2022), and an important mediator of various contextual factors that influence children's adjustment to school (e.g., Reschly & Christenson, 2022; Skinner & Raine, 2022). Nonetheless, the preponderance of this body of work is conducted in American schools, and/or employs measures that have been developed in and for the use in this context (Martins et al., 2022; Salmela-Aro et al., 2021; Wong et al., 2024). The present study introduces the Student Engagement with Schoolwork scale, currently available in English and German. This scale seeks to address the aforementioned gap by providing efficient and flexible means of measuring the construct at a domain-general level, from late primary to early secondary school. The selection of engagement indicators was made in accordance with theoretically derived content dimensions (e.g., "participation", "attention") which were delineated a priori in theoretical blueprints (Kalkbrenner, 2021). A mixed-methods approach was employed to investigate validity of the new measure (McCullagh, 2026). Confirmatory factor analyses (N = 558) indicate that the scale consists of two correlated factors (affective engagement and cognitive-behavioral engagement), with an uncorrelated method-bifactor accounting for the impact of item valence. Partial measurement invariance was confirmed across gender, age, home language (German, other), and school track (Gymnasium/high-track, other). Supplementing these general quantitative findings, the presentation will concentrate on the qualitative evidence to further support the construct validity of the new measure. Results from cognitive interviews conducted with a sample of 15 students in grades 4 through 7 are presented. An evaluative content analysis was conducted (Kuckartz & Rädiker, 2022), pursuing two interlocking objectives. The initial objective was to ascertain whether the selected engagement indicators effectively measure the intended behaviors and emotions. For this purpose, the analysis drew upon an intricate coding framework (κ = .65) to assess respondents' accuracy with respect to the comprehension of item content. Secondly, the individual applicability of the quantitative measurement model was investigated by incorporating response consistency, defined as the tendency of interviewees to respond similarly to items intended to measure related content. Identification of instances in which students deviate from this expected pattern allows for a unique examination of the circumstances under which the current quantitative model may have limited applicability. Narrative and case-based summaries are employed to formulate hypotheses for the adjustment of theoretical and measurement models in future quantitative research. Methodology, Methods, Research Instruments or Sources Used Semi-structured interviews were conducted in December of 2024 with an initial cohort of 11 students (grades 4-6) recruited from a primary and a comprehensive school in North-Rhine Westphalia, Germany. To enhance the heterogeneity of the sample, four additional interviews with a second cohort of students encountering learning difficulties were carried out in February 2025. Participants were presented with multiple sets of engagement indicators (N = 24). Students were encouraged to think “out loud”, i.e., articulate their reflections on the content and language of each item, as well as the rationale underlying their quantitative rating. The interviewer provided prompts and follow-up questions to encourage further dialogue. Interviews were audio-recorded and ranged in duration from 11 to 34 minutes. An evaluative content analysis of interview transcripts was conducted using MAXQDA. Two criteria were employed: response accuracy and response consistency. Accuracy reflected the extent of congruence between students' comprehension of an engagement indicator and conceptual definitions, delineated in the coding framework. Coders evaluated the accuracy of students' responses to each individual item using a four-point Likert scale (fully on-target – fully off-target; κ = 0.65, discrepancies between coders resolved by assigning the lower rating). For instance, a student's response to the item "I think deeply about what we are learning in class" would be coded as fully on-target if it referred to (or provided an example of) actively considering the solution/requirements of a task, or purposefully exerting mental effort to comprehend information. Statements that were only tangentially related to (or irreconcilable with) this general state of affairs were considered off-target. The premise underlying the evaluation of response consistency was that, given applicability of the measurement model, participants would respond in a comparable manner to indicators that were closely related in content. By contrast, an inconsistent response was defined as a difference of more than one scale point within a shared content dimension (e.g., within items capturing “participation”) or more than two scale points between content dimensions (e.g., between “participation” and “attention”). For instance, if a student indicated that they “almost always” paid attention in class, it would be flagged as an unusual response pattern if they simultaneously indicated that they are “sometimes” distracted (>1 difference within-category) or “seldom” participated in class (>2 difference between categories). Narrative and case-based summaries were conducted to identify common themes among responses that diverged from theoretical expectations with regard to accuracy, consistency or both. Conclusions, Expected Outcomes or Findings Response accuracy was high across the first (88.52%) and second cohort (84.21%). The most common reason for inaccurate responses was the application of theoretically inappropriate frames of reference (e.g., equating engagement with academic achievement). However, these errors were randomly distributed across items. Therefore, they are unlikely to be attributable to flaws in the operationalization of engagement indicators. Response consistency was substantially lower in the second cohort (73.6%) compared to the first (97.15%). Specifically, the second cohort of respondents seemed to both under- and overestimate their engagement at various points. Furthermore, the rationales provided by students to explain these atypical rating patterns frequently exhibited contradictions. Case-based summaries revealed that students in the second cohort conditioned their engagement on a variety of internal and external factors, including mood, the characteristics of the task, and pedagogical approaches. Arguably, the engagement of this cohort is more accurately characterized as a fluctuating state rather than a stable trait. Preliminary findings further suggest that the theoretical dimensions of engagement may exhibit greater variability in this cohort. For instance, effort and attention manifested as partially independent variables for some, despite both being considered indicators of behavioral engagement. In general, the current engagement measure demonstrates high construct validity, such that even the youngest students are generally able to provide meaningful responses that are in line with theoretical expectations. Nevertheless, case-based analysis indicates that trait-like self-report measures of engagement, such as the current scale, may demonstrate a systematic decrease in reliability among students encountering academic difficulties. Research focusing on such cohorts should recruit larger samples, closely examine measurement invariance, and explore alternative measurement models where appropriate. If these limitations are kept in mind, the current scale will function as a reliable and valid measure of student engagement for a range of research interests. References Archambault, I., Janosz, M., Olivier, E., & Dupéré, V. (2022). Student Engagement and School Dropout: Theories, Evidence and Future Directions. In A. L. Reschly & S. L. Christenson (Eds.), Handbook of Research on Student Engagement (pp. 331–355). Springer International Publishing. Fredricks, J. A., Blumenfeld, P. C., & Paris, A. H. (2004). School engagement: Potential of the concept, state of the evidence. Review of Educational Research, 74(1), 59–109. https://doi.org/10.3102/00346543074001059 Kalkbrenner, M. T. (2021). A Practical Guide to Instrument Development and Score Validation in the Social Sciences: The MEASURE Approach. Practical Assessment, Research, and Evaluation Practical Assessment, Research, and Evaluation, 26(1), 1–18. https://doi.org/10.7275/SVG4-E671 Kuckartz, U., & Rädiker, S. (2022). Qualitative Inhaltsanalyse. Methoden, Praxis, Computerunterstützung: Grundlagentexte Methoden (5. Auflage). Grundlagentexte Methoden. Beltz Juventa. http://www.content-select.com/index.php?id=bib_view&ean=9783779955337 Martins, J., Cunha, J., Lopes, S., Moreira, T., & Rosário, R. (2022). School Engagement in Elementary School: a Systematic Review of 35 Years of Research. Educational Psychology Review, 34(2), 793–849. McCullagh, L. (2026). The Measurement of Student Engagement: A Critical Examination of Operational Definitions and the Development of a German-Language Scale [unpublished Doctoral dissertation, Universität Münster]. Reschly, A. L., & Christenson, S. L. (2022). Epilogue. In A. L. Reschly & S. L. Christenson (Eds.), Handbook of Research on Student Engagement (pp. 659–666). Springer International Publishing. Salmela-Aro, K., Tang, X., Symonds, J., & Upadyaya, K. (2021). Student Engagement in Adolescence: A Scoping Review of Longitudinal Studies 2010-2020. Journal of Research on Adolescence : The Official Journal of the Society for Research on Adolescence, 31(2), 256–272. https://doi.org/10.1111/jora.12619 Skinner, E. A., & Raine, K. E. (2022). Unlocking the Positive Synergy Between Engagement and Motivation. In A. L. Reschly & S. L. Christenson (Eds.), Handbook of Research on Student Engagement (pp. 25–56). Springer International Publishing. https://doi.org/10.1007/978-3-031-07853-8_2 Wong, Z. Y., Liem, G. A. D., Chan, M., & Datu, J. A. D. (2024). Student engagement and its association with academic achievement and subjective well-being: A systematic review and meta-analysis. Journal of Educational Psychology, 116(1), 48–75. https://doi.org/10.1037/edu0000833 09. Assessment, Evaluation, Testing and Measurement
Paper What Is Asked, What Do Adolescents Understand?: Analysis of Response Processes to Strengths and Difficulties Questionnaire Items Bogazici University, Turkey (Türkiye) Presenting Author:The Strengths and Difficulties Questionnaire (SDQ) is a brief and comprehensive instrument used to evaluate the mental health of children and adolescents. It includes 25 items, with 15 reflecting negative attributes and 10 highlighting positive ones. These items are divided into five specific dimensions, each consisting of five items: emotional problems (EP), conduct problems (CP), hyperactivity-inattention (HA), peer problems (PP), and prosocial behavior (PB). Each subscale is rated on a 3-point Likert scale ("Not True," "Somewhat True," or "Certainly True"). It can be administered quickly, applied across children and adolescents, and incorporates information from multiple informants. Freely available in over 90 languages, the SDQ offers a cost- and time-efficient method for assessing child and adolescent mental health across diverse populations (SDQinfo.com). A review by Kankaanpaa and colleagues (2023) revealed that the SDQ has particular problems with reliability and factor structure. It was found that some items (“obedient”, “agreement with adults”, “persistent”) weakened construct validity, while reverse-coded items could lead to measurement error. Besides these quantitative studies,there are limited studies examining how the SDQ is interpreted by this age group (11-17) and whether the problems with these items stem from comprehensibility. The conceptual framework of the study is based on the Cognitive Interview framework (Willis, 2005), which uses Tourangeau’s (1984) cognitive response model. According to this model, responding to a survey item is a complex four-stage process: 1-Comprehension, 2-Recall, 3- Judgment, and 4- Response Selection. This practical framework has been used to identify specific disconnects, particularly in the “comprehension” and “judgment” stages, such as whether students understand the terms or interpret the statements correctly. The research question of this study is “How adolescents aged 11-17 cognitively interpret the SDQ items and to what extent these subjective understandings correspond with the intended theoretical meaning of the scale?” Rather than assuming that the scale is universally understood correctly, the study focuses on whether there is an error in the literature. In this context, as part of a project aimed at revising the SDQ, this study also aimed to identify how these items are understood by students, possible word errors, ambiguities, and cultural incompatibilities using cognitive interview methods and to present these findings. Finally, considering that the SDQ is a widely used screening tool globally, addressing the psychometric inconsistencies reported in the literature is of great importance. It has been suggested that limitations such as low factor loadings or reliability issues may not only stem from statistical or translation errors but may also arise from a fundamental lack of comprehensibility and developmental appropriateness for adolescents. Such psychometric inconsistencies are thought to stem from participants’ inability to interpret the items as intended. Consequently, this study aims to demonstrate that identifying and addressing these ambiguities at the meaning level is a necessary prerequisite for enabling more reliable measurements and more accurate cross-cultural comparisons in the future. Methodology, Methods, Research Instruments or Sources Used This study employed a qualitative research design based on Willis’ (2005) Cognitive Interviewing model to deeply examine the “response process validity” of the SDQ. This approach focuses on the cognitive process involved in participants’ response formation. Thus, it allows for the identification of error sources independent of the structure being measured directly at their source, rather than inferring them from statistical outputs. Participants consist of adolescents aged 11-17, corresponding to the specific developmental stage for which the SDQ self-report form was designed. The pre-sample consists of 5 participants (3 boys and 2 girls) with an average age of 13.8. Participants were selected using a purposive sampling strategy to ensure diversity in terms of age and gender. In accordance with methodological standards for cognitive interviews, the final sample size is determined by the principle of ‘data saturation’ meaning that the data collection process will continue until no new types of errors or patterns of interpretation emerge. A review of the literature suggests that the final sample size for this type of study is expected to reach approximately 10 to 12 participants. The primary data collection tool used was the self-report form of the SDQ. Interviews were conducted online (via Zoom) using a semi-structured protocol. The ‘Immediate Verbal Probing’ technique was used in the study. In this procedure, the adolescent was asked to read and respond to a specific item; immediately after the response, the researcher posed probes (e.g. ‘Why did you choose that option?’ or ‘What does this word mean to you?’) before moving on to the next question. This sequential approach, which included probing immediately after response was chosen to minimize ‘recall bias’. Data analysis followed a deductive qualitative approach; notes were taken during all interviews and analyzed using a schema appropriate for the target age group, based on Willis’(2005) Cognitive Interview Framework. The responses obtained were classified into four diagnostic categories according to this schema: ‘Structural Validity Inconsistencies’, where the student’s subjective interpretation deviates from the targeted theoretical structure; ‘Structural Errors’ that express the cognitive conflict created by double-sided items; ‘Expression and Comprehension’ problems caused by words that are not appropriate for the developmental level; and ‘Social Desirability Bias’ that causes self-censorship due to fear of judgment. Conclusions, Expected Outcomes or Findings According to data obtained from cognitive interviews, issues related to scale items were grouped under four headings: Construct Validity Mismatches, Double-Barreled Items, Wording & Comprehension, and Social Desirability Bias. Initial results showed that two items (10 & 3) were perceived differently by students from the meaning the scale intended to measure. At the same time, it was observed that, especially in items consisting of two sentences (12,16 & 25), the two statements did not measure the same situation and were evaluated as having different meanings (Double-barrelled). From a language and expression perspective, it was seen that the words in some items (11,19&23) were not age appropriate and created confusion for students. Finally, two items (18 & 22) were found to be disturbing by students, and it was stated that they could not be answered honestly. Cognitive interviewing has been emphasized as an important methodological step in the adaptation and evaluation of the SDQ, particularly for identifying item-level problems that may not be detectable through quantitative analyses alone ( Goodman et al., 2010). In line with previous SDQ studies, the present findings indicate that certain items were interpreted in ways that diverged from their intended constructs, and that double-barreled wording, linguistic complexity, and socially sensitive content posed challenges for respondents. Similar concerns have been reported in SDQ validation studies across different cultural contexts, where item ambiguity, wording effects, and social desirability have been shown to affect item functioning and factor structure (e.g., Van Roy et al., 2008; Ortuño-Sierra et al., 2015; Karlsson et al., 2022). Together, these results reinforce the view that item-level validity issues in the SDQ may contribute to the inconsistent factor structures reported in the literature and underscore the necessity of incorporating cognitive interviews as a preliminary step before drawing substantive conclusions from SDQ scores. References Goodman, A., Lamping, D. L., & Ploubidis, G. B. (2010). 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. Journal of Abnormal Child Psychology, 38(8), 1179–1191 Kankaanpää, R., Töttö, P., Punamäki-Gitai, R.-L., & Peltonen, K. (2023). Is it time to revise the SDQ? The psychometric evaluation of the Strengths and Difficulties Questionnaire. Psychological Assessment, 35(12), 1069–1084. Karlsson, P., Larm, P., Svensson, J., & Raninen, J. (2022). The factor structure of the Strengths and Difficulties Questionnaire in a national sample of Swedish adolescents: Comparing 3- and 5-factor models. PLoS ONE, 17, e0265481. Ortuño-Sierra, J., Chocarro, E., Fonseca-Pedrero, E., Rivas, S., & Muñiz, J. (2015). Screening mental health problems during adolescence: Psychometric properties of the Spanish version of the Strengths and Difficulties Questionnaire. Journal of Adolescence, 39, 49–57. Tourangeau, R. (1984). Cognitive science and survey methods. In T. B. Jabine, M. L. Straf, J. M. Tanur, & R. Tourangeau (Eds.), Cognitive aspects of survey methodology: Building a bridge between disciplines (pp. 73–100). National Academy Press. Van Roy, B., Veenstra, M., & Clench-Aas, J. (2008). Construct validity of the five-factor Strengths and Difficulties Questionnaire (SDQ) in pre-, early, and late adolescence. Journal of Child Psychology and Psychiatry, 49(12), 1304–1312. Willis, G. B. (2005). Cognitive interviewing: A tool for improving questionnaire design. Sage Publications 09. Assessment, Evaluation, Testing and Measurement
Paper Persistent Measurement Challenges in the SDQ Bogazici University, Turkey (Türkiye) Presenting Author:Adolescence is a critical developmental period marked by heightened vulnerability to mental health problems, which affect approximately one in seven adolescents worldwide and contribute substantially to long-term individual and societal burden (WHO, 2024). Early identification of emotional, behavioral, and social difficulties is therefore essential, particularly in school and community settings. The Strengths and Difficulties Questionnaire (SDQ) is among the most widely used screening instruments for child and adolescent mental health, owing to its brevity, open-access availability, and multi-informant format. The SDQ comprises 25 items assessing five domains—emotional symptoms, conduct problems, hyperactivity/inattention, peer problems, and prosocial behavior—and has demonstrated utility comparable to longer instruments. Despite its widespread use and extensive cross-cultural application, persistent debate regarding the SDQ’s underlying factor structure raises important concerns about the validity and interpretability of its subscale scores, underscoring the need for continued psychometric evaluation. Since its introduction in 2001, numerous studies across diverse cultural contexts have examined the SDQ’s factor structure, yielding mixed findings. While some investigations support the original five-factor model, many others report only moderate or poor fit, calling into question the construct validity of the subscale scores. Moreover, relatively few studies have focused specifically on adolescent samples. As noted by Goodman et al. (2010) the internal structure of the SDQ remains unresolved—a concern that persists more than a decade later. In general, validation studies of the three-factor model have produced less favorable psychometric results than those of the five-factor solution (e.g., Karlsson et al., 2022). The bifactor model has emerged as another prominent alternative. Each SDQ item loads simultaneously on a general difficulties factor and on its respective domain-specific factor. This specification allows the general factor to capture shared variance across all items, while the specific factors retain residual variance unique to each domain. Accordingly, the bifactor model enables evaluation of whether the SDQ primarily reflects a broad, overarching difficulties construct and whether the subscales contribute distinct and meaningful variance beyond the general factor. Across studies, bifactor models have frequently outperformed both five- and three-factor solutions in terms of global model fit (e.g., Murray et al., 2019). In many cases, the general difficulties factor accounted for the majority of item variance, whereas several specific factors—particularly peer problems and, in some studies, conduct problems—exhibited weak or unstable loadings. These findings suggest that the SDQ may function more reliably as a measure of overall psychosocial difficulties than as a multidimensional instrument capturing well-differentiated domains. However, results have not been uniform. Some studies have reported inadmissible or poorly fitting bifactor solutions (e.g., Duinhoven et al., 2019), often attributable to instability in weaker subfactors. Moreover, even when fit indices favor the bifactor model, concerns remain regarding the interpretability and reliability of specific factors with limited unique variance, as well as the practical utility of reporting subscale scores when most reliable variance is attributable to the general difficulties dimension. The aim of the present study was to examine the underlying factor structure of the 25-item Turkish self-report SDQ for adolescents aged 11–17 years using CFA. Several theoretically grounded and empirically supported models were evaluated, including the original five-factor model, three-factor models, a second-order five-factor model, bifactor models specifying a general difficulties factor orthogonal to domain-specific factors, and models incorporating a method factor. Given the model misfit observed across CFA and ESEM solutions, Rasch measurement modeling was subsequently employed to examine item-level measurement properties. Rasch-based indices complemented the factor-analytic findings by providing a fine-grained evaluation of item functioning and identifying specific sources of misfit that may inform future scale refinement. Methodology, Methods, Research Instruments or Sources Used The data consisted of 1,458 adolescents aged 11 to 18. Of these, 38.27% were middle school students (Grades 5–8) and the remainder were high school students (Grades 9–11); Among the middle school students, 49.26% were female, and 50.0% of the high school students were female. The overall mean age was 14.14 years (SD= 1.96) All study procedures were approved by the university’s Human Subjects Review Board and were subsequently approved by the Turkish Ministry of National Education (MoNE). The MoNE decided schools from a list of schools/districts proposed by the researchers. Data were collected in May 2025 from X middle schools and Y high schools located in a cosmopolitan city near the researchers’ university. Paper-and-pencil questionnaires were administered to students by classroom teachers during regular instructional hours. Data were first screened for inattentive responding using multiple indicators. Assumptions of multivariate normality were examined in R using the following packages: psych (v2.5.6), Hmisc (v5.2-4), car (v3.1-3), and MVN (v6.2). All models were estimated with the lavaan package in R using the weighted least squares mean and variance–adjusted estimator (WLSMV) which is specifically designed for categorical or ordinal indicators and provides robust parameter estimates without assuming multivariate normality. Rasch analysis will be conducted in Winstep software Conclusions, Expected Outcomes or Findings The present study evaluated the factorial validity of the scores obtained from SDQ by systematically comparing competing measurement models proposed in the literature, including method factor, five-factor, three-factor, second-order, and bifactor structures. Consistent with prior research, none of the tested models provided a fully adequate and theoretically coherent representation of the data without notable limitations. In the present study, method factor models converged but did not substantially alter fit indices or parameter estimates, suggesting that SDQ measurement problems are more plausibly attributable to substantive item content and domain characteristics rather than systematic method variance. The original five-factor model demonstrated marginal fit, consistent with numerous prior evaluations (e.g., Goodman et al., 2010; Karlsson et al., 2022). Persistent weaknesses were again evident for the Peer Problems subscale, which showed weak and heterogeneous factor loadings and low internal consistency, closely mirroring findings across diverse samples. Conduct Problems and Hyperactivity/Inattention also exhibited modest reliability and recurrent item instability, frequently requiring item removal, cross-loadings, or correlated residuals to achieve acceptable fit. Together, these patterns raise concerns regarding the conceptual coherence and measurement precision of several SDQ subscales. The three-factor model showed consistently poor fit, aligning with prior research favoring the five-factor structure despite its limitations. Second-order models failed to yield stable or adequate solutions, largely due to difficulties associated with the Peer Problems domain. Finally, bifactor models did not provide a satisfactory alternative: although sometimes yielding acceptable global fit, they were characterized by weak specific factor loadings and limited interpretability, calling into question the utility of a total difficulties score. The convergence of these findings with previous studies suggests that the measurement challenges identified here are not sample-specific anomalies but reflect enduring structural limitations of the SDQ with implications for construct validity and interpretability References Aarø, L. E., et al. (2022). Internalizing problems, externalizing problems, and prosocial behavior: A three-factor model of the Strengths and Difficulties Questionnaire in South African adolescents. Scandinavian Journal of Psychology, 63(4), 415–425. Duinhoven, M. J., Stevens, G. W. J. M., & van Dorsselaer, S. (2019). Monodimensional or multidimensional? Assessing the SDQ with bifactor models in a large population-based sample. European Journal of Psychological Assessment, 35(3), 357–365. Goodman, R. (2001). Psychometric properties of the Strengths and Difficulties Questionnaire. Journal of the American Academy of Child & Adolescent Psychiatry, 40(11), 1337–1345. Goodman, A., Lamping, D. L., & Ploubidis, G. B. (2010). When to use broader internalizing and externalizing subscales instead of the hypothesized five subscales on the Strengths and Difficulties Questionnaire (SDQ): Data from British parents, teachers, and children. Journal of Abnormal Child Psychology, 38(8), 1179–1191. Karlsson, P., Larm, P., Svensson, J., & Raninen, J. (2022). The factor structure of the Strengths and Difficulties Questionnaire in a national sample of Swedish adolescents: Comparing three- and five-factor models. PLoS ONE, 17(3), e0265481. Maxwell, C., Chapman, E., & Houghton, S. (2004). The Strengths and Difficulties Questionnaire: A pilot study of teacher and parent ratings of childhood behavior problems in Australia. Australian Journal of Psychology, 56(2), 96–102. Murray, A. L., Eisner, M., & Ribeaud, D. (2019). The development of the Strengths and Difficulties Questionnaire: Dimensionality, reliability, and validity in a large population sample. Psychological Assessment, 31(3), 295–307. Ortuño-Sierra, J., Fonseca-Pedrero, E., Inchausti, F., & Sastre i Riba, S. (2022). Assessing emotional and behavioral problems in adolescents: Psychometric properties of the Strengths and Difficulties Questionnaire. Journal of Affective Disorders, 296, 296–305. Ruchkin, V., Koposov, R., Vermeiren, R., & Schwab-Stone, M. (2008). The Strengths and Difficulties Questionnaire: Scale validation with Russian adolescents. Journal of Clinical Psychology, 64(7), 861–869. Vugteveen, J., de Bildt, A., & Timmerman, M. E. (2021). Normative data for the self-reported and parent-reported Strengths and Difficulties Questionnaire (SDQ) for adolescents. Child and Adolescent Psychiatry and Mental Health, 15, Article 5. World Health Organization. (2024). Adolescent mental health. https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health | ||
