Interpretability and clinical utility of the strength and stressors in parenting questionnaire

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-09-17 DOI:10.1111/sjop.13073

Sara Burge, Anna Eva Hallin, Carmela Miniscalco, Anders Sand, Sofia Strömbergsson

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Abstract

This study aimed to enhance the interpretability and clinical utility of the strength and stressors in parenting (SSF) questionnaire, a parent‐reported questionnaire designed to assess strength, stress and associated risks of mental ill‐health in parents of children with developmental disabilities. Responses to the SSF and a demographic questionnaire were collected from 576 parents of children with (n = 203) and without (n = 373) developmental disabilities. To enhance the interpretability of the SSF, a subset of 129 parents were invited to complete an additional questionnaire consisting of three free‐text questions regarding recent help‐seeking behavior, experiences of mental ill‐health and experiences of parenthood. Parents' responses to the free‐text questions were then categorized as indicative of higher or lower degrees of stress and compared to their SSF score distribution to derive empirical cut‐offs for strength, stress and risk of mental ill‐health as measured by the SSF. The credibility of these cut‐offs was evaluated by comparing the cut‐offs with SSF scores collected from the other 447 parents. Finally, SSF scores from parents of children without developmental disabilities (n = 373) were used to generate percentile values for the SSF to enable a standardized interpretation of SSF scores. To increase the utility of the SSF, we examined a recurring pattern of missing answers to items 23 and 33–38, noted in previous studies of the SSF and repeated in the present study. These items were excluded from further analysis since our examination revealed that they were not missing at random but rather constituted real differences in parental experiences, such as receiving a healthcare allowance, or caring for more than one child. The proposed empirical cut‐offs performed well in discriminating between the two groups and yielded a specificity of 77–89% and a sensitivity of 68–76% for the strength, stress and risk of mental ill‐health subscales of the SSF. This study also presents a conversion chart associating each SSF score with a corresponding percentile value. We propose modifications to the SSF, whereby items 23 and 33–38 are excluded, which will enable a more reliable assessment of parental experiences. This will, together with the empirical cut‐offs and percentile values, enhance the interpretability and clinical utility of the SSF.

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育儿强度和压力问卷的可解释性和临床实用性

本研究旨在提高养育强度和压力问卷（SSF）的可解释性和临床实用性，这是一份由家长报告的问卷，旨在评估发育障碍儿童家长的养育强度、压力和相关的心理疾病风险。我们收集了 576 名发育障碍儿童家长（203 人）和非发育障碍儿童家长（373 人）对 SSF 和人口统计学问卷的回答。为了提高SSF的可解释性，我们还邀请了129名家长完成了一份附加问卷，其中包括三个自由文本问题，分别涉及近期的求助行为、心理疾病经历和为人父母的经历。然后，将家长对自由文本问题的回答归类为压力程度较高或较低，并与他们的 SSF 分数分布进行比较，从而得出 SSF 所测量的心理健康强度、压力和风险的经验临界值。通过与其他 447 位家长的 SSF 分数进行比较，评估了这些临界值的可信度。最后，我们还使用非发育障碍儿童家长（n = 373）的 SSF 分数来生成 SSF 的百分位值，以便对 SSF 分数进行标准化解释。为了提高 SSF 的实用性，我们检查了项目 23 和 33-38 中经常出现的缺失答案情况。我们在进一步分析中剔除了这些项目，因为我们的研究表明，这些项目的缺失并非偶然，而是父母经历中的实际差异，如领取医疗津贴或照顾多个孩子。所提出的经验临界值在区分两个群体方面表现良好，在 SSF 的强度、压力和精神疾病风险分量表中，特异性为 77-89%，灵敏度为 68-76%。本研究还提供了一个转换表，将 SSF 的每个分值与相应的百分位值联系起来。我们建议对 SSF 进行修改，将第 23 项和第 33-38 项排除在外，从而能够对父母的经历进行更可靠的评估。这将与经验临界值和百分位值一起，提高 SSF 的可解释性和临床实用性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.