Understanding the Strengths and Difficulties Questionnaire

May 20, 2025

Strengths and Difficulties Questionnaire (SDQ)

Overview

  • The SDQ is a brief behavioral screening tool for children and adolescents aged 2-17.
  • There are various versions tailored for researchers, clinicians, and educators.

Components of SDQ

A) Psychological Attributes

  • 25 items focus on psychological attributes, divided into 5 scales:

    1. Emotional Symptoms (5 items)
    2. Conduct Problems (5 items)
    3. Hyperactivity/Inattention (5 items)
    4. Peer Relationship Problems (5 items)
    5. Prosocial Behaviour (5 items)
  • Total Difficulties Score: Calculated by summing items from scales 1 to 4 (20 items in total).

  • Versions available for various age groups and informants:

    • Parents/teachers of 4-17 year olds.
    • Modified versions for parents/nursery teachers of 2-4 year olds (22 identical items, modifications for age appropriateness).
    • Self-report by adolescents, suitable for 11-17 year olds, with adjusted wording.
  • Alternative Scales for general population or low-risk samples:

    • Internalising Problems (Emotional + Peer symptoms, 10 items)
    • Externalising Problems (Conduct + Hyperactivity symptoms, 10 items)
    • Prosocial scale (5 items)

B) Impact Supplement

  • Some versions are two-sided, with an impact supplement on the back.
  • The impact supplement asks about perceived problems, chronicity, distress, social impairment, and burden to others.
  • Provides additional data useful for understanding psychiatric cases and service utilization.

C) Follow-up Questions

  • Follow-up versions include the 25 basic items, impact questions, and two additional questions post-intervention:

    • Has the intervention reduced problems?
    • Has the intervention made problems more manageable?
  • Reference period in follow-up versions is "the last month" instead of "the last six months or school year" to better detect changes.

  • Follow-up versions omit the chronicity question.

References

  • Goodman, 1997
  • Goodman et al, 1998
  • Goodman et al, 2010
  • Goodman, 1999

Note: Last modified on 16/08/22.

For further details, visit SDQ Info.