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Exploring psychometric properties of the Strengths and Difficulties Questionnaire (SDQ) among adolescent Palestinian refugee girls in Palestine and Jordan

بررسی ویژگی‌های روان‌سنجی پرسشنامه نقاط قوت و ضعف (SDQ) در میان دختران نوجوان پناهنده فلسطینی در فلسطین و اردن

Mohammed B A Sarhan, Rula Ghandour, Weeam Hammoudeh

PLoS ONE 2026 Vol. 21(9), pp. e0349999
https://doi.org/10.1371/journal.pone.0349999

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چکیده

Background The Strengths and Difficulties Questionnaire (SDQ) is a commonly used screening instrument for assessing emotional and behavioral strengths and difficulties among children and adolescents. However, although the SDQ’s psychometric properties have been tested extensively in the literature, its current form is under debate as to whether it is suitable as a tool to assess adolescent mental health, especially among refugees. Therefore, this study aims to validate the SDQ scale among Adolescent Palestinian refugees in the West Bank, Palestine, and Jordan. Methods The psychometric properties of the original SDQ and other suggested alternatives were tested. First, construct validity for the original SDQ was tested through confirmatory factor analysis (CFA). Then, exploratory factor analysis (EFA) was used to evaluate the latent factorial structure for suggested alternatives, followed by CFA to provide additional evaluation of each alternative. Then, convergent, discriminant, and criterion validity were assessed. Finally, the internal consistency and reliability were assessed using multiple tests. Results This study included 2,828 adolescent girls living in Palestine refugee camps in the West Bank and Jordan. Of these, 2,725 participants were included in the final analysis based on completion of the SDQ. CFA indicated that the original five-factor SDQ demonstrated poor fit in this sample (CFI/TLI < 0.40; RMSEA = 0.081; SRMR = 0.110), with several items showing low standardized loadings. EFA and CFA analyses supported alternative factorial structures. A four-factor model showed acceptable fit (CFI = 0.896; RMSEA = 0.040; SRMR = 0.039) after removing poorly performing items, but a three-factor solution provided the best overall fit (CFI = 0.942; TLI = 0.930; RMSEA = 0.034; SRMR = 0.033). The final three-factor model retained 15 items representing Emotional Symptoms, Prosocial behavior, and Conduct Problems. The weak correlation between the difficulties did not support convergent validity score and WHO-5 well-being (r = −0.245). Criterion validity analyses showed acceptable discrimination for overall difficulties (AUC = 0.776). Reliability analyses indicated adequate internal consistency for the composite difficulties scale (α = 0.71). Conclusion The original SDQ structure validity and reliability were not supported for use among Palestinian refugees in the West Bank and Jordan. Instead, the 3-factor and 15-item alternative might be a better alternative, given its superior model fit indices and construct validity. However, it still had limitations in reliability and convergent validity, making it far from being an adequate substitute for the original SDQ. Contexts, culture, and the surrounding environment might influence how adolescents in refugee settings understand, interpret, and respond to SDQ items.

چکیده به فارسی

زمینه: پرسشنامه نقاط قوت و ضعف (SDQ) ابزاری رایج برای غربالگری نقاط قوت و ضعف هیجانی و رفتاری در کودکان و نوجوانان است. با این حال، اگرچه ویژگی‌های روان‌سنجی SDQ به طور گسترده‌ای در متون علمی آزمون شده است، اما درباره مناسب بودن فرم فعلی آن به عنوان ابزاری برای ارزیابی سلامت روان نوجوانان، به ویژه در میان پناهندگان، بحث‌هایی وجود دارد. بنابراین، هدف این مطالعه اعتبارسنجی مقیاس SDQ در میان نوجوانان پناهنده فلسطینی در کرانه باختری، فلسطین و اردن است. روش‌ها: ویژگی‌های روان‌سنجی فرم اصلی SDQ و سایر فرم‌های پیشنهادی مورد آزمون قرار گرفت. ابتدا روایی سازه فرم اصلی SDQ از طریق تحلیل عاملی تأییدی (CFA) بررسی شد. سپس، تحلیل عاملی اکتشافی (EFA) برای ارزیابی ساختار عاملی نهفته فرم‌های جایگزین پیشنهادی به کار رفت و پس از آن CFA برای ارزیابی بیشتر هر جایگزین انجام شد. سپس، روایی همگرا، واگرا و روایی ملاکی بررسی شد. در نهایت، انسجام درونی و پایایی با استفاده از آزمون‌های متعدد ارزیابی شد. یافته‌ها: این مطالعه شامل ۲٬۸۲۸ دختر نوجوان ساکن اردوگاه‌های پناهندگان فلسطین در کرانه باختری و اردن بود. از این تعداد، ۲٬۷۲۵ نفر بر اساس تکمیل SDQ در تحلیل نهایی وارد شدند. تحلیل CFA نشان داد که فرم اصلی پنج‌عاملی SDQ برازش ضعیفی در این نمونه دارد (CFI/TLI < 0.40؛ RMSEA = 0.081؛ SRMR = 0.110) و چندین گویه بار عاملی استاندارد پایینی داشتند. تحلیل‌های EFA و CFA ساختارهای عاملی جایگزین را تأیید کردند. مدل چهارعاملی پس از حذف گویه‌های ضعیف، برازش قابل قبولی نشان داد (CFI = 0.896؛ RMSEA = 0.040؛ SRMR = 0.039)، اما راه‌حل سه‌عاملی بهترین برازش کلی را داشت (CFI = 0.942؛ TLI = 0.930؛ RMSEA = 0.034؛ SRMR = 0.033). مدل نهایی سه‌عاملی شامل ۱۵ گویه بود که نمایانگر نشانه‌های هیجانی، رفتار موافق اجتماعی و مشکلات رفتاری بودند. همبستگی ضعیف میان مشکلات با نمره روایی همگرای SDQ و بهزیستی WHO-5 (r = −0.245) مشاهده شد. تحلیل‌های روایی ملاکی تمایزپذیری قابل قبولی برای مشکلات کلی نشان دادند (AUC = 0.776). تحلیل‌های پایایی انسجام درونی مناسب برای مقیاس ترکیبی مشکلات را نشان داد (α = 0.71). نتیجه‌گیری: روایی ساختاری و پایایی فرم اصلی SDQ برای استفاده در میان پناهندگان فلسطینی در کرانه باختری و اردن تأیید نشد. در عوض، فرم جایگزین سه‌عاملی و ۱۵ گویه‌ای ممکن است گزینه بهتری باشد، زیرا شاخص‌های برازش مدل و روایی سازه بهتری دارد. با این حال، همچنان محدودیت‌هایی در پایایی و روایی همگرا وجود دارد که آن را از جایگزینی مناسب برای فرم اصلی SDQ دور می‌کند. زمینه، فرهنگ و محیط پیرامون ممکن است بر نحوه درک، تفسیر و پاسخ‌دهی نوجوانان در شرایط پناهندگی به گویه‌های SDQ تأثیرگذار باشد.

ترجمه‌ی خودکار برای آشنایی سریع؛ برای نقل و ارجاع، متن اصلی ملاک است.

موضوع‌ها و کلیدواژه‌ها

بهزیستیروان‌سنجیسلامت روانConfirmatory factor analysisConstruct validityExploratory factor analysisPsychometricsRefugeeScale (ratio)Strengths and Difficulties QuestionnaireStructural equation modeling

ارجاع

Sarhan, M. B. A., Ghandour, R., & Hammoudeh, W. (2026). Exploring psychometric properties of the Strengths and Difficulties Questionnaire (SDQ) among adolescent Palestinian refugee girls in Palestine and Jordan. PLoS ONE, 21(9), e0349999. https://doi.org/10.1371/journal.pone.0349999

(Sarhan et al., 2026)

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قوانین پرسش و گفتگو
  1. با احترام و بدون توهین، تحقیر، برچسب‌زنی یا حمله‌ی شخصی با دیگران گفتگو کنید.
  2. از نوشتن هرگونه اطلاعات هویتی یا قابل‌شناسایی مراجعان، بیماران یا اشخاص ثالث، از جمله نام، شماره‌ی تماس، تصویر، نشانی، محل کار یا جزئیات منحصربه‌فرد پرونده خودداری کنید.
  3. اگر درباره‌ی یک تجربه‌ی بالینی سؤال می‌کنید، اطلاعات را تا حد ممکن بی‌نام و کلی بیان کنید تا امکان شناسایی فرد وجود نداشته باشد.
  4. این بخش برای یادگیری و گفت‌وگوی علمی است و جایگزین ارزیابی، تشخیص، مشاوره یا روان‌درمانی شخصی نیست.
  5. در شرایط بحران یا خطر آسیب به خود یا دیگران، به این بخش اتکا نکنید و برای دریافت کمک فوری با اورژانس اجتماعی ۱۲۳ یا صدای مشاور بهزیستی ۱۴۸۰ تماس بگیرید.
  6. انتشار تبلیغات، معرفی خدمات شخصی، شماره‌ی تلفن، شناسه‌ی شبکه‌های اجتماعی، پیوند تبلیغاتی یا درخواست جذب مراجع در این بخش مجاز نیست.
  7. در بیان ادعاهای علمی، به‌ویژه درباره‌ی اثربخشی درمان‌ها، تشخیص یا یافته‌های پژوهشی، تا حد امکان نام منبع معتبر، مقاله یا راهنمای علمی را ذکر کنید.
  8. از ارائه‌ی تشخیص قطعی، تجویز درمان یا دارو و توصیه‌های بالینی شخصی به سایر کاربران خودداری کنید.
  9. پاسخ‌هایی که کارشناسان فکر بنیان می‌دهند با برچسب «پاسخ فکر بنیان» یا «کارشناس فکر بنیان» نمایش داده می‌شوند و سایر نوشته‌ها بیانگر نظر کاربران هستند.
  10. گزارش نوشته‌ی نامناسب: اگر نوشته‌ای حاوی نقض محرمانگی، محتوای آسیب‌زا، توهین، تبلیغ یا تخلف از این قوانین است، گزینه‌ی «گزارش» را انتخاب کنید تا تیم سایت بررسی کند.

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Awareness of Youth-Friendly Sexual and Reproductive Health Services among Undergraduate Students at Saint Augustine University of Tanzania, Mwanza, Tanzania: A Cross-Sectional Study

Frank Deus Samson; Paskas Wagana; Johnson Mavole International journal of social sciences and humanities review, 2026

چکیده

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Francisco Javier Zumba-Vela; Lady Andrea León Serrano Innova Science Journal, 2026, Vol. 4, Issue 4, pp. 54-72 https://doi.org/10.63618/omd/isj/v4/n4/408

چکیده

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The Seen Anxiety: Psychotherapists' Classification of Text‐Described Observable Anxiety Markers Across Three‐ and Five‐Level Rating Formats

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چکیده

ABSTRACT Introduction Anxiety is central to the psychotherapy process, yet psychotherapists routinely infer a client's anxiety intensity from observable behaviour rather than from formal measurement, with no widely accepted framework to organise which observable markers indicate which levels of anxiety. This exploratory study examined how therapists make such classifications. Method Ninety‐one mental health professionals were randomly assigned to classify 41 text‐described behavioural and physiological markers using either a 5‐level or a simplified 3‐level category system, both derived from an integrated model of state anxiety in psychotherapy. Results Response distributions departed significantly from uniformity for nearly all markers in both formats, and the rank ordering of markers by intensity was highly consistent across formats, suggesting that therapists may share broad intuitions about relative marker intensity. Which markers elicited agreement, however, was far less reproducible, depending substantially on the response format. Convergence also depended on where the agreement criterion was set, declining from 90.2% to 51.2% of markers in the 3‐level format and from 63.4% to 22.0% in the 5‐level format as the criterion rose from > 0.50 to > 0.70. The 3‐level format yielded more classifiable markers at every criterion, although this advantage was not consistent across indices, whereas the 5‐level format elicited fewer ‘Insufficient to Determine’ responses. Markers placed at the highest intensity levels were classified most consistently. Discussion These findings offer preliminary groundwork for research on marker operationalisation, contextualised rating tasks and the development of training materials for psychotherapy process research.

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چکیده

Although physical activity enjoyment is associated with athletes’ psychological outcomes, the mechanisms underlying its relationship with mental well-being remain unclear. This study examined the mediating role of loneliness among athletes. A correlational survey design was employed. The participants consisted of 350 athletes selected through criterion sampling, including 178 females (Mage= 20.58 ± 1.99) and 172 males (Mage= 21.91 ± 4.88). Data were collected using the Physical Activity Enjoyment Scale, UCLA Loneliness Scale–Short Form, and Warwick-Edinburgh Mental Well-Being Scale. Pearson correlation analysis and PROCESS Macro Model 4 mediation analysis were conducted, and indirect effects were tested using 5,000 bootstrap samples. Physical activity enjoyment was positively associated with mental well-being (r= .586, p< .01) and negatively associated with loneliness (a= −.196, p< .01). Loneliness was negatively associated with mental well-being (b= −.447, p< .01). The mediation analysis revealed a significant indirect effect of physical activity enjoyment on mental well-being through loneliness (indirect effect= .088, 95% CI [.026, .147]). These findings indicate that enjoyment of physical activity contributes to athletes’ mental well-being and that loneliness partially explains this relationship. The results emphasize the importance of considering social connectedness and psychological experiences in understanding athletes’ well-being.

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Supporting life beyond the finish line: A cross-sectional analysis of retirement transition policies for professional riders in European cycling

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چکیده

Transitioning out of professional sport can present challenges for athletes and their wider environments, frequently necessitating coordinated physical, psychological, and economic support. Although these concerns have been documented in elite cycling, the extent to which structured transition programmes exist within the sport remains insufficiently understood, particularly in Europe, the historical centre of professional cycling. We conducted a cross-sectional qualitative documentary analysis, distributing a standardised inquiry to all European Cycling Federations (ECFs; N = 51) between December 2024-March 2025. Federations were asked whether they had formal strategies, policies, or resources related to athlete retirement. Responses were categorised as “ECF-level literature or initiative”, “No ECF-level provision”, or “No response” and relevant materials were descriptively synthesised. Amongst the 21 federations that responded, the majority (n = 17; ≈81%) reported no ECF-level retirement initiatives. Common reasons included limited resources, low perceived demand, or reliance on national or international bodies (i.e., Olympic Committees or sport-specific unions). Four ECFs (~19%) described transition-related structures, though these varied considerably in scope, definition, and delivery. Despite well-documented needs, structured retirement support for professional cyclists remains uncommon across European national federations, and existing programmes appear heterogeneously applied. As cycling expands globally, effective transition planning becomes increasingly important for athlete wellbeing and the long-term sustainability of the sport. Holistic, international collaborations led by cycling’s major governance bodies could strengthen career-long support systems, reinforce the public image of cycling as a health-promoting discipline, and create responsible, athlete-centered ecosystems.

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