Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
The psychometric properties of the Hopkins Symptom Checklist-10: A Rasch analysis based on adolescent data from Norway
Hedmark University of Applied Sciences, Department of Public Health.ORCID iD: 0000-0002-3844-4745
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Centre for Research on Child and Adolescent Mental Health (from 2013). Hedmark University of Applied Sciences, Department of Public Health.ORCID iD: 0000-0002-2986-2128
2016 (English)In: Family Practice, ISSN 0263-2136, E-ISSN 1460-2229, Vol. 33, no 6, p. 740-745Article in journal (Refereed) Published
Abstract [en]

Background

The Hopkins Symptom Checklist (HSCL-10) is widely used for both clinical and epidemiological purposes to measure psychological distress among adolescents and adults.

Objective

The purpose of this study was to investigate the psychometric properties of the HSCL-10 among adolescents in Norway using Rasch analysis.

Methods

The study is based on cross-sectional data from the Norwegian Youth Health Surveys, conducted by the Norwegian Institute of Public Health in 2001 and 2009. The target group comprised of 15- to 16-year olds (Grade 10 students) in Hedmark County, Norway. Ten items with four response categories, intended to measure anxiety and depression, were analysed. The analysis focused on invariance, including differential item functioning (DIF) across genders and years of investigations. In addition, the categorization of the items, targeting, possible multidimensionality and response dependency, was analysed.

Results

The HSCL-10 shows good reliability and on the whole, the items work well. However, one item, ‘Sleeping difficulties’, clearly misfit and some items work differently for boys and girls and between years of investigations. There is also need for a better targeting of the scale.

Conclusions

The HSCL-10 has the potential to measure the psychological distress among adolescents but there is a room for improvement. Further judgement needs to be made as to whether the misfitting item ‘Sleeping difficulties’ should be removed or retained.

Place, publisher, year, edition, pages
Oxford University Press, 2016. Vol. 33, no 6, p. 740-745
Keywords [en]
Adolescents, depression, diagnosis, psychological distress, Rasch analysis, validation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
URN: urn:nbn:se:kau:diva-47613DOI: 10.1093/fampra/cmw091ISI: 000392738200027OAI: oai:DiVA.org:kau-47613DiVA, id: diva2:1064210
Available from: 2017-01-12 Created: 2017-01-10 Last updated: 2018-08-01Bibliographically approved
In thesis
1. Mental health and physical activity in adolescence
Open this publication in new window or tab >>Mental health and physical activity in adolescence
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of this thesis is to examine the association between physical activity and mental health among Norwegian adolescents.

The thesis includes four studies among adolescents in grade 10, aged 15-16 years. Studies I, II and III are based on the Norwegian Youth Health Surveys and study IV is based on data retrieved from Ungdata. In 2000-2003 (Youth Health Survey), the adolescents completed a paper and pencil self-administered questionnaire at school during lesson time. In both 2009 (Youth Health Survey) and 2017 (Ungdata), the adolescents completed an anonymous web-based questionnaire.

The Rasch analysis from study I showed that overall, the HSCL-10 showed good reliability and the items worked well. One item “Sleeping difficulties”, in the HSCL-10 instrument clearly misfit and some items worked differently for boys and girls. Study II showed that the association between physical activity, screen-based sedentary behaviour and psychological distress was weak. In study III, a significant association between physical activity and incident use of hypnotics was shown at short-term follow up. No significant associations were found for later use of antidepressants. Study IV showed that participating in a sports club was significantly associated with lower odds of depressive symptoms.

Mental health and physical activity are both complex phenomena. When investigating the association between adolescent`s physical activity and mental health, it is important to look at physical activities in different contexts, not only volume and frequency.

Abstract [en]

Mental health is considered to be an important public health issue, particularly during adolescence. The World Health Organization has reported that half of all mental health disorders in adults start by age 14, but most of them are undetected and untreated. Furthermore, there are concerns about how to measure mental health, and a need for valid instruments has been identified.

This thesis considers the relationship between physical activity and mental health in Norwegian adolescents. It consists of four studies, all based on data collected from surveys among adolescents aged 15-16 years old. The results indicate a weak association between physical activity and mental health, and that participating in a sports club is associated with fewer symptoms of depression. Furthermore, the psychometric analysis of the Hopkins Symptoms Checklist-10 instrument using Rasch Measurement Theory is a step towards more valid assessment of psychological distress among adolescents.

This thesis contributes to the field of public health sciences by underlining the need for broader approaches in studies of the association between physical activity and mental health using proper measures.

Abstract [sv]

Den här avhandlingen belyser sambandet mellan fysisk aktivitet och psykisk hälsa bland ungdomar. Den läggs fram i en tid med ökande psykisk ohälsa och stigande oro för ökande fysisk inaktivitet och stillasittande. Avhandlingen består av fyra artiklar som baseras på data insamlade bland 15-16-åringar i Norge. Resultaten visar att sambandet är svagt mellan hur ofta ungdomar är fysiskt aktiva och hur väl ungdomar mår psykiskt. När kontexten för den fysiska aktiviteten beaktas framträder ett tydligare mönster: de som är aktiva i en idrottsförening rapporterar signifikant mindre psykiska besvär än de som inte regelbundet är fysiskt aktiva. Detta samband kvarstår även efter kontroll för föräldrarnas socioekonomi och efter kontroll för andra hälsorelaterade vanor. I avhandlingen redovisas också psykometriska analyser baserade på Rasch Measurement Theory av en skala för psykologisk distress och en fördepressiva besvär. Avhandlingen pekar på vikten av bredare analysansatser när fysisk aktivitet och psykisk hälsa studeras och på vikten av reliabla ochvalida mått på psykisk hälsa.

Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2018. p. 79
Series
Karlstad University Studies, ISSN 1403-8099 ; 2018:32
Keywords
Adolescents, physical activity, sedentary behaviour, psychological distress, depression symptoms, psychotropic drugs, sports club
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-68646 (URN)978-91-7063-865-7 (ISBN)978-91-7063-960-9 (ISBN)
Public defence
2018-09-14, Nyquistsalen, 9C 203, lstad, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2018-08-28 Created: 2018-08-01 Last updated: 2018-09-05Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full text

Authority records BETA

Kleppang, Annette LøvheimHagquist, Curt

Search in DiVA

By author/editor
Kleppang, Annette LøvheimHagquist, Curt
By organisation
Centre for Research on Child and Adolescent Mental Health (from 2013)
In the same journal
Family Practice
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 58 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf