Research Article

Cutting a Long Story Short? The Clinical Relevance of Asking Parents, Nurses, and Young Children Themselves to Identify Children’s Mental Health Problems by One or Two Questions

Table 1

Distributions of answers in the parents’ and nurses’ one-question screen and child’s self-evaluation in a community sample of Finnish 4–9-year-old children.

Total samplePreschoolersSchool-aged children
AllBoysGirlsdf1AllBoysGirlsAllBoysGirlsdf1
%%% 2%%%%%% 3

Parent’s one-question screen( = 2652)( = 1295)( = 1357)80.79( = 1757)( = 867)( = 890)( = 895)( = 428)( = 467)13.88
 No difficulties47.038.755.0246.338.251.248.539.756.52
 Not many difficulties46.652.441.0<0.00148.454.442.643.048.430.10.001
 Quite many/very many difficulties6.48.94.05.37.43.38.511.95.4
Nurse’s one-question screen4( = 2602)( = 1269)( = 1333)81.73( = 1722)( = 847)( = 875)( = 880)( = 422)( = 458)0.37
 No difficulties75.567.882.8275.268.581.776.166.684.92
 Yes—minor difficulties17.722.513.1<0.00118.022.114.117.023.211.4ns.
 Yes—definite/severe difficulties6.89.74.16.89.44.26.810.23.7
Child’s self-evaluation
 How are you?( = 2623)( = 1287)( = 1336)22.86( = 1739)( = 860)( = 879)( = 884)( = 427)( = 457)446.33
  Very often happy54.051.456.4368.066.369.626.521.531.13
  Quite often happy28.928.029.7<0.00118.517.119.849.349.948.8<0.001
  Equally many happy and lousy moments15.117.712.510.913.08.923.227.219.5
  Often/almost always sad2.12.91.32.63.61.71.01.40.7
What do you expect for your near future?( = 2620)( = 1284)( = 1336)10.16( = 1737)( = 858)( = 879)( = 883)( = 426)( = 457)115.01
 Very nice and happy days50.148.551.6355.855.456.338.834.742.73
 Quite nice and happy days 29.428.830.0<0.01723.022.323.842.042.042.0<0.001
 Not bothering15.718.013.515.417.013.916.220.012.7
 Some/many bad things are going to happen4.84.74.95.75.46.02.93.32.6

df: degrees of freedom.
2Tested between genders.
3Tested between age groups.
4Answering alternatives “do not know” and “cannot say” extracted from analyses ( = 80).