Ecuadorian Validation of the Parent Version of the Short Mood and Feelings Questionnaire (SMFQ-P) for Children Aged 8 to 12 Years

BackgroundTo evaluate screening efficiency and suggest cut-offs for parent and child Mood and Feelings Questionnaire (MFQ) and the short version (SMFQ) in unselected help seeking child- and adolescent psychiatric outpatients for subgroups of 6–12 versus 13–17 year olds and boys versus girls.MethodEligible for inclusion were newly admitted outpatients age 6–17 years (n = 5908) in four Swedish child- and adolescent psychiatry clinics. They were prompted consecutively and n = 307 accepted a specific day for assessment until time slots randomly were filled. We prospectively validated the MFQ (33 items) and SMFQ (13 items) in patients (n = 186) using receiver operating characteristics against a reference test of Longitudinal Expert All Data DSM-IV depression based on a Kiddie-Schedule for Affective Disorders and Schizophrenia and 1.2 (sd .6) years of follow-up.ResultsA depressive disorder was confirmed in 59 (31.7%) patients ranging from 14.0% for girls 6–12 years to 53.3% for girls 13–17 years. SMFQ performed roughly equivalent to MFQ. Adolescent score on SMFQ discriminated fairly for boys with Area Under Curve .77 (95% confidence interval .59–.81) and good (.82, .69–.91) for girls and parent ratings for adolescent girls (.85, .73–.93), but not for boys. Depression in children below age 13 could not be discriminated by MFQ or SMFQ whether filled in by child and mostly also when filled in by parent. Favouring maximum kappa value, the optimal cut-off was for MFQ self-report girls ≥32 versus boys ≥11 and for SMFQ self-report girls ≥17 versus boys ≥ 6. Suggested clinical SMFQ cut-offs for girls were ≥12 and for boys ≥ 6.ConclusionsMFQ and SMFQ can, with gender-based cut-offs, be used for screening in clinical populations of adolescents but not in children. Parent MFQ and SMFQ can be used for adolescent girls but not boys. SMFQ is sufficient for screening.

To evaluate screening efficiency and suggest cut-offs for parent and child Mood and Feelings Questionnaire (MFQ) and the short version (SMFQ) in unselected help seeking child- and adolescent psychiatric outpatients for subgroups of 6-12 versus 13-17 year olds and boys versus girls. Eligible for inclusion were newly admitted outpatients age 6-17 years (n = 5908) in four Swedish child- and adolescent psychiatry clinics. They were prompted consecutively and n = 307 accepted a specific day for assessment until time slots randomly were filled. We prospectively validated the MFQ (33 items) and SMFQ (13 items) in patients (n = 186) using receiver operating characteristics against a reference test of Longitudinal Expert All Data DSM-IV depression based on a Kiddie-Schedule for Affective Disorders and Schizophrenia and 1.2 (sd .6) years of follow-up. A depressive disorder was confirmed in 59 (31.7%) patients ranging from 14.0% for girls 6-12 years to 53.3% for girls 13-17 years. SMFQ performed roughly equivalent to MFQ. Adolescent score on SMFQ discriminated fairly for boys with Area Under Curve .77 (95% confidence interval .59-.81) and good (.82, .69-.91) for girls and parent ratings for adolescent girls (.85, .73-.93), but not for boys. Depression in children below age 13 could not be discriminated by MFQ or SMFQ whether filled in by child and mostly also when filled in by parent. Favouring maximum kappa value, the optimal cut-off was for MFQ self-report girls ≥32 versus boys ≥11 and for SMFQ self-report girls ≥17 versus boys ≥ 6. Suggested clinical SMFQ cut-offs for girls were ≥12 and for boys ≥ 6. MFQ and SMFQ can, with gender-based cut-offs, be used for screening in clinical populations of adolescents but not in children. Parent MFQ and SMFQ can be used for adolescent girls but not boys. SMFQ is sufficient for screening.

This study examines the reliability and validity of the Mood and Feelings Questionnaire (MFQ) and Short Mood and Feelings Questionnaire (SMFQ) for measuring depression in New Zealand help-seeking adolescents. A sample of 183 adolescents completed the 33-item MFQ, which includes all 13 items on the SMFQ, at three time points during a trial of a computerized intervention for depression. Both the MFQ and SMFQ demonstrated good to excellent Cronbach's alphas, moderate to strong item-total score correlations, moderate to strong correlations with quality of life and anxiety measures, and strong correlations with the clinician-rated Children's Depression Rating Scale-Revised and the Reynolds Adolescent Depression Scale 2 at all time points, indicating good reliability and content, convergent, and concurrent validities, respectively. Favoring sensitivity over specificity, the optimal cut-off value for differentiating depressed from nondepressed cases for the MFQ was ≥28 and for the SMFQ was ≥12. Both instruments demonstrated satisfactory diagnostic accuracy and sensitivity to change. The MFQ and SMFQ are free and simple instruments that can be used to identify depression and measure symptom change in New Zealand help-seeking adolescents.

BackgroundThe use of short screening questionnaires may be a promising option for identifying children at risk for depression in a community setting. The objective of this study was to assess the validity of the Short Mood and Feelings Questionnaire (SMFQ) and one- and two-item screening instruments for depressive disorders in a school-based sample of young adolescents.MethodsParticipants were 521 sixth-grade students attending public middle schools. Child and parent versions of the SMFQ were administered to evaluate the child's depressive symptoms. The presence of any depressive disorder during the previous month was assessed using the Diagnostic Interview Schedule for Children (DISC) as the criterion standard. First, we assessed the diagnostic accuracy of child, parent, and combined scores of the full 13-item SMFQ by calculating the area under the receiver operating characteristic curve (AUC), sensitivity and specificity. The same approach was then used to evaluate the accuracy of a two-item scale consisting of only depressed mood and anhedonia items, and a single depressed mood item.ResultsThe combined child + parent SMFQ score showed the highest accuracy (AUC = 0.86). Diagnostic accuracy was lower for child (AUC = 0.73) and parent (AUC = 0.74) SMFQ versions. Corresponding versions of one- and two-item screens had lower AUC estimates, but the combined versions of the brief screens each still showed moderate accuracy. Furthermore, child and combined versions of the two-item screen demonstrated higher sensitivity (although lower specificity) than either the one-item screen or the full SMFQ.ConclusionsUnder conditions where parents accompany children to screening settings (e.g. primary care), use of a child + parent version of the SMFQ is recommended. However, when parents are not available, and the cost of a false positive result is minimal, then a one- or two-item screen may be useful for initial identification of at-risk youth.

Item response theory (IRT) and categorical data factor analysis (CDFA) are complementary methods for the analysis of the psychometric properties of psychiatric measures that purport to measure latent constructs. These methods have been applied to relatively few child and adolescent measures. We provide the first combined IRT and CDFA analysis of a clinical measure (the Short Mood and Feelings Questionnaire--SMFQ) in a community sample of 7-through 11-year-old children. Both latent variable models supported the internal construct validity of a single underlying continuum of severity of depressive symptoms. SMFQ items discriminated well at the more severe end of the depressive latent trait. Item performance was not affected by age, although age correlated significantly with latent SMFQ scores suggesting that symptom severity increased within the age period of 7-11. These results extend existing psychometric studies of the SMFQ and confirm its scaling properties as a potential dimensional measure of symptom severity of childhood depression in community samples.

The Short Mood and Feelings Questionnaire (SMFQ) is one of the few well-established available measures designed to assess childhood depression. The objective of the present study was to assess the psychometric properties and explore the differential item functioning (DIF) of the SMFQ in a community sample of Spanish children. Gender and age differences in SMFQ scores were also analyzed. The sample included 824 students aged 8-12 years (Mage = 9.64, SD = 1.2) recruited from four public and private schools in urban areas in the southeast of Spain. Findings from factor analysis and Polytomous Rasch analysis supported a unidimensional interpretation of the SMFQ, thereby replicating findings across cultures and languages. The SMFQ had good reliability, and test-retest analysis indicated fair to good temporal stability. Evidence of construct validity was provided by a path diagram of the SMFQ and SDQ subscales. No age or gender differences in the SMFQ scores were observed. However, two items (3 and 11) exhibited gender-related DIF. The use of SMFQ sum-scores as a continuous measure of the severity of depressive symptoms can be supported. The measure shows promise as brief, reliable, valid instrument for the assessment of depressive symptoms in Spanish children.

Research suggests gender inequalities in adolescent mental health are context dependent and might be preventable through social and structural change. However, variations in the size of gender inequalities in mental health across diverse cultural contexts could be due to incomparable measurement. We aimed to compare a measurement of mental health among young people in Tokyo, Japan, and London, UK, and test the hypothesis that gender inequalities in depressive symptom trajectories are larger in London than in Tokyo. For this longitudinal cross-cohort study, we extracted responses to the 13-item Short Mood and Feelings Questionnaire (SMFQ) by young people who participated in three consecutive waves of the Tokyo Teen Cohort (TTC) and the London-based Resilience, Ethnicity and Adolescent Mental Health (REACH) cohorts. We used multigroup and longitudinal confirmatory factor analysis to examine measurement invariance of the SMFQ by cohort, gender, and age. Latent growth curve models were used to estimate and compare mean trajectories of SMFQ from ages 11-16 years among boys and girls, overall, and in each cohort. 7100 young people from TTC and REACH (3587 boys [50·5%] and 3513 girls [49·5%]) were included in the analysis. With the TTC and REACH cohorts combined, we found very strong evidence of differences in SMFQ between boys and girls, with a mean starting level of 0·71 points (95% CI 0·42-0·95) higher and mean rate of change of 0·73 points (95% CI 0·62-0·82) higher in girls versus boys. Among the 4287 participants in REACH (2097 [48·9%] boys and 2190 [51·1%] girls), a difference in SMFQ was evident between boys and girls at age 11-12 years (difference in mean intercepts: 0·75 [95% CI 0·25-1·25]). Among the 2813 participants in TCC (1490 boys [53·0%] and 1323 girls [47·0%]), differences in SMFQ between boys and girls emerged at a later age, between ages 11 years and 14 years, during which SMFQ decreased among boys and increased among girls (mean difference in slopes 0·52 [95% CI 0·40 to 0·65]). The difference in SMFQ between boys and girls widened year-on-year in both cohorts; by age 16 years, the difference in SMFQ between boys and girls in REACH (mean difference in slopes 0·98 [95% CI 0·77 to 1·20]) was around twice as large as in TTC (0·52 [0·40 to 0·65]). The annual rate of increase in SMFQ among girls in REACH (1·1 [95% CI 0·9-1·3]) was around four times greater than among girls in TTC (0·3 [0·2-0·4]). We found little evidence to suggest these differences in gender inequalities were due to incomparable measurement. Gender inequalities in emotional health among young people are context dependent and might be preventable through social and structural change. Japanese Society for the Promotion of Science, UK Economic and Social Research Council, and European Research Council. For the Japanese translation of the abstract see Supplementary Materials section.

Depressive mood is a common problem among children in Western countries. Professionals in school and other health services have an important role in identifying children at increased risk for depression. The Short Mood and Feelings Questionnaire (SMFQ) is a widely used screening tool, but its 13 items still make it quite time-consuming to complete. There is an urgent need for a quick and easy-to-complete self-report depressive mood scale for use in school health examinations. This paper aims to describe and validate a revised version of SMFQ: FsMFQ-6 is intended as a short screening tool for the early identification of depressive symptoms in children. Nationally representative data (n=95,725) were drawn from the 2017 School Health Promotion Study. The respondents were fourth- and fifth-grade pupils (aged 10-12) in Finnish primary schools. The data were analysed separately by gender. The construct validity of the scale was studied by principal component analysis and confirmatory factor analysis (CFA), convergent validity by both receiver operating characteristic (ROC) analysis and Spearman's correlation coefficient. Reliability was tested by Cronbach's alpha coefficient. Principal component analysis yielded a one-component model: the Finnish Short Mood and Feelings Questionnaire 6 (FsMFQ-6). CFA confirmed the validity of FsMFQ-6. Compared with mood at home (AUC=0.80) and mood at school (AUC=0.85), overall sensitivity and specificity were optimal at cut-off point 0. Cronbach's alpha coefficient was 0.73, indicating good internal consistency. The results for girls and boys were almost identical. The results confirmed the validity and reliability of FsMFQ-6. FsMFQ-6 recognises depressive mood in children and is suitable for screening depressive symptoms in fourth- and fifth-grade pupils in Finland. However, it is important to pay close attention to children who choose the 'Sometimes' response option more than once, for that can be a sign of depressive symptoms.

Background In numerous surveys the prevalence of depressive symptoms in adolescents has been examined in single sites and at one time point.Aims We examined depressive symptoms among adolescents aged 10–19 years in four different large school samples including two cohorts over a 10-year period in different locations in the same health region in central Norway including a total of 5804 adolescents. Two cohorts were retested within a 1-year time period to predict high versus low depressive symptom scores. Changes over a 6-year period in depressive symptom levels were examined in two of the samples of 12–14-year olds.Methods Depressive symptoms were estimated by the 13-item Short Mood and Feelings Questionnaire (SMFQ). Covariates were student age, sex, school size and location.Results “Miserable or unhappy”, “Tired”, “Restlessness” and “Poor concentration” were the most commonly reported depressive symptoms. Depressive symptom levels and proportions of high scoring students were consistently higher among girls, in particular in mid and late adolescence. Poisson regression analysis showed that all SMFQ items significantly predicted total scores for the whole sample, while sex (girls having a higher risk) emerged as a consistent 1-year predictor of high depressive symptom levels.Conclusions The SMFQ constitutes a short, practical and feasible measure. We recommend that this standardized measure should be used in the assessment of depressive symptoms among adolescents in school, primary care and clinical settings but also to evaluate treatment outcome. High scorers should be evaluated in subsequent clinical interviews for the presence of a depressive disorder.

In adolescence many psychological problems develop and manifest for the first time, e.g depressive symptoms. Depressive symptoms refer to an unhappy mood, feeling gloomy, sad, and indecisive. Depressive symptoms are related to adolescents' difficulties in regulating emotions. Someone with poor emotional regulation tends to have difficulty dealing with negative emotions from the stress they experience which then has the potential to increase depressive symptoms. This study aims to examine the difficulties of emotion regulation as a predictor of depressive symptoms in adolescents. The research was conducted using a quantitative method with a cross-sectional design and a correlational research type. The participants were 446 adolescents aged 13-17 years, who were obtained by convenience sampling technique. Difficulties of the Emotion Regulation Scale (DERS) and Short Mood and Feelings Questionnaire (SMFQ) were used as instrument in this study. The results show that difficulties in emotion regulation predicts depressive symptoms in adolescents. In more detail, the dimensions of lack of awareness, lack of clarity, nonacceptable emotional responses, and limited emotion regulation strategies predict depressive symptoms in adolescents. This happens because the lack of awareness, clarity, and limited emotion regulation strategies makes individuals use maladaptive strategies so that adolescents have depressive symptoms. In addition, nonacceptance emotions response makes adolescents feel higher negative affect. Based on these results, it is important for adolescents to get interventions to overcome difficulties in emotion regulation so that they are not prone to experiencing depressive symptoms.Pada masa remaja banyak masalah psikologis berkembang dan bermanifestasi untuk pertama kalinya, salah satunya gejala depresi. Gejala depresi mengacu pada suasana hati yang tidak bahagia, perasaan suram, sedih dan bimbang. Gejala depresi erat kaitannya dengan kesulitan remaja dalam meregulasi emosinya. Seseorang dengan regulasi emosi yang buruk cenderung kesulitan untuk mengatasi emosi negatif dari stress yang mereka alami yang kemudian berpotensi terhadap peningkatan gejala depresi. Penelitian ini bertujuan melihat kesulitan regulasi emosi sebagai prediktor gejala depresi yang dialami remaja. Penelitian dilakukan dengan metode kuantitatif dengan desain cross-sectional dan tipe penelitian korelasional. Partisipan penelitian terdiri atas 446 remaja berusia 13-17 tahun, yang didapatkan dengan Teknik convenience sampling. Difficulties Emotion Regulation Scale (DERS) dan Short Mood and Feelings Questionnaire (SMFQ) yang telah diadaptasi ke dalam Bahasa Indonesia digunakan dalam penelitian ini. Hasil menunjukkan kesulitan regulasi emosi memprediksi gejala depresi pada remaja. Secara lebih detil, dimensi lack of awareness, lack of clarity, nonacceptance emotional response, dan limited of regulation emotion strategies yang memprediksi gejala depresi pada remaja. Hal ini terjadi karena kurangnya kesadaran, kejernihan, dan terbatasnya penggunaan strategi regulasi emosi membuat individu menggunakan strategi yang maldaptif sehingga remaja memiliki gejala depresi. Selain itu, penolakan terhadap emosi membuat remaja merasakan afek negatif yang lebih tinggi. Berdasarkan hasil ini, penting bagi remaja mendapatkan intervensi untuk mengatasi kesulitan dalam regulasi emosi sehingga tidak rentan mengalami gejala depresi.

Previous studies suggest a link between parental separation or divorce and risk of depression in adolescence. There are, however, few studies that have prospectively examined the effects of timing of biological father absence on risk for depressive symptoms in adolescence while controlling for a range of confounding factors. We examine the association between father absence occurring in early (the first 5 years) and middle childhood (5-10 years) and adolescent depressive symptoms in a sample comprising 5631 children from the UK-based Avon Longitudinal Study of Parents and Children (ALSPAC). Self-reported depressive symptoms at 14 years were assessed using the Short Mood and Feelings Questionnaire (SMFQ). Father absence was assessed from maternal questionnaires completed at regular intervals from the birth of the study child up to 10 years. There was evidence for an association between father absence in early childhood and increased odds of depressive symptoms at 14 years. This association was stronger in girls than in boys and remained after adjusting for a range of socio-economic, maternal and familial confounders assessed prior to the father's departure. Conversely, there was no evidence for an association between father absence in middle childhood and depressive symptoms at 14 years. Father absence in early childhood increases risk for adolescent depressive symptoms, particularly in girls. Future research should be aimed at identifying possible biological and psychosocial mechanisms linking father absence to depressive symptomatology to enable the development of family-based early prevention and intervention programmes targeting young children at risk.

Depression is a prevalent and often persistent mental disorder, with onset frequently occurring during adolescence and associated with serious long-term consequences. Consequently, the availability of valid, age-appropriate, and easily administered screening instruments is essential. The Short Mood and Feelings Questionnaire (SMFQ) is a widely used tool, available in multiple languages, for the screening of depressive symptoms in young people. Although an Italian version of the SMFQ has already been used in previous studies, it has not yet undergone formal validation. The present study aimed to evaluate the psychometric properties of the Italian SMFQ, assess measurement invariance (MI) across sex and age, and provide preliminary normative data. A sample of 580 adolescents (317 males, 263 females), aged 14-20 years, completed the Italian SMFQ along with additional instruments to assess validity: the Personality Assessment Questionnaire and the Strengths and Difficulties Questionnaire for convergent validity, and the Weinstein's Noise Sensitivity Scale for divergent validity. Analyses focused on dimensionality, measurement invariance, reliability, and validity. As regards dimensionality, both one- and two-factor models showed adequate fit, with the two-factor model showing better fit. MI analyses supported full invariance across age for the 13-item version and partial invariance across sex. The 12-item version (excluding item 6) achieved full invariance across both sex and age. The scale showed good internal consistency and good convergent and divergent validity. Finally, given the significant effects of sex and age, normative data were computed as a function of both factors. The Italian SMFQ demonstrated excellent psychometric properties for assessing depressive symptoms in adolescents. However, its use for clinical diagnostic purposes requires further validation through clinical studies.

Depression during adolescence is associated with a number of negative outcomes in later life. Research has examined the longitudinal nature of adolescent depression in order to identify patterns of depressive mood, the early antecedents and later consequences. However, rich longitudinal data is needed to better address these questions. The Avon Longitudinal Study of Parents and Children (ALSPAC) is an intergenerational birth cohort with nine repeated assessments of depressive symptoms throughout late childhood, adolescence and young adulthood. Depressive symptoms are measured using the Short Mood and Feelings Questionnaire (SMFQ). Many studies have used ALSPAC to examine the longitudinal nature of depressive symptoms in combination with the wealth of early life exposure and later outcome data. This data note provides a summary of the SMFQ data, where the data are stored in ALSPAC, the characteristics and distribution of the SMFQ, and highlights some considerations for researchers wanting to use the SMFQ data in ALSPAC.

Adolescence to emerging adulthood is a critical period for the onset of depressive symptoms. Understanding symptom change during this period is thus of great clinical relevance. This understanding is, however, based on the premise of the accurate measurement of depressive symptoms across time and sex, typically untested in applied research. The present study investigated longitudinal and sex measurement invariance (MI) of the Short Mood and Feelings Questionnaire (SMFQ), a widely used unidimensional 13-item measure of self-reported depressive symptoms. We employed 10 waves of the Avon Longitudinal Study of Parents and Children, a population-based study in South-West England (N = 7,364; ages 11-26). The SMFQ exhibited increasing consistency with age: Scalar longitudinal MI was not supported by all indices in models that included ages 11 and 13, but strict MI was established from ages 14-26. At each wave, at least partial strict MI across sex was established. Sum score models with equal weightings had acceptable fit, and good reliability which was equivalent to reliability using differential weightings. External validity for sum scores was also comparable to factor scores. Thus, sum scores seem an appropriate, practical choice in many settings. Overall, findings support the use of SMFQ in assessing change in depressive symptoms from adolescence into emerging adulthood, specifically ages 14-26. Some caution is necessary when comparing the construct at ages 11-13 with ages greater than 17, when measurement models were not fully invariant. This research informs epidemiological and clinical studies on the applicability of the SMFQ across time and sex. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Predicting future depression in adolescents using the Short Mood and Feelings Questionnaire: A two-nation study