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Am J Psychiatry 160:1479-1485, August 2003
© 2003 American Psychiatric Association


Article

Comparisons of Problems Reported by Youths From Seven Countries

Frank C. Verhulst, M.D., Thomas M. Achenbach, Ph.D., Jan van der Ende, M.S., Nese Erol, Ph.D., Michael C. Lambert, Ph.D., Patrick W.L. Leung, Ph.D., Maria A. Silva, M.D., Nelly Zilber, Dr. ès Sc., and Stephen R. Zubrick, B.Sc. M.Sc., A.M., Ph.D.

OBJECTIVE: This study compared ratings for self-reported behavioral and emotional problems in adolescents from seven countries. METHOD: Youth Self-Report scores were analyzed for 7,137 adolescents ages 11–18 years from general population samples from Australia, China, Israel, Jamaica, the Netherlands, Turkey, and the United States. RESULTS: Comparisons of problems scores yielded small to medium effect sizes for cross-cultural variations. Youths from China and Jamaica had the highest and youths from Israel and Turkey had the lowest mean total problems scores. With cross-cultural consistency, girls scored higher for internalizing and lower for externalizing than boys. Cross-cultural correlations were high among the mean item scores. CONCLUSIONS: Empirically based assessment provided a robust method for assessing and comparing adolescents’ self-reported problems. Self-reports thus supplemented empirically based assessments of parent-reported problems and offered a cost-effective way of identifying problems for which adolescents from diverse cultural backgrounds may need help.


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