{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T05:56:12Z","timestamp":1781243772585,"version":"3.54.1"},"reference-count":40,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/W002132\/1"],"award-info":[{"award-number":["MR\/W002132\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000269","name":"Economic and Social Research Council","doi-asserted-by":"publisher","award":["ES\/N01782X\/1"],"award-info":[{"award-number":["ES\/N01782X\/1"]}],"id":[{"id":"10.13039\/501100000269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCPP Advances"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>It is well\u2010established that children living in care are at far greater risk of mental health difficulties than their peers. This includes common and trauma\u2010specific mental health conditions, including depression, anxiety and posttraumatic stress disorder (PTSD). In England, the mental health of children in care is monitored using the caregiver\u2010report Strengths and Difficulties Questionnaire (SDQ). Our aim was to understand the sufficiency of current screening practices for children in care. We investigated how sensitive the SDQ was to clinically elevated PTSD, anxiety, and depression symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The sample included 491 children aged 10\u201318\u00a0years old, under local authority care, and their caregiver where available (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0342 carers, including foster carers, kinship carers and residential keyworkers). Children and caregivers completed the SDQ, and children also completed standardised measures of anxiety and depression and PTSD symptom, using established cut\u2010offs for clinically elevated symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most of the sample scored above clinical threshold on at least one measure. Caregiver\u2010reported SDQ scores were weakly correlated with child self\u2010reported PTSD, anxiety, and depression scores, while self\u2010reported SDQ scores were moderately correlated with their self\u2010report on the other symptom scales. A large proportion of children scoring in the clinical range on the anxiety (44%), depression (46%), or PTSD (48%) symptoms measures did not score in the carer\u2010report SDQ clinical range. Similar patterns were found using the self\u2010report SDQ, with somewhat higher detection rates found when combining self\u2010 and carer\u2010report SDQ.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Relying only on the carer\u2010report SDQ as a mental health screening tool is likely inadequate to detect mental health symptomology in children in care. Whilst this was never the purpose of the SDQ, it is how it is commonly used in practice. We discuss the benefits of including children's voices and disorder\u2010specific screening tools (e.g., for PTSD) into mental health assessments for children living in care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jcv2.70058","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:06:18Z","timestamp":1761894378000},"source":"Crossref","is-referenced-by-count":0,"title":["Sufficiency of current practice: How well does the Strengths and Difficulties Questionnaire detect clinically elevated posttraumatic stress, anxiety, and depression symptoms in children in care?"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6169-5294","authenticated-orcid":false,"given":"Eva A.","family":"Sprecher","sequence":"first","affiliation":[{"name":"Research Department of Clinical Educational and Health Psychology University College London (UCL)  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Shelton","sequence":"additional","affiliation":[{"name":"School of Psychology Cardiff University  Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Holmes","sequence":"additional","affiliation":[{"name":"School of Education and Social Work University of Sussex  Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1093-2023","authenticated-orcid":false,"given":"Bethan","family":"Carter","sequence":"additional","affiliation":[{"name":"School of Psychology Cardiff University  Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Robinson","sequence":"additional","affiliation":[{"name":"School of Psychology Cardiff University  Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Javed","sequence":"additional","affiliation":[{"name":"Research Department of Clinical Educational and Health Psychology University College London (UCL)  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruby","family":"Khan","sequence":"additional","affiliation":[{"name":"Research Department of Clinical Educational and Health Psychology University College London (UCL)  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"MacLeod","sequence":"additional","affiliation":[{"name":"Medical School University of Bristol  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeongeun","family":"Park","sequence":"additional","affiliation":[{"name":"School of Education and Social Work University of Sussex  Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Selwyn","sequence":"additional","affiliation":[{"name":"Department of Education University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iram","family":"Siraj","sequence":"additional","affiliation":[{"name":"Department of Education University of Oxford  Oxford UK"},{"name":"Froebel Department of Primary and Early Childhood Education Maynooth University  Maynooth Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ching","family":"So","sequence":"additional","affiliation":[{"name":"Research Department of Clinical Educational and Health Psychology University College London (UCL)  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel M.","family":"Hiller","sequence":"additional","affiliation":[{"name":"Research Department of Clinical Educational and Health Psychology University College London (UCL)  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0288882"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/26408066.2020.1788477"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1753\u20102000\u20105\u201032"},{"key":"e_1_2_11_5_1","unstructured":"Brown S. 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