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.

dx.doi.org/10.1176/appi.ajp.160.8.1479, hdl.handle.net/1765/58738
The American Journal of Psychiatry
Pediatric Psychiatry

Verhulst, F.C, Achenbach, T.M, van der Ende, J, Erol, N, Lambert, M, Leung, P, … Zubrick, S.R. (2003). Comparisons of problems reported by youths from seven countries. The American Journal of Psychiatry, 160(8), 1479–1485. doi:10.1176/appi.ajp.160.8.1479