Assessment & Research

Emotional and behavioural difficulties in children referred for learning disabilities from two Arab countries: A cross-cultural examination of the Strengths and Difficulties Questionnaire.

El-Keshky et al. (2015) · Research in developmental disabilities 2015
★ The Verdict

Use the three-factor SDQ when screening Arab schoolchildren for emotional or behavioral problems.

✓ Read this if BCBAs working with Arabic-speaking students in Gulf-region schools.
✗ Skip if Clinicians who only use parent-report or work outside the Middle East.

01Research in Context

01

What this study did

The team asked teachers in Saudi Arabia and Oman to fill out the Strengths and Difficulties Questionnaire. They wanted to know if the usual five-factor scoring works for Arab kids.

They ran factor analysis on the teacher ratings to see which scoring fit best.

02

What they found

A simpler three-factor model won. The factors were internalizing, externalizing, and prosocial. This clean structure fit both countries better than the original five-factor version.

03

How this fits with other research

Efstratopoulou et al. (2023) later did the same kind of check in UAE schools with a different tool, the Motor Behaviour Checklist. Both studies show Arabic teacher checklists need local validation.

Oliver et al. (2002) did early psychometric work on the Dutch DBC. Their groundwork helped later checklist studies, including this one, know what to test for.

Jackson et al. (2025) shortened the German DBC-T from 94 to 35 items. Like Mogeda, they used factor analysis to give teachers a faster, still-solid form.

04

Why it matters

If you screen Arab schoolchildren, score the SDQ with three factors, not five. You will get clearer internalizing, externalizing, and prosocial scores. This small switch saves time and avoids mislabeling kids who just look different under Western norms.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Re-score last month’s SDQs with the internalizing-externalizing-prosocial keys and compare the new profiles.

02At a glance

Intervention
not applicable
Design
other
Sample size
762
Population
mixed clinical
Finding
positive

03Original abstract

The Strengths and Difficulties Questionnaire (SDQ) is a widely used child mental health questionnaire with five hypothesized subscales. There is theoretical and preliminary empirical support for combining the SDQ's hypothesized emotional and peer subscales into an 'internalizing' subscale and the hypothesized behavioural and hyperactivity subscales into an 'externalizing' subscale (alongside the fifth prosocial subscale). We examined both structures using the teacher informant version data from two Arab countries, namely Saudi Arabia (323) and Oman (439). Multigroup CFAs based on structural equation modelling revealed culture invariance for the SDQ. The three-factor model showed a better description of the SDQ structure. The analysis also revealed gender invariance for the SDQ three and five factor models in both the Omani and Saudi samples. There were gender differences in all the three and five factors between the Saudi and Omani samples.

Research in developmental disabilities, 2015 · doi:10.1016/j.ridd.2014.10.039