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. 2017 Jun 23;7(6):e016244. doi: 10.1136/bmjopen-2017-016244

Table 1.

Summary of items measuring each mental health and well-being domain assessed within the Middle Childhood Survey (MCS) and, for each item, the number of children providing data (of the 27 808 who commenced the survey) and the distributions of the three response options

MCS domain (and source measure) Item Sample Not True Somewhat True Certainly True
(n) % (n) % (n) % (n)
Social Integration (QSL) My school is a place where…
… I learn to get along with other people 26 859 3.0 (806) 26.8 (7189) 70.2 (18 864)
… Other students accept me as I am 26 856 6.6 (1769) 32.6 (8760) 60.8 (16 327)
… People trust me 26 856 4.1 (1100) 34.0 (9136) 61.9 (16 620)
… I am popular with other students 26 856 17.0 (4574) 45.1 (12 123) 37.8 (10 159)
… I know people think a lot of me 26 856 20.1 (5393) 50.5 (13 566) 29.4 (7897)
… I get on well with the other students in my class 26 855 3.4 (920) 33.3 (8933) 63.3 (17 002)
… People can depend on me 26 854 5.1 (1380) 35.5 (9542) 59.3 (15 932)
… Other students are very friendly 26 854 4.8 (1281) 37.5 (10 075) 57.7 (15 498)
Prosocial Behaviours (SDQ) I try to be nice to other people. I care about their feelings 27 494 1.3 (359) 22.6 (6224) 76.1 (20 911)
I usually share with others (eg, CDs, games, food) 27 486 7.9 (2180) 45.9 (12 609) 46.2 (12 697)
I am helpful if someone is hurt, upset or feeling ill 27 482 2.6 (728) 29.7 (8174) 67.6 (18 580)
I am kind to younger children 27 478 2.1 (583) 15.2 (4177) 82.7 (22 718)
I often volunteer to help others (parents, teachers, children) 27 474 6.0 (1653) 44.0 (12 096) 50.0 (13 725)
Peer Relationship Problems (SDQ) I would rather be alone than with people of my age 27 484 71.6 (19 667) 20.6 (5650) 7.9 (2167)
I have one good friend or more (R) 27 480 2.0 (544) 7.6 (2077) 90.5 (24 859)
Other people my age generally like me (R) 27 480 6.4 (1745) 42.1 (11 576) 51.5 (14 159)
Other children or young people pick on me or bully me 27 477 66.9 (18 387) 23.7 (6517) 9.4 (2573)
I get along better with adults than with people my own age 27 474 52.8 (14 518) 36.7 (10 075) 10.5 (2 881)
Supportive Home Relationships (HKS/MDI) In my home, there is a parent or another adult …
… who listens to me when I have something to say 26 924 4.4 (1181) 30.3 (8147) 65.4 (17 596)
… who I can talk to about my problems 26 922 8.2 (2212) 24.3 (6553) 67.4 (18 157)
… who wants me to do my best 26 928 1.6 (435) 12.0 (3220) 86.4 (23 273)
… who believes that I will be a success 26 922 3.4 (906) 20.0 (5382) 76.6 (20 634)
Supportive School Relationships (HKS/MDI) At my school, there is a teacher or another adult…
… who really cares about me 26 918 7.1 (1920) 34.4 (9265) 58.4 (15 733)
… who listens to me when I have something to say 26 916 5.7 (1528) 31.5 (8466) 62.9 (16 922)
… who believes that I will be a success 26 917 5.7 (1536) 32.8 (8831) 61.5 (16 550)
… who tells me when I've done a good job 26 915 3.8 (1017) 23.0 (6177) 73.3 (19 721)
Supportive Community Relationships (HKS/MDI) In my neighbourhood/community (NOT from your school or family), there is an adult…
… who really cares about me 26 910 19.0 (5101) 35.5 (9540) 45.6 (12 269)
… who listens to me when I have something to say 26 910 20.5 (5522) 37.2 (10 005) 42.3 (11 383)
… who believes that I will be a success 26 909 20.4 (5477) 35.9 (9673) 43.7 (11 759)
… who tells me when I've done a good job 26 909 19.3 (5186) 30.9 (8308) 49.9 (13 415)
Empathy (FTI) I want to help people who get treated badly 27 117 3.5 (957) 27.7 (7500) 68.8 (18 660)
I often feel worried about people that are not as lucky as me, and feel sorry for them 27 113 5.3 (1425) 34.4 (9337) 60.3 (16 351)
I sometimes try to understand my friends better by pretending I am them† 27 111 40.6 (11 003) 39.1 (10 591) 20.3 (5517)
I think people can have different opinions about the same thing 27 108 2.1 (567) 21.8 (5919) 76.1 (20 622)
Emotional Symptoms (SDQ) I get a lot of headaches, stomach-aches or sickness 27 489 56.6 (15 552) 33.0 (9075) 10.4 (2862)
I worry a lot 27 484 40.4 (11 097) 41.1 (11 304) 18.5 (5083)
I am often unhappy, depressed or tearful 27 480 72.8 (20 017) 21.2 (5817) 6.0 (1646)
I am nervous in new situations. I easily lose confidence 27 479 36.9 (10 128) 44.4 (12 191) 18.8 (5160)
I have many fears, I am easily scared 27 473 56.5 (15 517) 32.0 (8803) 11.5 (3153)
Conduct Problems (SDQ) I get very angry and often lose my temper 27 485 62.1 (17 079) 26.7 (7350) 11.1 (3056)
I usually do as I am told (R) 27 484 3.1 (863) 43.7 (12 011) 53.2 (14 610)
I fight a lot. I can make other people do what I want 27 480 83.3 (22 896) 14.0 (3846) 2.7 (738)
I am often accused of lying or cheating 27 478 62.6 (17 207) 26.5 (7278) 10.9 (2993)
I take things that are not mine from home, school or elsewhere 27 474 88.3 (24 267) 9.6 (2636) 2.1 (571)
Aggression (EATQ-R) If I get mad at someone, I might hit them* 27 484 65.6 (18 020) 25.4 (6975) 9.1 (2489)
When I am angry, I throw or break things 27 472 79.8 (21 916) 14.6 (4022) 5.6 (1534)
Attention (EATQ-R) I pay close attention when someone asks me to do something* 27 165 4.2 (1133) 46.3 (12 588) 49.5 (13 444)
It is easy for me to really concentrate on homework problems 27 144 18.3 (4969) 47.4 (12 854) 34.3 (9321)
When trying to study, I have difficulty tuning out background noise and concentrating (R) 27 120 26.3 (7146) 45.2 (12 260) 28.4 (7714)
Inhibitory Control (EATQ-R) When I am excited, it’s hard for me to wait my turn to speak* (R) 27 162 25.7 (6970) 44.2 (11 993) 30.2 (8199)
When someone tells me to stop doing something, it is easy for me to stop‡ 27 157 9.4 (2540) 47.6 (12 926) 43.0 (11 691)
I often say the first thing that comes to mind* (R) 27 155 24.3 (6586) 52.0 (14 118) 23.8 (6451)
It’s hard for me not to open presents before I’m supposed to (R) 27 149 43.6 (11 827) 30.6 (8302) 25.9 (7020)
When I am having a good time I find it hard to go home* (R) 27 144 14.6 (3955) 33.5 (9086) 52.0 (14 103)
I often call out answers before the teacher calls my name* (R) 27 133 54.8 (14 873) 33.4 (9059) 11.8 (3201)
The more I try to stop myself from doing something I shouldn’t, the more likely I am to do it (R) 27 127 51.4 (13 938) 36.8 (9994) 11.8 (3195)
Hyperactivity/Inattention (SDQ) I am restless, I cannot stay still for long 27 490 32.8 (9024) 41.2 (11 317) 26.0 (7149)
I am constantly fidgeting or squirming 27 481 52.7 (14 478) 34.0 (9335) 13.3 (3668)
I am easily distracted, I find it difficult to concentrate 27 479 39.5 (10 846) 42.5 (11 676) 18.0 (4957)
I think before I do things (R) 27 474 7.6 (2087) 52.7 (14 466) 39.8 (10 921)
I finish the work I'm doing. My attention is good (R) 27 472 5.9 (1610) 48.2 (13 232) 46.0 (12 630)
Perceptual Sensitivity (EATQ-R) I am very aware of noises 27 157 11.0 (2988) 40.8 (11 071) 48.2 (13 098)
I notice even little changes taking place around me, like lights getting brighter in a room 27 153 14.2 (3853) 39.4 (10 696) 46.4 (12 604)
I tend to notice little changes that other people do not notice 27 140 13.0 (3533) 49.2 (13 360) 37.8 (10 247)
I can tell if another person is angry by their expression 27 138 2.9 (774) 28.2 (7644) 69.0 (18 720)
Psychotic-Like Experiences (PLEQ-C) Have you ever…
… believed that other people could read your thoughts?* 27 000 54.2 (14 642) 33.5 (9048) 12.3 (3310)
… believed that you were being sent special messages through the television? 26 993 69.5 (18 773) 22.0 (5947) 8.4 (2273)
… thought that you were being followed or spied on? 26 992 43.0 (11 601) 34.2 (9229) 22.8 (6162)
… heard voices that other people could not hear? 26 990 42.9 (11 567) 30.5 (8227) 26.7 (7196)
… felt that you were under the control of some special power? 26 990 70.4 (19 012) 19.3 (5221) 10.2 (2757)
… known what another person was thinking even though that person wasn't speaking? 26 983 42.0 (11 345) 38.3 (10 330) 19.7 (5308)
… felt as though your body had been changed in some way that you could not understand? 26 976 55.2 (14 879) 30.7 (8290) 14.1 (3807)
… felt that you had special powers that other people don't have?* 26 976 62.0 (16 732) 23.4 (6314) 14.6 (3930)
… seen something or someone that other people could not see? 26 976 48.0 (12 949) 27.8 (7489) 24.2 (6538)
Agreeableness (BFQ-C) I am friendly to others in my school* 27 735 0.7 (185) 22.5 (6238) 76.8 (21 312)
I forgive others when they do something wrong* 27 734 3.2 (898) 38.3 (10 619) 58.5 (16 217)
I am kind even to people I don’t like* 27 422 10.4 (2853) 49.6 (13 615) 39.9 (10 954)
I think other people are good and honest 27 416 4.9 (1354) 55.7 (15 269) 39.4 (10 793)
I like to let other people use my things* 27 415 7.7 (2121) 49.7 (13 614) 42.6 (11 680)
Conscientiousness (BFQ-C) I check my work to make sure it is right* 27 734 7.6 (2118) 48.3 (13 395) 44.1 (12 221)
I like to be on time* 27 733 4.7 (1301) 29.0 (8051) 66.3 (18 381)
I keep my room neat and tidy* 27 427 16.8 (4596) 49.1 (13 476) 34.1 (9355)
I like to keep my things in order* 27 426 11.5 (3153) 40.7 (11 151) 47.8 (13 122)
I am messy* (R) 27 421 49.6 (13 591) 39.0 (10 687) 11.5 (3143)
Neuroticism (BFQ-C) I get nervous about many things* 27 734 24.0 (6649) 53.7 (14 895) 22.3 (6190)
I have bad moods* 27 734 24.0 (6662) 51.1 (14 177) 24.9 (6895)
I get angry easily* 27 734 51.6 (14 314) 34.1 (9446) 14.3 (3974)
I get upset easily* 27 733 54.6 (15 134) 34.2 (9473) 11.3 (3126)
I cry a lot* 27 733 75.4 (20 901) 19.7 (5469) 4.9 (1363)
Extraversion (BFQ-C) I am happy and active* 27 735 1.0 (289) 25.2 (6999) 73.7 (20 447)
I like to be with other people* 27 734 2.0 (556) 20.8 (5772) 77.2 (21 406)
I like to talk with others 27 428 1.6 (443) 19.5 (5358) 78.9 (21 627)
I make friends easily* 27 419 8.5 (2325) 38.0 (10 426) 53.5 (14 668)
I am a shy person* (R) 27 419 47.1 (12 928) 39.0 (10 696) 13.8 (3795)
Intellect/Openness (BFQ-C) I easily learn my school work* 27 735 4.2 (1171) 51.1 (14 177) 44.7 (12 387)
I know many things 27 735 3.3 (919) 46.2 (12 812) 50.5 (14 004)
I know the answers to questions my teacher asks* 27 734 3.3 (907) 71.4 (19 808) 25.3 (7019)
I understand my school work* 27 733 2.7 (762) 45.4 (12 588) 51.9 (14 383)
I like learning new things 27 415 3.2 (865) 26.3 (7223) 70.5 (19 327)
Self-esteem (MSLSS) There are lots of things I can do well 27 174 2.3 (629) 32.1 (8726) 65.6 (17 819)
I like myself 27 171 6.0 (1622) 28.5 (7745) 65.5 (17 804)
I am a nice person 27 169 1.4 (369) 29.6 (8033) 69.1 (18 767)
Daytime Sleepiness (PDSS) I fall asleep or get drowsy during class* 27 106 59.5 (16 120) 30.4 (8248) 10.1 (2738)
I am tired and grumpy during the day* 27 105 65.8 (17 833) 28.6 (7754) 5.6 (1518)
I am usually alert most of the day* (R) 27 104 9.1 (2475) 45.3 (12 282) 45.6 (12 347)
Connection to Nature (CTNI/CTNS) When I feel sad, I like to go outside and enjoy nature 27 103 19.8 (5361) 41.9 (11 345) 38.4 (10 397)
Being in nature makes me feel peaceful* 27 102 10.1 (2729) 38.1 (10 335) 51.8 (14 038)
I feel strongly connected with nature* 27 101 21.5 (5825) 45.0 (12 207) 33.5 (9069)

R denotes an item that was subsequently reversed in the computation of domain scores.

*Denotes item with minor wording change from original scale.

†Denotes item removed from the modified Empathy scale (three items).

‡Denotes item reassigned from the modified Inhibitory Control (items) to the modified Attention scale (items).

QSL, Quality of School Life; BFQ-C, short form of the Big Five Questionnaire for Children; CTNI/CTNS, Connection to Nature Index/Connectedness to Nature Scale; EATQ-R, Early Adolescent Temperament Questionnaire—Revised; FTI, Feeling and Thinking Index; HKS/MDI, Healthy Kids Scale/Middle Years Development Index; MSLSS, Multidimensional Students’ Life Satisfaction Scale; PDSS, Pediatric Daytime Sleepiness Scale; PLEQ-C, Psychotic-Like Experiences Questionnaire for Children; SDQ, Strengths and Difficulties Questionnaire.