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The psychological health of children is a global health concern. The international Health Behavior in School-Aged Children (HBSC) study has surveyed the psychological health of youths in over 40 countries. The HBSC questionnaire includes a brief symptom checklist of psychological complaints, but it has not yet been validated. This study evaluated the construct validity of the psychological health self-report tool used in the HBSC study. We used data from 26,078 participants in the 2010 Canadian HBSC survey. The core HBSC questionnaire measured common psychosomatic complaints using the HBSC symptom checklist (HBSC-SCL). The Canadian survey included an additional series of questions that measure four dimensions of mental health (emotional problems, emotional well-being, behavioral problems, prosocial behavior). We used these items to evaluate the construct validity of psychological …