Concurrent Validity of the Child Behavior Checklist DSM-Oriented Scales: Correspondence with DSM Diagnoses and Comparison to Syndrome Scales

Chad Ebesutani, Adam Bernstein, Brad J Nakamura, Bruce F Chorpita, Charmaine K Higa-McMillan, John R Weisz, The Research Network on Youth Mental Health, Chad Ebesutani, Adam Bernstein, Brad J Nakamura, Bruce F Chorpita, Charmaine K Higa-McMillan, John R Weisz, The Research Network on Youth Mental Health

Abstract

This study used receiver operating characteristic (ROC) methodology and discriminative analyses to examine the correspondence of the Child Behavior Checklist (CBCL) rationally-derived DSM-oriented scales and empirically-derived syndrome scales with clinical diagnoses in a clinic-referred sample of children and adolescents (N = 476). Although results demonstrated that the CBCL Anxiety, Affective, Attention Deficit/Hyperactivity, Oppositional and Conduct Problems DSM-oriented scales corresponded significantly with related clinical diagnoses derived from parent-based structured interviews, these DSM-oriented scales did not evidence significantly greater correspondence with clinical diagnoses than the syndrome scales in all cases but one. The DSM-oriented Anxiety Problems scale was the only scale that evidenced significantly greater correspondence with diagnoses above its syndrome scale counterpart -the Anxious/Depressed scale. The recently developed and rationally-derived DSM-oriented scales thus generally do not add incremental clinical utility above that already afforded by the syndrome scales with respect to corresponding with diagnoses. Implications of these findings are discussed.

References

    1. Achenbach TM. Integrative guide for the 1991 CBCL/4–18, YSR and TRF Profiles. Burlington: Department of Psychiatry, University of Vermont; 1991.
    1. Achenbach, T. M., & Dumenci, L. (2001). Advances in empirically based assessment: Revised cross-informant syndromes and new DSM-oriented scales for the CBCL, YSR, and TRF: Comment on Lengua, Sadowski, Friedrich, and Fisher (2001).
    1. Achenbach TM, Dumenci L, Rescorla LA. DSM-oriented and empirically based approaches to constructing scales from the same item pools. Journal of Clinical Child and Adolescent Psychology. 2003;32:328–40. doi: 10.1207/S15374424JCCP3203_02.
    1. Achenbach TM, Edelbrock CS. Manual for the child behavior checklist and revised behavior profile. Burlington: University of Vermont Department of Psychiatry; 1983.
    1. Achenbach T, Rescorla L. The Manual for the ASEBA School-Age Forms & Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, and Families; 2001.
    1. American Psychiatric Association . Diagnostic and statistical manual of mental disorders (4th ed., text revision) Washington: American Psychiatric Association; 2000.
    1. Analyse-it Software, Ltd. (2008). Analyse-it for Microsoft Excel (version 2.12).
    1. Chen W, Faraone S, Biederman J, Tsuang M. Diagnostic accuracy of the Children Behavior Checklist scales for attention-deficit hyperactivity disorder: A receiver-operating characteristic analysis. Journal of Consulting and Clinical Psychology. 1994;62:1017–1025. doi: 10.1037/0022-006X.62.5.1017.
    1. Christensen A, Margolin G, Sulloway M. Interparental agreement on child behavior problems. Psychological Assessment. 1992;4:419–425. doi: 10.1037/1040-3590.4.4.419.
    1. DeLong E, DeLong D, Clarke-Pearson D. Comparing the areas under two or more correlated receiver operating characteristic curves: A nonparametric approach. Biometrics. 1988;44:837–845. doi: 10.2307/2531595.
    1. Doucette A. Child and adolescent diagnosis: The need for a model-based approach. In: Beutler LE, Malik ML, editors. Rethinking the DSM. A psychological perspective. Washington: American Psychological Association; 2002. pp. 201–220.
    1. Drotar D, Stein REK, Perrin EC. Methodological issues in using the child behavior checklist and its related instruments in clinical child psychology research. Journal of Clinical Child Psychology. Special Issue: Methodological Issues in Clinical Child Psychology Research. 1995;24(2):184–192.
    1. Ebesutani, C., Bernstein, A., Nakamura, B., Chorpita, B., & Weisz, J. (2009). A psychometric analysis of the revised child anxiety and depression scale — parent version in a clinical sample. Manuscript submitted for publication.
    1. Eiraldi RB, Power TJ, Karustis JL, Goldstein S. Assessing ADHD and comorbid disorders in children: The Child Behavior Checklist and the Devereaux Scales of Mental Disorders. Journal of Clinical Child Psychology. 2000;29:3–16. doi: 10.1207/S15374424jccp2901_2.
    1. Ferdinand R. Validity of the CBCL/YSR DSM-IV scales Anxiety Problems and Affective Problems. Journal of Anxiety Disorders. 2008;22:126–134. doi: 10.1016/j.janxdis.2007.01.008.
    1. Fristad MA, Cummins J, Verducci JS, Teare M, Weller EB, Weller RA. Study III: development and concurrent validity of the Children's Interview for Psychiatric Syndromes-parent version (P-ChIPS) Journal of Child and Adolescent Pychopharmacology. 1998;8:221–226. doi: 10.1089/cap.1998.8.221.
    1. Jensen PS, Saltzberg AD, Richters J, Watanabe HK, Roper M. Scales, diagnoses, and child psychopathology. I. CBCL and DISC relationships. Journal of the American Academy of Child and Adolescent Psychiatry. 1993;32:397–406. doi: 10.1097/00004583-199303000-00022.
    1. Kasius MC, Ferdinand RF, van den Berg H, Verhulst FC. Associations between different diagnostic approaches for child and adolescent psychopathology. Journal of Child Psychology & Psychiatry. 1997;38:625–632. doi: 10.1111/j.1469-7610.1997.tb01689.x.
    1. Kendall P, Puliafico A, Barmish A, Choudhury M, Henin A, Treadwell K. Assessing anxiety with the Child Behavior Checklist and the Teacher Report Form. Journal of Anxiety Disorders. 2007;21:1004–1015. doi: 10.1016/j.janxdis.2006.10.012.
    1. Little R, Rubin D. Statistical Analysis with Missing Data. NY: J. Wiley & Sons; 1987.
    1. Nakamura BJ, Ebesutani C, Bernstein A, Chorpita BF. A psychometric analysis of the Child Behavior Checklist DSM-Oriented scales. Journal of Psychopathology and Behavioral Assessment. 2009;31(3):178–189. doi: 10.1007/s10862-008-9119-8.
    1. Seligman L, Ollendick T, Langley A, Baldacci B. The utility of measures of child and adolescent anxiety: a meta-analytic review of the Revised Children’s Manifest Anxiety Scale, the State-Trait Anxiety Inventory for Children, and the Child Behavior Checklist. Journal of Clinical Child and Adolescent Psychology. 2004;33:557–565. doi: 10.1207/s15374424jccp3303_13.
    1. SPSS, Inc. (2006). S.P.S.S. 15.0 Base User's Guide: Prentice Hall.
    1. Thurber S, Osborn RA. Comparisons of parent and adolescent perspectives on deviance. Journal of Genetic Psychology. 1993;154:25–32.
    1. Weller E, Weller R, Teare M, Fristad M. Parent Version-Children's Interview for Psychiatric Syndromes (P-ChIPS) Washington: American Psychiatric Press; 1999.

Source: PubMed

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