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DSM-IV Internal Construct Validity: When a Taxonomy Meets Data
Published online by Cambridge University Press: 01 October 2001
Abstract
The use of DSM-IV based questionnaires in child psychopathology is on the increase. The internal construct validity of a DSM-IV based model of ADHD, CD, ODD, Generalised Anxiety, and Depression was investigated in 11 samples by confirmatory factor analysis. The factorial structure of these syndrome dimensions was supported by the data. However, the model did not meet absolute standards of good model fit. Two sources of error are discussed in detail: multidimensionality of syndrome scales, and the presence of many symptoms that are diagnostically ambiguous with regard to the targeted syndrome dimension. It is argued that measurement precision may be increased by more careful operationalisation of the symptoms in the questionnaire. Additional approaches towards improved conceptualisation of DSM-IV are briefly discussed. A sharper DSM-IV model may improve the accuracy of inferences based on scale scores and provide more precise research findings with regard to relations with variables external to the taxonomy.
- Type
- Paper
- Information
- The Journal of Child Psychology and Psychiatry and Allied Disciplines , Volume 42 , Issue 6 , September 2001 , pp. 817 - 836
- Copyright
- © 2001 Association for Child Psychology and Psychiatry