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DSM-Oriented Scales of the Child Behavior Checklist and Youth Self-Report in Clinically Referred Spanish Children

Published online by Cambridge University Press:  10 January 2013

Montserrat Lacalle ,
Lourdes Ezpeleta  and
Josep M. Doménech
Montserrat Lacalle*
Affiliation:
Universitat Autònoma de Barcelona (Spain)
Lourdes Ezpeleta
Affiliation:
Universitat Autònoma de Barcelona (Spain)
Josep M. Doménech
Affiliation:
Universitat Autònoma de Barcelona (Spain)
*
Correspondence concerning this article should be addressed to Montserrat Lacalle. Edificio B - Universitat Autònoma de Barcelona, 08193 – Bellaterra, Barcelona. (Spain). Phone: +34 935812883. E-mail: montserrat.lacalle@uab.cat
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Abstract

The Achenbach System of Empirically Based Assessment (ASEBA) is an example of the efforts to integrate categorical and dimensional assessment methods. The latest editions of the Child Behavior Checklist (CBCL) and the Youth Self-Report (YSR) included the DSM-Oriented Scales, constructed in rational manner based on the items making up these inventories. Objective: To analyze the psychometric properties of the DSM-Oriented Scales of the CBCL and YSR. Method: A clinical sample of 420 children and adolescents (aged 8-17 years) was assessed with the CBCL and YSR, with a structured diagnostic interview and with measures of functional impairment to study the reliability and validity of the DSM-Oriented Scales. Results: Internal consistency ranged from moderate to good for all the scales except the DSM-Anxiety Problems Scale. Agreement between parents and children ranged between moderate and low values. Kappa coefficients showed moderate agreement in the different symptoms. The DSM-Oriented Scales presented acceptable diagnostic power for DSM-IV disorders and a significant relationship with measures of functional impairment. Conclusion: The DSM-Oriented Scales constitute a useful approach from the dimensional model to the DSM-IV disorders in Spanish clinical population.

El Achenbach System of Empirically Based Assessment (ASEBA) es un ejemplo de los esfuerzos realizados para converger los métodos de evaluación categoriales y dimensionales. El Child Behavior Checklist (CBCL) y el Youth Self-Report (YSR) han incluido en su última edición las Escalas DSM construidas de modo racional a partir de los ítems que forman parte de estos inventarios. Objetivo: analizar las propiedades psicométricas de las Escalas DSM de los cuestionarios CBCL y YSR. Método: se evaluó una muestra clínica de 420 niños y adolescentes (8-17 años) con los cuestionarios CBCL y YSR, con una entrevista diagnóstica estructurada y con medidas de deterioro funcional para estudiar la fiabilidad y validez de las Escalas DSM. Resultados: La consistencia interna osciló entre moderada y buena en todas las escalas, excepto en la Escala DSM-Pr. Ansiedad. El acuerdo entre padres e hijos fluctuó entre valores moderados y bajos. Los coeficientes Kappa mostraron una concordancia moderada en los diferentes síntomas. Las Escalas DSM presentaron un aceptable poder diagnóstico sobre los trastornos DSM-IV y una relación significativa con medidas de deterioro funcional. Conclusión: las Escalas DSM son una aproximación útil desde el modelo dimensional a los trastornos DSM-IV en población clínica española.

Keywords

DSM scalespsychopathologytaxonomyCBCLYSRescalas DSMpsicopatologíataxonomíaCBCLYSR
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 15 , Issue 1 , March 2012 , pp. 377 - 387
Copyright
Copyright © Cambridge University Press 2012

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References

Abad, J., Forns, M., Amador, J. A., & Martorell, B. (2000). Fiabilidad y validez del Youth Self Report en una muestra de adolescentes [Reliability and validity of the Youth Self Report in a sample of adolescents]. Psicothema, 12, 49–54.Google Scholar
Achenbach, T. M. (1990). Conceptualization of developmental psychopathology. In Lewis, M. & Miller, S. (Eds.), Handbook of developmental psychopathology (pp. 3–14). New York, NY: Plenum Press.CrossRefGoogle Scholar
Achenbach, T. M., Dumenci, L., & Rescorla, L. A. (2001, October). Ratings of Relations Between DSM-IV Diagnostic Categories and Items of the CBCL/6-18, TRF, and YSR. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families. Retrieved from http://www.aseba.org/research/DSM6-18ratings.pdfGoogle Scholar
Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA School-Age Forms & Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.Google Scholar
Aebi, M., Metzke, C. W., & Steinhausen, H. C. (2009). Prediction of major affective disorders in adolescents by self-report measures. Journal of Affective Disorders, 115, 140–149. http://dx.doi.org/10.1016/j.jad.2008.09.017Google Scholar
Albores, L., Lara, C., Esperón, C., Cárdenas, J. A., Pérez, A. M., & Villanueva, G. (2007). Validez y fiabilidad del CBCL/6-18. Incluye las escalas DSM [Validity and reliability of the CBCL/6-18. Includes DSM scales]. Actas Españolas de Psiquiatría, 35, 393–399.Google Scholar
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.-Revised Text). Washington, DC: Author.Google Scholar
Bender, H. A., Auciello, D., Morrison, C. E., MacAllister, W. S., & Zaroff, C. M. (2008). Comparing the convergent validity and clinical utility of the Behavior Assessment System for Children-Parent Rating Scales and Child Behavior Checklist. Epilepsy and Behavior, 13, 237–242.CrossRefGoogle Scholar
Bernedo, I. M., Fuentes, M. J., & Fernández, M. (2008). Behavioral problems in adolescents raised by their grandparents. The Spanish Journal of Psychology, 11, 453–463.CrossRefGoogle ScholarPubMed
Cantwell, D. P. (1996). Classification of child and adolescent psychopathology. Journal of Child Psychology and Psychiatry, 37, 3–12. http://dx.doi.org/10.1111/j.1469-7610.1996.tb01377.xGoogle Scholar
Cerel, J., & Fristad, M. A. (2001). Scaling structured interview data: A comparison of two methods. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 341–346. http://dx.doi.org/10.1097/00004583-200103000-00014Google Scholar
Chorpita, B. F., Albano, A. M., & Barlow, D. H. (1998). The structure of negative emotions in a clinical sample of children and adolescents. Journal of Abnormal Psychology, 107, 74–85. http://dx.doi.org/10.1037//0021-843X.107.1.74CrossRefGoogle Scholar
Clark, L. A., Watson, D., & Reynolds, C. R. (1995). Diagnosis and classification of psychopathology: Challenges to the current system and future directions. Annual Review of Psychology, 46, 121–153. http://dx.doi.org/10.1146/annurev.ps.46.020195.001005CrossRefGoogle Scholar
Cohen, J. (1960). A coefficient of agreement for nominal scales. Educacional. Psychological Means, 20, 37–46. http://dx.doi.org/10.1177/001316446002000104CrossRefGoogle Scholar
Cronbach, L.J. (1951). Coefficient alpha and the internal structure of test. Psychometrika, 16, 297–334. http://dx.doi.org/10.1007/BF02310555Google Scholar
de la Osa, N., Ezpeleta, L., Doménech, J. M., Navarro, J. B., & Losilla, J. M. (1996). Fiabilidad entre entrevistadores de la DICA-R [Inter-interviewers reliability of the DICA-R]. Psicothema, 8, 359–368.Google Scholar
del Barrio, V. (1995). Evaluación clínica infantil y adolescente [Clinical assessment in children and adolescents]. In Silva, F. (Ed.), Evaluación Psicológica en niños y adolescentes [Psychological assessment in children and adolescents] (pp. 461–529). Madrid, Spain: Síntesis Psicológica.Google Scholar
del Barrio, V., & Cerezo, M. A. (1990, Abril). CBCL-Achenbach. Escala de Problemas Infantiles en población española. Varones 6-11 años [CBCL-Achenbach. Child Problems Scale in Spanish population. Males 6-11 years]. Communication presented at the II Congress of the Spanish Psychological Association. Area, 7. Valencia, Spain.Google Scholar
Edelbrock, C., & Costello, A. J. (1988). Convergence between statistically derived behavior problem syndromes and child psychiatric diagnoses. Journal of Abnormal Child Psychology, 16, 219–231. http://dx.doi.org/10.1007/BF00913597Google Scholar
Ezpeleta, L., Granero, R., de la Osa, N., Doménech, J. M., & Bonillo, A. (2006). Assessment of functional impairment in Spanish children. Applied Psychology: An International Review, 55, 130–143. http://dx.doi.org/10.1111/j.1464-0597.2006.00242.xCrossRefGoogle Scholar
Ezpeleta, L., de la Osa, N., Júdez, N., Doménech, J. M., Navarro, J. B., & Losilla, J. M. (1997). Diagnostic agreement between clinicians and the Diagnostic Interview for Children and Adolescents -DICA-R- in an outpatient sample. Journal of Child Psychology and Psychiatry, 38, 431–440. http://dx.doi.org/10.1111/j.1469-7610.1997.tb01528.xCrossRefGoogle Scholar
Ferdinand, R. F. (2007). Predicting anxiety diagnoses with the Youth Self-Report. Depression and Anxiety, 24, 32–40. http://dx.doi.org/10.1002/da.20186CrossRefGoogle ScholarPubMed
Ferdinand, R. F. (2008). Validity of the CBCL/YSR DSM-IV scales anxiety problems and affective problems. Journal of Anxiety Disorders, 22, 126–134. http://dx.doi.org/10.1016/j.janxdis.2007.01.008Google Scholar
Fleiss, J. L. (1986). The design and analysis of clinical experiments. New York, NY: Jhon Wiley & Sons.Google Scholar
Hodges, K. (1995a). CAFAS self-training manual and blank scoring forms. Ann Arbor, MI: Author.Google Scholar
Hodges, K. (1995b). Child and Adolescent Functional Assessment Scale. Ypsilanti, MI: Eastern Michigan University.Google Scholar
Hodges, K., Gordon, Y., & Lennon, M. P. (1990). Parent-child agreement on symptoms assessed via a clinical research interview for children: The Child Assessment Schedule (CAS). Journal of Child Psychology and Psychiatry and Allied Disciplines, 31, 427–436. http://dx.doi.org/10.1111/j.1469-7610.1990.tb01579.xGoogle Scholar
Hollingshead, A.B. (1975). Four factor index of social status. (Unpublished manuscript). Yale University. New Heaven, CT.Google Scholar
Kasius, M. C., Ferdinand, R. F., van de Berg, H., & Verhulst, F. C. (1997). Association between different diagnostic approaches for child and adolescent psychopathology. Journal of Child Psychology and Psychiatry and Allied Disciplines, 38, 625–632. http://dx.doi.org/10.1111/j.1469-7610.1997.tb01689.xCrossRefGoogle ScholarPubMed
Kendall, P. C., Cantwell, D. P., & Kazdin, A. E. (1989). Depression in children and adolescents: Assessment issues and recommendations. Cognitive Therapy Research, 13, 109–146. http://dx.doi.org/10.1007/BF01173268Google Scholar
Kendall, P. C., Puliafico, A. C., Barmish, A. J., Choudhury, M. S., Henin, A., & Treadwell, K. S. (2007). Assessing anxiety with the Child Behavior Checklist and the Teacher Report Form. Journal of Anxiety Disorders, 21, 1004–1015. http://dx.doi.org/10.1016/j.janxdis.2006.10.012Google Scholar
Krol, N. P., de Bruyn, E. E. J., Coolen, J. C., & van Aarle, E. J. M. (2006). From CBCL to DSM: A comparison of two methods to screen for DSM-IV diagnoses using CBCL data. Journal of Clinical Child and Adolescent Psychology, 35, 127–135. http://dx.doi.org/10.1207/s15374424jccp3501_11CrossRefGoogle ScholarPubMed
Lahey, B. B., Appleagate, B., Waldman, I., Loft, J. D., Hankin, B. L., & Rick, J. (2004). The structure of child and adolescent psychopathology: Generating new hypotheses. Journal of Abnormal Psychology, 113, 358–385. http://dx.doi.org/10.1037/0021-843X.113.3.358CrossRefGoogle ScholarPubMed
Lahey, B. B., Rathouz, P. J., Van Hulle, C., Urbano, R. C., Krueger, R. F., Applegate, B., … Waldman, I.D. (2008). Testing structural models of DSM-IV symptoms of common forms of child and adolescent psychopathology. Journal of Abnormal Child Psychology, 36, 187–207. http://dx.doi.org/10.1007/s10802-007-9169-5CrossRefGoogle ScholarPubMed
Lemos, S., Fidalgo, A. M., Calvo, P., & Menendez, P. (1992). Salud mental de los adolescentes asturianos [Mental health of the Asturian adolescents]. Psicothema, 4, 21–48.Google Scholar
Lengua, L. J., Sadowski, C. A., Friedrich, W. N., & Fisher, J. (2001). Rationally and empirically derived dimensions of children's symptomatology: Expert ratings and confirmatory factor analyses of the CBCL. Journal of Consulting and Clinical Psychology, 69, 683–698. http://dx.doi.org/10.1037//0022-006X.69.4.683CrossRefGoogle ScholarPubMed
Lengua, L. J., West, S. G., & Sandler, I. N. (1998). Temperament as a predictor of symptomatology in children: Addressing contamination of measures. Child Development, 69, 164–181. http://dx.doi.org/10.2307/1132078Google Scholar
Lonigan, C. J., Carey, M. P., & Finch, A. J. (1994). Anxiety and depression in children and adolescents: Negative affectivity and the utility of self-report. Journal of Consulting Psychology, 62, 1000–1008. http://dx.doi.org/10.1037/0022-006X.62.5.1000Google Scholar
Lucas, C. P., Zhang, H., Fisher, P. W., Shaffer, D., Regier, D. A., Narrow, W. E., … Friman, P. (2001). The DISC Predictive Scales (DPS): Efficiently screening for diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 443–449. http://dx.doi.org/10.1097/00004583-200104000-00013CrossRefGoogle ScholarPubMed
Macmann, G. M., Barnett, D. W., Burd, S. A., Jones, T., LeBuffe, P. A., O'Malley, D., … Wright, A. (1992). Construct validity of the Child Behavior Checklist: Effects of item overlap on second-order factor structure. Psychological Assessment, 4, 113–116. http://dx.doi.org/10.1037//1040-3590.4.1.113CrossRefGoogle Scholar
Mattison, R. E., Gadow, K. D., Sprafkin, J., Nolan, E. E., & Schneider, J. (2003). A DSM-IV-Referenced teacher rating scale for use in clinical management. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 442–449. http://dx.doi.org/10.1097/01.CHI.0000046813.95464.B3CrossRefGoogle ScholarPubMed
Muris, P., Schmidt, H., Merckelbach, H., & Schouten, E. (2001). The structure of negative emotions in adolescents. Journal of Abnormal Child Psychology, 29, 331–337. http://dx.doi.org/10.1023/A:1010361913186Google Scholar
Nakamura, B. J., Ebesutani, C., Bernstein, A., & Chorpita, B. F. (2009). A psychometric analysis of the Child Behavior Checklist DSM-Oriented Scales. Journal of Psychopathology Behavioral Assessment, 31, 178–189. http://dx.doi.org/10.1007/s10862-008-9119-8Google Scholar
Reich, W. (2000). Diagnostic Interview for Children and Adolescent (DICA). Journal of the American Academy of Child and Adolescent Psychiatry, 39, 59–66. http://dx.doi.org/10.1097/00004583-200001000-00017Google Scholar
Rescorla, L. A. (2005). Assessment of young children using the Achenbach System of Empirically Based Assessment (ASEBA). Mental Retardation and Developmental Disabilities Research Reviews, 11, 226–237. http://dx.doi.org/10.1002/mrdd.20071Google Scholar
Sala, R., Granero, R., & Ezpeleta, L. (2006). Dimensional Analysis of a Categorical Diagnostic Interview: The DICA-IV. Psicothema, 18, 123–129.Google Scholar
Sardinero, E., Pedreira, J. L., & Muñiz, J. (1997). El cuestionario CBCL de Achenbach: Adaptación española y aplicaciones clínico-epidemiológicas [The Achenbach's CBCL questionnaire: Spanish adjustment and clinical - epidemiological applications]. Clínica y Salud, 8, 447–480.Google Scholar
Schwab-Stone, M., Fisher, P., Piacentini, J., Shaffer, D., Davies, M., & Briggs, M. (1993). The Diagnostic Interview Schedule for Children-Revised (DISC-R): II. Test-retest reliability. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 651–657. http://dx.doi.org/10.1097/00004583-199305000-00024Google Scholar
Silva, R. R., Alpert, M., Pouget, E., Silva, V., Trosper, S., Reyes, K., & Dummit, S. (2005). A rating scale for disruptive behavior disorders, based on the DSM-IV item pool. Psychiatric Quarterly, 76, 327–339. http://dx.doi.org/10.1007/s11126-005-4966-xCrossRefGoogle ScholarPubMed
Van Lang, N. D. J., Ferdinand, R. F., Oldehinkel, A. J., Ormel, J., & Verhulst, F. C. (2005). Concurrent validity of the DSM-IV scales affective problems and anxiety problems of the Youth Self-Report. Behaviour Research and Therapy, 43, 1485–1494. http://dx.doi.org/10.1016/j.brat.2004.11.005Google Scholar
Vreugdenhill, C., van de Brink, W., Ferdinand, R., Wouters, L., & Doreleijers, T. (2006). The ability of YSR scales to predict DSM/DISC-C psychiatric disorders among incarcerated male adolescents. European Child & Adolescent Psychiatry, 15, 88–96. http://dx.doi.org/10.1007/s00787-006-0497-8Google Scholar
Wakefield, J. C. (1999). Philosophy of science and the progressiveness of the DSM's theory-neutral nosology: Response to Follette and Houts, part 1. Behavior Research and Therapy, 37, 963–999. http://dx.doi.org/10.1016/S0005-7967(98)00192-2CrossRefGoogle ScholarPubMed