Screening for DSM‐IV externalizing disorders with the Child Behavior Checklist: a receiver‐operating characteristic analysis
- 27 August 2004
- journal article
- clinical trial
- Published by Wiley in Journal of Child Psychology and Psychiatry
- Vol. 45 (7) , 1299-1307
- https://doi.org/10.1111/j.1469-7610.2004.00314.x
Abstract
This study examines the diagnostic accuracy of the CBCL syndrome AS scales for predicting DSM-IV Attention Deficit-Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder with or without Conduct Disorder (ODD/CD).The sample included 370 children (187 probands and 183 siblings) participating in a family genetic study of attention and aggressive behavior problems. Univariate and stepwise logistic regression analyses were used to derive models for predicting two diagnostic conditions: ADHD and ODD/CD.The Attention Problems syndrome significantly predicted ADHD, and ODD/CD was significantly predicted by the Aggressive Behavior syndrome. Both scales demonstrated good diagnostic accuracy, as assessed through receiver operating characteristics analyses. Cut-point analyses confirmed the utility of low T-scores, 55 on the respective syndromes, for efficiently discriminating cases from noncases.CBCL syndromes display good diagnostic efficiency for assessing common externalizing disorders in children.Keywords
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