Assessment of dysregulated children using the Child Behavior Checklist: A receiver operating characteristic curve analysis.
- 1 January 2010
- journal article
- Published by American Psychological Association (APA) in Psychological Assessment
- Vol. 22 (3), 609-617
- https://doi.org/10.1037/a0019699
Abstract
Disorders of self-regulatory behavior are common reasons for referral to child and adolescent clinicians. Here, the authors sought to compare 2 methods of empirically based assessment of children with problems in self-regulatory behavior. Using parental reports on 2,028 children (53% boys) from a U.S. national probability sample of the Child Behavior Checklist (CBCL; T. M. Achenbach & L. A. Rescorla, 2001), the receiver operating characteristic curve analysis was applied to compare scores on the Posttraumatic Stress Problems Scale (PTSP) of the CBCL with the CBCL Dysregulation Profile (DP), identified using latent class analysis of the Attention Problems, Aggressive Behavior, and Anxious/Depressed scales of the CBCL. The CBCL-PTSP score demonstrated an area under the curve of between .88 and .91 for predicting membership in the CBCL-DP profile for boys and for girls. These findings suggest that the CBCL-PTSP, which others have shown does not uniquely identify children who have been traumatized, does identify the same profile of behavior as the CBCL-DP. Therefore, the authors recommend renaming the CBCL-PTSP the Dysregulation Short Scale and provide some guidelines for the use of the CBCL-DP scale and the CBCL-PTSP in clinical practice.Funding Information
- National Institute of Mental Health (K08 MH082116, K08 MH069562)
This publication has 29 references indexed in Scilit:
- Cross-informant agreement of the Dysregulation Profile of the Child Behavior ChecklistPsychiatry Research, 2010
- The Child Behavior Checklist (CBCL) and the CBCL-Bipolar Phenotype Are Not Useful in Diagnosing Pediatric Bipolar DisorderJournal of Child and Adolescent Psychopharmacology, 2009
- Diagnosis and classification of pediatric bipolar disorderJournal of Affective Disorders, 2008
- CBCL-pediatric bipolar disorder phenotype: severe ADHD or bipolar disorder?Journal of Neural Transmission, 2007
- Who Are the Children With Severe Mood Dysregulation, a.k.a. “Rages”?American Journal of Psychiatry, 2007
- The CBCL predicts DSM bipolar disorder in children: a receiver operating characteristic curve analysisBipolar Disorders, 2005
- Employing Parent, Teacher, and Youth Self-Report Checklists in Identifying Pediatric Bipolar Spectrum Disorders: An Examination of Diagnostic Accuracy and Clinical UtilityJournal of Child and Adolescent Psychopharmacology, 2003
- Relational Aggression, Gender, and Social-Psychological AdjustmentChild Development, 1995
- Using signal detection methodology to revise DSM-III-R: Re-analysis of the DSM-III-R national field trials for autistic disorderJournal of Psychiatric Research, 1990
- Statistical Approaches to the Analysis of Receiver Operating Characteristic (ROC) CurvesMedical Decision Making, 1984