Screening for DSM-IV externalizing disorders with the Child Behavior Checklist: A receiver-operating characteristic analysis

James J. Hudziak, William Copeland, Catherine Stanger, Martha Ellen Wadsworth

Research output: Contribution to journalArticle

148 Citations (Scopus)

Abstract

Background: 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). Methods: 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. Results: 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. Conclusions: CBCL syndromes display good diagnostic efficiency for assessing common externalizing disorders in children.

Original languageEnglish (US)
Pages (from-to)1299-1307
Number of pages9
JournalJournal of Child Psychology and Psychiatry and Allied Disciplines
Volume45
Issue number7
DOIs
StatePublished - Oct 2004

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Child Behavior Disorders
Checklist
ROC Curve
Diagnostic and Statistical Manual of Mental Disorders
Attention Deficit Disorder with Hyperactivity
Attention Deficit and Disruptive Behavior Disorders
Conduct Disorder
Siblings
Logistic Models
Regression Analysis

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health
  • Developmental and Educational Psychology

Cite this

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abstract = "Background: 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). Methods: 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. Results: 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. Conclusions: CBCL syndromes display good diagnostic efficiency for assessing common externalizing disorders in children.",
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Screening for DSM-IV externalizing disorders with the Child Behavior Checklist : A receiver-operating characteristic analysis. / Hudziak, James J.; Copeland, William; Stanger, Catherine; Wadsworth, Martha Ellen.

In: Journal of Child Psychology and Psychiatry and Allied Disciplines, Vol. 45, No. 7, 10.2004, p. 1299-1307.

Research output: Contribution to journalArticle

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