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

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

Research output: Contribution to journalArticle

158 Scopus citations

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

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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