Development of a Child Problem-Behavior Screening Test / 신경정신의학

ABSTRACT

OBJECTIVES: Purpose of this study was to develop a test screening children's emotional and behavioral problem. METHODS: Child Problem-Behavior Screening Test (CPST) is a brief behavioral screening questionnaire that can be completed by parents or teachers. The 2nd to 4th graders (N=970) of the two elementary schools in Seoul, Korea, participated in the study. Parents and teachers completed a CPST and parents completed Child Behavior Checklist-Korean version (K-CBCL). The Reliability and validity of the CPST was evaluated by comparing with K-CBCL and by performing the factor analysis, t-test and correlation analysis. RESULTS: Internal Consistency of CPST was relatively good (Cronbach's alpha; Parent=.846, Teacher=.834). The result of factor analysis shows that the CPST has a four-factor structure, representing 'externalizing problem', 'internalizing problem', 'physical health problem' and 'cognitive problem'. In the parent's and teacher's CPST, total variance of the four factor was 37.8% and 43.8%, respectively. There were significant correlations among subscales of parent's CPST and K-CBCL. CPST effectively distinguished children with psychiatric problems from children without psychiatric problems. CONCLUSION: The results support that the test developed in this study is efficient to identify the children's emotional and behavioral problmes. This study also proves the usefulness of the CPST as a promising screening test of child problem behavior for large epidemiological study. In the future, a study to standardize this test is necessary, and from this, the cut-off score and norms should be developed.