Validity of the DSM-Oriented scales of the child behavior checklist and youth self-report / Validez de las escalas DSM del Child Behavior Checklist y el Youth Self-Report

BACKGROUND: The school-age versions of the ASEBA (Achenbach System of Empirically Based Assessment) incorporate the DSM-Oriented scales. These scales make it possible to quantify and normalize problems defined in the DSM. The objective was to study the incremental validity of the DSM-Oriented scales of the ASEBA inventories, the Child Behavior Checklist - CBCL, completed by parents of children aged 6-18 years, and the Youth Self-Report -YSR, a self-report for children/adolescents aged 11-18, over: (a) scores on the Syndromes Scales for making DSM-IV diagnoses; and (b) diagnoses obtained with structured interviews for the assessment of functioning. METHOD: A clinical sample of 420 children and adolescents (8-17 years) was assessed with the CBCL, and 108 adolescents were assessed with the CBCL and YSR questionnaires. All underwent a diagnostic interview, and interviewers completed a measure of global functional impairment. RESULTS: The DSM-Oriented scales showed significant incremental validity in conjunction with the Empirical Syndrome scales for discriminating DSM-IV diagnoses, and considerable incremental validity in conjunction with the diagnoses obtained through the diagnostic interview for predicting the level of functional impairment. CONCLUSION: DSM-Oriented scales should be considered simultaneously with the Syndrome Scales of the ASEBA taxonomy, as they provide useful additional information in the clinical process

ANTECEDENTES: las formas esclares de ASEBA (Achenbach System of Empirically Based Assessment) incorpora las Escalas DSM. Estas dimensiones ofrecen la posibilidad de cuantificar y normalizar problemas que figuran en el DSM. El objetivo fue estudiar la validez incremental de las Escalas DSM de los inventarios ASEBA; Child Behavior Checklist - CBCL, contestado por padres de niños de 6-18 años, y Youth Self-Report - YSR, un autoinforme para niños/adolescentesANTECEDENTES: las formas esclares de ASEBA (Achenbach System of Empirically Based Assessment) incorpora las Escalas DSM. Estas dimensiones ofrecen la posibilidad de cuantificar y normalizar problemas que figuran en el DSM. El objetivo fue estudiar la validez incremental de las Escalas DSM de los inventarios ASEBA; Child Behavior Checklist - CBCL, contestado por padres de niños de 6-18 años, y Youth Self-Report - YSR, un autoinforme para niños/adolescentes de 11-18 años: a) mediante puntuaciones en las Escalas de Síndromes para realizar diagnósticos DSM-IV; y b) mediante diagnósticos obtenidos con entrevistas estructuradas para evaluar el funcionamiento. MÉTODO: se evaluó una muestra clínica de 420 niños y adolescentes (8-17 años) mediante el CBCL y 108 adolescentes fueron evaluados con el CBCL y YSR. Todos contestaron una entrevista diagnóstica y los evaluadores completaron una medida de deterioro funcional global. RESULTADOS: las Escalas DSM suponen un incremento de la validez significativo en relación a las Escalas de Síndromes Empíricos para discriminar diagnósticos DSM-IV, y una considerable validez incremental con respecto a los diagnósticos DICA-IV en la estimación del deterioro funcional. CONCLUSIÓN: las Escalas DSM deben ser consideradas simultáneamente con las Escalas de Síndromes de ASEBA, puesto que proporcionan información adicional en el proceso clínico

Validity of the DSM-Oriented scales of the Child Behavior Checklist and Youth Self-Report.

BACKGROUND: The school-age versions of the ASEBA (Achenbach System of Empirically Based Assessment) incorporate the DSM-Oriented scales. These scales make it possible to quantify and normalize problems defined in the DSM. The objective was to study the incremental validity of the DSM-Oriented scales of the ASEBA inventories, the Child Behavior Checklist - CBCL, completed by parents of children aged 6-18 years, and the Youth Self-Report -YSR, a self-report for children/adolescents aged 11-18, over: (a) scores on the Syndromes Scales for making DSM-IV diagnoses; and (b) diagnoses obtained with structured interviews for the assessment of functioning. METHOD: A clinical sample of 420 children and adolescents (8-17 years) was assessed with the CBCL, and 108 adolescents were assessed with the CBCL and YSR questionnaires. All underwent a diagnostic interview, and interviewers completed a measure of global functional impairment. RESULTS: The DSM-Oriented scales showed significant incremental validity in conjunction with the Empirical Syndrome scales for discriminating DSM-IV diagnoses, and considerable incremental validity in conjunction with the diagnoses obtained through the diagnostic interview for predicting the level of functional impairment. CONCLUSION: DSM-Oriented scales should be considered simultaneously with the Syndrome Scales of the ASEBA taxonomy, as they provide useful additional information in the clinical process.

Sex differences in oppositional defiant disorder / Diferencias de sexo en el trastorno negativista desafiante

The goal was to analyze the sex differences in symptoms, comorbidity and functional impairment in outpatient children with Oppositional Defiant Disorder (ODD). A sample of 343 children, aged 8 to 17 years and diagnosed with ODD, were assessed with a semi-structured diagnostic interview and dimensional measures of psychopathology and functional impairment. Boys with ODD more frequently displayed the symptoms «deliberately annoys» and «blames others», presented comorbid ADHD, and had greater functional impairment in school and community contexts; girls presented higher comorbidity with internalizing symptomatology (anxiety, depression and somatic complaints). Given that some clinical differences are apparent in ODD between boys and girls, it is necessary to consider the sex of the patient in order to identify and treat this disorder efficiently and effectively in boys and in girls (AU)

El objetivo es analizar las diferencias de sexo en la prevalencia, sintomatología, comorbilidad y deterioro funcional en pacientes externos con Trastorno Negativista Desafiante (TND). Una muestra de 343 niños y adolescentes de entre 8 y 17 años diagnosticados de TND fueron evaluados con una entrevista diagnóstica semiestructurada y otras medidas dimensionales de psicopatología y deterioro funcional. Los niños con TND mostraron con mayor frecuencia los síntomas «molestar deliberadamente» y «acusar a otros», mayor comorbilidad con trastorno por déficit de atención con hiperactividad y mayor deterioro funcional en el colegio y en la comunidad; las niñas presentaron mayor comorbilidad con sintomatología interiorizada (ansiedad, depresión y quejas somáticas). Niños y niñas presentan un cuadro clínico de TND con algunas diferencias. Es necesario adoptar una perspectiva de sexo para identificar y tratar el TND de manera eficaz y eficiente en niños y en niñas (AU)