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.