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The HK/MBD questionnaire: factor structure and discriminant validity with an adolescent sample.

M Windle1

  • 1Research Institute on Alcoholism, Buffalo, New York 14203.

Alcoholism, Clinical and Experimental Research
|April 1, 1990
PubMed
Summary

The HK/MBD questionnaire shows a revised four-factor structure in adolescents, identifying hyperactivity/impulsivity, antisocial/oppositional behaviors, peer dysfunction, and learning problems. These factors predict various adolescent issues, with distinct patterns for externalizing and internalizing symptoms.

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Area of Science:

  • Psychology
  • Child and Adolescent Psychiatry
  • Behavioral Science

Background:

  • The HK/MBD questionnaire is a tool used to assess behavioral and emotional problems in children and adolescents.
  • Previous research has established a specific factor structure for the HK/MBD questionnaire.
  • Understanding the underlying structure is crucial for accurate diagnosis and intervention planning.

Purpose of the Study:

  • To examine the factor structure of the HK/MBD questionnaire in a nonclinical adolescent sample.
  • To assess the internal consistency and interrater reliability of the questionnaire's factors.
  • To investigate the differential predictive relations between the questionnaire's factors and adolescent problem behaviors.

Main Methods:

  • A revised four-factor structure was identified for the HK/MBD questionnaire using a sample of nonclinical adolescents.

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  • Internal consistency was assessed for each factor, with acceptable levels found for three factors.
  • Interrater reliability between adolescents and caregivers was significant for all four factors.
  • Factor intercorrelations were examined, revealing high correlations between hyperactivity/impulsivity and antisocial/oppositional behaviors.
  • Main Results:

    • The revised structure included hyperactivity/impulsivity, antisocial/oppositional behaviors, peer dysfunction, and learning problems.
    • Hyperactivity/impulsivity and antisocial/oppositional behaviors were strongly associated with externalizing problems like substance use and delinquency.
    • Peer dysfunction was primarily linked to internalizing symptoms such as depression.
    • Learning problems correlated with poor school performance and, to a lesser extent, with alcohol problems and depressive symptoms.
    • No significant gender differences were found in the relationships between the HK/MBD factors and adolescent problem behaviors.

    Conclusions:

    • The HK/MBD questionnaire demonstrates a valid four-factor structure in nonclinical adolescents, with a notable shift towards a peer dysfunction factor.
    • The identified factors differentially predict specific adolescent problem behaviors, aiding in targeted interventions.
    • The findings support the use of the HK/MBD questionnaire for assessing behavioral and emotional challenges in adolescents, with implications for both clinical and research settings.