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Clinical utility of the CBCL Dysregulation Profile in children with disruptive behavior
Madison Aitken1, Marco Battaglia1, Cecilia Marino1
1Centre for Addiction and Mental Health, Toronto, Canada; University of Toronto, Department of Psychiatry, Toronto, Canada.
Insights
The Child Behavior Checklist Dysregulation Profile (CBCL-DP) may help identify severely dysregulated children, but parent-teacher agreement is low. This tool shows promise for identifying symptomatic children with disruptive behaviors, as rated by parents.
Area of Science:
- Child psychology
- Developmental psychopathology
- Behavioral assessment
Background:
- Severely dysregulated children face significant impairments and are at high risk for mood and anxiety disorders.
- The Child Behavior Checklist Dysregulation Profile (CBCL-DP) offers a potential tool for identifying these children, enabling early intervention.
Purpose of the Study:
- To examine the prevalence, gender differences, parent-teacher agreement, and concurrent validity of two definitions of the CBCL-DP.
- To assess the utility of the CBCL-DP in identifying dysregulated children referred for disruptive behavior.
Main Methods:
- The study analyzed data from 348 clinic-referred children aged 6-12 with disruptive behaviors.
- Two categorical definitions of the CBCL-DP were applied to assess prevalence and characteristics.
Main Results:
- CBCL-DP prevalence varied significantly based on definition stringency (46.8% vs. 15.2%).
- Girls were more likely to meet criteria under the stringent definition; parent-teacher agreement was low, especially with the stringent definition.
- Parents rated children with CBCL-DP as more impaired than others, irrespective of definition, while teacher ratings showed no significant difference.
Conclusions:
- The CBCL-DP, particularly as rated by parents, appears to identify a group of children with disruptive behavior who are notably symptomatic and impaired.
- Further research is needed to address limitations, including predictive validity and informant effects.
Background:
Children who are severely dysregulated experience a range of concurrent and long-term impairments and psychopathology and are particularly at-risk for mood and anxiety disorders. The Child Behavior Checklist Dysregulation Profile (CBCL-DP) may be useful in identifying children who are highly dysregulated, which could facilitate early intervention.
Methods:
We examined the prevalence, gender differences, parent-teacher agreement, and concurrent validity of two categorical definitions of the CBCL-DP in 348 children ages 6-12 who were clinic-referred for assessment and treatment because of disruptive behavior.
Results:
Rates of the CBCL-DP were 3 times higher when a less stringent versus a more stringent definition of the CBCL-DP was used (46.8% vs. 15.2%). Girls were more likely than boys to meet criteria for the CBCL-DP when the more stringent definition was used. Parent-teacher agreement was low, particularly when the more stringent definition of the CBCL-DP was used. Children with the CBCL-DP were rated by their parents, but not their teachers, as more impaired than other children, regardless of the definition of the CBCL-DP used, and even when compared to children with clinically elevated scores on other CBCL subscales.
Limitations:
Our cross-sectional data did not allow us to examine the predictive validity of the CBCL-DP, informant effects may have inflated associations between CBCL-DP and parent-rated impairment, and teacher ratings were missing for many children.
Conclusions:
Our findings support other reports that provide evidence that the CBCL-DP may identify a particularly symptomatic and impaired group of children with disruptive behavior, as rated by their parents.
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