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Child Behaviour Checklist classification of behaviour disorder

T M Nolan1, L Bond, R Adler

  • 1Department of Paediatrics, Royal Children's Hospital, Parkville, Victoria, Australia.

Journal of Paediatrics and Child Health
|October 1, 1996
PubMed
Summary
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The Child Behaviour Checklist (CBCL) cut-off scores are applicable for classifying behavior disorders in Australian children. This study validates their use in clinical settings, supporting their effectiveness.

Area of Science:

  • Child and Adolescent Psychiatry
  • Psychometric Validation
  • Behavioral Science

Background:

  • The Child Behaviour Checklist (CBCL) is a widely used tool for assessing child behavior.
  • Clinical cut-off scores are established for identifying behavior disorders.
  • The applicability of these scores in diverse populations requires validation.

Purpose of the Study:

  • To determine if published clinical cut-off scores of the Child Behaviour Checklist (CBCL) are applicable for classifying behavior disorders in an Australian context.
  • To assess the sensitivity and specificity of CBCL cut-off scores using psychiatric referral as a gold standard.

Main Methods:

  • Child Behaviour Checklists were collected from 1342 children referred to mental health centers in Melbourne.
  • A normative community sample of 1002 children (aged 7, 12, 15) was used for comparison.

Related Experiment Videos

  • Statistical analysis evaluated the performance of CBCL cut-off scores against psychiatric referral data.

    • Main Results:

    • The mean total problem T-score for referred children was 67, exceeding the clinical range across all age groups.
    • Using a cut-off of >= 60, CBCL demonstrated 77.4% sensitivity and 83.2% specificity.
    • A cut-off of >= 63 yielded 70.5% sensitivity and 88.6% specificity, showing favorable comparison with American samples.

    Conclusions:

    • The study supports the usefulness and applicability of recommended CBCL cut-off scores in an Australian population.
    • Despite some sample limitations, the findings validate the CBCL's utility for behavior disorder classification in Australia.
    • The results suggest that established CBCL cut-off scores can be reliably applied to Australian children.