Diagnostic efficiency and psychometric properties of CBCL DSM-oriented scales in a large sample of Chinese school-attending students aged 5-16

被引：8

作者：

Jiang, Zhongliang ^{[1
]}

Wang, Duo ^{[1
]}

Xu, Hui ^{[1
]}

Zhang, Anyi ^{[1
]}

Zhao, Qing ^{[1
]}

Yan, Junjuan ^{[1
]}

Wang, Xianbin ^{[1
]}

Zhang, Wenyan ^{[1
]}

Li, Yanlin ^{[2
]}

Yang, Kai ^{[1
]}

Hu, Shujin ^{[1
]}

Cui, Yonghua ^{[1
,3
]}

Li, Ying ^{[1
,3
]}

机构：

[1] Capital Med Univ, Beijing Childrens Hosp, Natl Ctr Childrens Hlth, Dept Psychiat, Beijing, Peoples R China

[2] Peking Univ Sixth Hosp, Natl Clin Res Ctr Mental Disorders, NHC Key Lab Mental Hlth, Inst Mental Hlth, Beijing, Peoples R China

[3] Capital Med Univ, Beijing Childrens Hosp, Natl Ctr Children Hlth, 56 Nanlishi Rd, Beijing 100101, Peoples R China

来源：

ASIAN JOURNAL OF PSYCHIATRY | 2023年 / 88卷

基金：

中国国家自然科学基金;

关键词：

CBCL; DSM; Efficiency; Chinese students; Cutoff; CHILD-BEHAVIOR CHECKLIST; ANXIETY PROBLEMS; VALIDITY; BOYS; PSYCHOPATHOLOGY; ACCURACY; DISORDER; PROFILE; SPANISH;

D O I：

10.1016/j.ajp.2023.103724

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background: Children and adolescents are vulnerable to various psychiatric disorders during the critical phase of individual development. In China, the child behavior checklist (CBCL) is a widely employed psychometric questionnaire for assessing children and adolescents. However, further validation of the psychometric properties and diagnostic effectiveness of the CBCL DSM-oriented scales is necessary. These scales were developed based on DSM diagnosis and require evaluation using a substantial sample of Chinese individuals. Methods: This study involved the analysis of a substantial dataset consisting of 72,109 samples collected from five provinces in China. Data was gathered using the CBCL (Parent Rating Scale), and rigorous assessments of reliability and validity were conducted. The mini-international neuropsychiatric interview for children and adolescents (MINI-KID) and the diagnostic and statistical manual of mental disorders-IV (DSM-IV) interview were employed to diagnose the participants. To ensure the accuracy of the diagnoses, receiver operating characteristic curve (ROC curves) were utilized, and the Youden Index was calculated to determine the appropriate diagnostic cut-off point for each specific target diagnosis. Results: The study included a total sample of 72,109 cases, out of which 19,782 cases underwent MINI-KID assessment and structured or semi-structured interviews based on DSM-IV to clarify the diagnosis. Reliability and validity analyses showed that the reliability of the subscales and total scales was good, except for Anxiety Problems. The Cronbach's alpha for the CBCL DSM-oriented scales was 0.92. In addition, the validity of all scales was good (CFI = 0.80). For the sample with a clear diagnosis, all five subscales of the CBCL DSM-oriented scales showed fair diagnostic efficiency for the target diagnosis. Among them, the area under curves (AUC) of Mood disorder, Anxiety, Attention deficit and hyperactivity disorder (ADHD), Oppositional defiant disorder (ODD) and Conduct disorder (CD) are 0.80, 0.74, 0.75, 0.74, 0.74. Among the three sample groups, the highest diagnostic efficiency was found in Affective Problems to Mania. The diagnostic cut-off point for each subscale on target diagnoses was clearly defined. Conclusion: Overall, the reliability, validity and diagnostic efficiency of CBCL DSM-oriented scales in Chinese children and adolescents were within acceptable limits. In addition, we used ROC curves and cut-off points to predict the cut-off values of common child and adolescent psychiatric disorders mentioned in the CBCL DSMoriented scales. This provides an important reference for the clinical application of the CBCL DSM-oriented scales in Chinese samples.

引用

页数：7