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Using the Achenbach Child Behaviour Checklist in the differential diagnosis of disruptive behaviour disorders

Published online by Cambridge University Press:  13 June 2014

Thomas P Kelly
Affiliation:
Dept of Clinical Psychology, Ridley Building, University of Newcastle-upon-Tyne, NE1 7RU, England
Paul McArdle
Affiliation:
Fleming Nuffield Unit, 1 Tankerville Terrace, Jesmond, Newcastle-upon-Tyne, England

Abstract

Objective: The report considers the utility of the Achenbach Child Behaviour Checklist in the differential diagnosis of the disruptive behaviour disorders.

Method: Subscale scores on the parent completed Achenbach Child Behaviour Checklist were compared for three of 15 boys, the first diagnosed with attention deficit hyperactivity disorder, the second diagnosed with oppositional defiant disorder and a third non-clinical control.

Result: The attention subscale of the Achenbach Child Behaviour Checklist was found to have a high level of sensitivity to children diagnosed with attention deficit hyperactivity disorder, but relatively poor specificity. The delinquent subscale was found to have limited sensitivity for oppositional defiant/conduct disorder group, but high levels of specificity. The aggressive subscale were found to have relatively high sensitivity for the oppositional defiant/conduct disorder group and relatively high specificity.

Conclusion: The Achenbach Child Behaviour Checklist is useful in distinguishing between children with disruptive behaviour disorders and a non-clinical sample. The aggressive subscale appears to have potential clinical utility in the differential diagnosis of the disruptive behaviour disorders.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1997

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References

1.Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: American Psychiatric Association, 1987.Google Scholar
2.Sandberg, ST, Weiselberg, M, Shaffer, D. Hyperkinetic and conduct problem children in a primary school population: Some epidemiological considerations. J Child Psychol Psychiatry 1980; 21: 293311.CrossRefGoogle Scholar
3.Eyberg, SM, Robinson, EA. Conduct problem behaviour: Standardisation of a behavioural rating scale with adolescents. J Clin Child Psychology 1983; 12: 347–54.Google Scholar
4.Barkley, RA. Attention-Deficit Hyperactivity Disorder: A handbook for diagnosis and treatment. London: Guilford Press, 1990.Google Scholar
5.Achenbach, TM. Manual for the Child Behaviour Checklist and 1991 Profile. Burlington, VT: University of Vermont, 1991.Google Scholar
6.Costello, EJ, Edelbrock, CS. Detection of psychiatric disorder in paediatric primary care: The new hidden morbidity. Paediatrics 1985; 82: 415–24.Google Scholar
7.Kazdin, AE, Heidish, IE. Convergence of clinically derived diagnoses and parent checklists among inpatient children. J Abnorm Child Psychol 1984; 9: 243–50.Google Scholar
8.Milich, R, Landau, S. Socialisation and peer relations in hyperactive children. In: Gadow, KD, Bealer, I. (Eds.) Advances in Learning and Behavioural Disabilities, Vol I. Greenwich, CT: JAI Press, 1982: 283339.Google Scholar