The Aberrant Behavior Checklist and the Behavior Problems Inventory: convergent and divergent validity

The Aberrant Behavior Checklist and the Behavior Problems Inventory: convergent and divergent validity
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DOI:
10.1016/s0891-4222(03)00055-6
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发表时间:
2003-09-01
影响因子:
3.1
通讯作者:
Mayville, E
Mayville, E
中科院分区:
医学2区
文献类型:
--
作者:
Rojahn, J;Aman, MG;Mayville, E

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本研究旨在比较和交叉验证两种评估工具[异常行为量表(ABC)和行为问题量表(BPI)]评估适应不良行为。BPI评估三种类型的行为问题:自我伤害行为(SIB),刻板行为和攻击/破坏行为。ABC评估了包括这三个领域在内的五个领域。我们从一个中等规模的发展中心收集了226名成年人的数据,其中大多数患有严重或严重的智力迟钝。BPI评分升高的个体通常具有较高的ABC评分;然而,各分量表之间的协变程度不同。同样,多元回归分析表明,BPI分量表显着,但选择性预测ABC分量表得分。鉴别诊断价值的测量(阳性和阴性预测能力、灵敏度、特异性和总体正确诊断效率)证实了仪器之间的预期部分重叠。这两种工具都被用来评估有和没有定型运动障碍诊断的参与者。BPI、SIB和刻板印象分量表复合量表的阳性预测能力强于ABC刻板印象量表,而ABC具有更高的阴性预测能力和更高的总体诊断效率。因此,ABC和BPI在预期的情况下相互交叉验证,并且它们在被认为关系不大的分量表上出现分歧。(C)2003爱思唯尔有限公司。保留所有权利。
This study was designed to compare and cross-validate two rating instruments [the Aberrant Behavior Checklist (ABC) and the Behavior Problems Inventory (BPI)] for assessing maladaptive behavior. The BPI assesses three types of behavior problems: Self-Injurious Behavior (SIB), Stereotyped Behavior and Aggressive/Destructive Behavior. The ABC assesses five domains including these three. We collected data on 226 adults, mostly with severe or profound mental retardation, from a medium-sized developmental center. Individuals with elevated BPI scores generally had higher ABC scores; however, the extent of covariation differed across subscales. Similarly, multiple regression analyses showed that BPI subscales significantly but selectively predicted ABC subscale scores. Measures of differential diagnostic value (positive and negative predictive power, sensitivity, specificity and overall correct diagnostic efficiency) confirmed the anticipated partial overlap between instruments. Both instruments were used to rate participants with and without a Diagnosis of Stereotyped Movement Disorder. BPI, SIB and Stereotypy subscale composite had stronger positive predictive power than the ABC Stereotypy scale, while the ABC had higher negative predictive power and greater overall diagnostic efficiency. Thus, the ABC and the BPI cross-validated one another where expected, and they diverged for subscales thought to have little relationship. (C) 2003 Elsevier Ltd. All rights reserved.