THE DEVELOPMENTAL BEHAVIOR CHECKLIST - THE DEVELOPMENT AND VALIDATION OF AN INSTRUMENT TO ASSESS BEHAVIORAL AND EMOTIONAL DISTURBANCE IN CHILDREN AND ADOLESCENTS WITH MENTAL-RETARDATION
THE DEVELOPMENTAL BEHAVIOR CHECKLIST - THE DEVELOPMENT AND VALIDATION OF AN INSTRUMENT TO ASSESS BEHAVIORAL AND EMOTIONAL DISTURBANCE IN CHILDREN AND ADOLESCENTS WITH MENTAL-RETARDATION
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DOI：
10.1007/bf02178498
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发表时间：
1995-04-01
影响因子：
3.9
通讯作者：
TONGE, BJ
中科院分区：
文献类型：
--
作者：
EINFELD, SL;TONGE, BJ
描述了发展行为检查表(DBC)的开发和验证，这是一个由业外告密者完成的标准化工具，用于评估患有智力障碍(MR)的儿童和青少年的行为和情绪障碍。描述这一人群中常见行为和情绪问题的条目是通过从664个患有行为障碍的儿童和青少年的案例文件中提取描述而产生的，这些儿童和青少年在12年的专业发展评估服务中看到了行为障碍。这些条目被简化为一组96个条目，用于1093名智力低下儿童和青少年的样本，然后提交给主成分分析。得到了SIR可解释和部分验证的分量表，解释了总方差的36%，具有令人满意的内部一致性。评分员和重测一致性对于量表总分和每个分量表的分数都令人满意。外行人完成的DBC总分与有经验的精神科医生基于访谈的评分和必须由卫生专业人员完成的两个标准化工具的得分之间存在显著的正相关，提供了良好的同时效度证据。以ROC曲线下面积评估总分的区分效度为优秀(92%)。DEC的标准化常模来自于澳大利亚两个州对智力落后儿童和青少年行为问题的流行病学研究。常模适用于轻度、中度、重度和重度MR人群以及整个MR人群。
Describes the development and validation of the Developmental Behavior Checklist (DBC), a standardized instrument completed by lay informants to assess behavioral and emotional disturbance in children and adolescents with mental retardation (MR). Items describing common behavioral and emotional problems in this population were generated by extracting descriptions from 664 case files of children and adolescents with behavior disorders seen at a specialist developmental assessment service over 12 years. These items were reduced to a set of 96 items administered to a sample of 1,093 children and adolescents with mental retardation and then submitted to a principal components analysis. Sir interpretable and partly validated subscales were obtained which explained 36% of the total variance and had satisfactory internal consistency. Interrater and test-retest agreement were satisfactory for both total scale score and for scores on each of the subscales. Good evidence of concurrent validity was provided by substantial positive correlations between total scores on the DBC completed by lay informants and the ratings of experienced psychiatrists based upon interviews and scores on two standardized instruments that must be completed by health professionals The discriminative validity of the total score as assessed by area under the ROC curve was excellent (92%). Standardized norms for the DEC are derived from an epidemiological study of behavior problems in children and adolescents with mental retardation undertaken in two Australian States. Norms are available for the mild, moderate, severe, and profound MR groups and for the MR population as a whole.