Differential performance of the macarthur HBQ and DISC-IV in identifying DSM-IV internalizing psychopathology in young children. J Am Acad Child Adolesc Psychiatry 2002 Apr;41(4):458-66
Date
04/05/2002Pubmed ID
11931603DOI
10.1097/00004583-200204000-00019Scopus ID
2-s2.0-0036546141 (requires institutional sign-in at Scopus site) 47 CitationsAbstract
OBJECTIVE: Three sites collaborated to evaluate the differential performance of the MacArthur Health and Behavior Questionnaire (HBQ) and the Diagnostic Interview Schedule for Children Version IV (DISC-IV) in identifying DSM-IV psychopathology in young children.
METHOD: A sample of 120 four- to eight-year-old nonreferred (community) (n = 67) and referred (clinical) (n = 53) children was examined. Mothers reported on their child's mental health symptoms using the HBQ (a dimensional measure with a clinical cutoff score) and the DISC-IV. Teachers independently reported on the child's symptoms and impairment in school using the teacher HBQ. Children self-reported on their symptoms using the companion Berkeley Puppet Interview.
RESULTS: On the basis of its derived clinical cutoff scores, the HBQ identified significantly more children with clinical symptoms of DSM-IVinternalizing psychopathology than the DISC-IV in both referred and nonreferred groups. There was a high level of agreement between the two measures in the identification of externalizing psychopathology. Children identified as having internalizing psychopathology by the HBQ were also rated as highly symptomatic and impaired by teachers.
CONCLUSION: The findings support the general validity of the parent HBQ for the assessment of young child psychopathology and the hypothesis that it captures more internalizing psychopathology than the DISC-IV in this population.
Author List
Luby JL, Heffelfinger A, Measelle JR, Ablow JC, Essex MJ, Dierker L, Harrington R, Kraemer HC, Kupfer DJAuthor
Amy Heffelfinger PhD Professor in the Neurology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
ChildChild, Preschool
Diagnosis, Differential
Female
Humans
Male
Mass Screening
Mental Disorders
Psychiatric Status Rating Scales
Surveys and Questionnaires