Diagnostic efficiency and validity of the DSM-oriented Child Behavior Checklist and Youth Self-Report scales in a clinical sample of Swedish youth

The Child Behavior Checklist (CBCL) and Youth Self-Report (YSR) are widely used measures of psychiatric symptoms and lately also adapted to the DSM. The incremental validity of adding the scales to each other has not been studied. We validated the DSM subscales for affective, anxiety, attention defi...

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Bibliographic Details
Published in:PloS one 2021-07, Vol.16 (7), p.e0254953-e0254953
Main Authors: Skarphedinsson, Gudmundur, Jarbin, Håkan, Andersson, Markus, Ivarsson, Tord
Format: Article
Language:English
Subjects:
accuracy
adolescent
Adolescents
agreement
Anxiety
Anxiety disorders
Attention deficit hyperactivity disorder
Biology and Life Sciences
Child & adolescent psychiatry
Child psychopathology
Children
Children & youth
Clinical Medicine
Diagnosis
Diagnostic systems
Efficiency
Families & family life
Interviews
Klinisk medicin
Medical and Health Sciences
Medical diagnosis
Medicin och hälsovetenskap
Medicine and Health Sciences
Mental depression
Mental disorders
Obsessive compulsive disorder
parent
Parents
Parents & parenting
People and Places
prevalence
psychiatric-diagnosis
Psychiatry
Psychological aspects
Psykiatri
Questionnaires
Ratings
Science & Technology
Self report
services
Signs and symptoms
Social anxiety
Social Sciences
Teenagers
Validity
Young adults
Youth
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Summary:The Child Behavior Checklist (CBCL) and Youth Self-Report (YSR) are widely used measures of psychiatric symptoms and lately also adapted to the DSM. The incremental validity of adding the scales to each other has not been studied. We validated the DSM subscales for affective, anxiety, attention deficit/hyperactivity (ADHD), oppositional defiant (ODD), conduct problems (CD), and obsessive-compulsive disorder (OCD) in consecutively referred child and adolescent psychiatric outpatients (n = 267) against LEAD DSM-IV diagnoses based on the K-SADS-PL and subsequent clinical work-up. Receiver operating characteristic analyses showed that the diagnostic efficiency for most scales were moderate with an area under the curve (AUC) between 0.70 and 0.90 except for CBCL CD, which had high accuracy (AUC>0.90) in line with previous studies showing the acceptable utility of the CBCL DSM scales and the YSR affective, anxiety, and CD scales, while YSR ODD and OCD had low accuracy (AUC
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0254953