Vermont Center for Children, Youth and Families, University of Vermont College of Medicine, VT, USA.
J Child Psychol Psychiatry. 2009 Oct;50(10):1291-300. doi: 10.1111/j.1469-7610.2009.02089.x. Epub 2009 May 22.
The Child Behavior Checklist Juvenile Bipolar Disorder (CBCL-JBD) profile and Posttraumatic Stress Problems (CBCL-PTSP) scale have been used to assess juvenile bipolar disorder (JBD) and posttraumatic stress disorder (PTSD), respectively. However, their validity is questionable according to previous research. Both measures are associated with severe psychopathology often encompassing multiple DSM-IV diagnoses. Further, children who score highly on one of these scales often have elevated scores on the other, independent of PTSD or JBD diagnoses. We hypothesized that the two scales may be indicators of a single syndrome related to dysregulated mood, attention, and behavior. We aimed to describe and identify the overlap between the CBCL-JBD profile and CBCL-PTSP scales.
Two thousand and twenty-nine (2029) children from a nationally representative sample (1073 boys, 956 girls; mean age = 11.98; age range = 6-18) were rated on emotional and behavior problems by their parents using the CBCL. Comparative model testing via structural equation modeling was conducted to determine whether the CBCL-JBD profile and CBCL-PTSP scale are best described as measuring separate versus unitary constructs. Associations with suicidality and competency scores were also examined.
The CBCL-JBD and CBCL-PTSP demonstrated a high degree of overlap (r = .89) at the latent variable level. The best fitting, most parsimonious model was one in which the CBCL-JBD and CBCL-PTSP items identified a single latent construct, which was associated with higher parental endorsement of child suicidal behavior, and lower functioning.
The CBCL-JBD profile and CBCL-PTSP scale overlap to a remarkable degree, and may be best described as measures of a single syndrome. This syndrome appears to be related to severe psychopathology, but may not conform to traditional DSM-IV classification. These results contribute to the ongoing debate about the utility of the CBCL-JBD and CBCL-PTSP profiles, and offer promising methods of empirically based measurement of disordered self-regulation in youth.
儿童行为检查表青少年双相情感障碍（CBCL-JBD）特征和创伤后应激问题（CBCL-PTSP）量表分别用于评估青少年双相情感障碍（JBD）和创伤后应激障碍（PTSD）。然而，根据之前的研究，它们的有效性值得怀疑。这两种测量方法都与严重的精神病理学有关，通常包括多个 DSM-IV 诊断。此外，在这些量表中得分较高的儿童，即使没有 PTSD 或 JBD 诊断，他们在另一个量表上的得分也往往较高。我们假设这两个量表可能是与情绪、注意力和行为失调相关的单一综合征的指标。我们旨在描述和确定 CBCL-JBD 特征和 CBCL-PTSP 量表之间的重叠。
来自全国代表性样本的 2029 名儿童（1073 名男孩，956 名女孩；平均年龄=11.98；年龄范围=6-18）由他们的父母使用 CBCL 对情绪和行为问题进行评分。通过结构方程建模进行比较模型测试，以确定 CBCL-JBD 特征和 CBCL-PTSP 量表是否最好描述为测量单独的还是单一的结构。还检查了与自杀意念和能力得分的关联。
CBCL-JBD 和 CBCL-PTSP 在潜在变量水平上表现出高度的重叠（r=.89）。最适合、最简约的模型是一个模型，其中 CBCL-JBD 和 CBCL-PTSP 项目确定了一个单一的潜在结构，该结构与父母对儿童自杀行为的更高认可以及功能降低相关。
CBCL-JBD 特征和 CBCL-PTSP 量表之间存在显著的重叠，并且可能最好被描述为单一综合征的测量方法。这种综合征似乎与严重的精神病理学有关，但可能不符合传统的 DSM-IV 分类。这些结果有助于正在进行的关于 CBCL-JBD 和 CBCL-PTSP 特征的实用性的争论，并为基于经验的青少年紊乱自我调节的测量提供了有希望的方法。
