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神经发育障碍儿童行为检查表(CBCL)的结构效度。

Structural validity of the Child Behavior Checklist (CBCL) for preschoolers with neurogenetic syndromes.

机构信息

Department of Psychological Sciences, Purdue University, 703 Third Street, West Lafayette, IN, 47907, USA.

Department of Psychological Sciences, Purdue University, 703 Third Street, West Lafayette, IN, 47907, USA.

出版信息

Res Dev Disabil. 2021 Feb;109:103834. doi: 10.1016/j.ridd.2020.103834. Epub 2020 Dec 24.

DOI:10.1016/j.ridd.2020.103834
PMID:33360964
Abstract

BACKGROUND

Psychologists routinely use the Child Behavior Checklist for Ages 1½-5 (CBCL) to assess challenging behaviors of preschoolers with developmental disabilities. However, the CBCL has not been thoroughly validated in neurogenetic syndromes (NGS).

AIM

We investigated the structural validity of the CBCL in NGS.

METHODS

Based on 152 preschoolers with Angelman, fragile X, Prader-Willi, and Williams syndromes, we employed confirmatory factor analysis (CFA) to evaluate the goodness-of-fit of CBCL narrowband, broadband, and DSM-oriented scales.

RESULTS

CFA models largely supported the unidimensionality of most narrowband scales and the two-factor structure of internalizing and externalizing broadband scales. However, there was limited evidence for the unidimensionality of most DSM-oriented scales.

CONCLUSIONS

Psychologists may consider using the CBCL as a psychometrically sound narrowband and broadband measure of challenging behaviors but should exercise caution when interpreting DSM-oriented scales for preschoolers with NGS. Our findings underscore a continued need to enhance assessment measures for identifying early precursors of child psychopathology in pediatric populations with atypical developmental trajectories.

摘要

背景

心理学家通常使用儿童行为检查表 1.5-5 岁(CBCL)来评估发育障碍的学龄前儿童的挑战性行为。然而,CBCL 在神经遗传综合征(NGS)中尚未得到充分验证。

目的

我们研究了 CBCL 在 NGS 中的结构效度。

方法

基于 152 名患有天使综合征、脆性 X 综合征、普拉德-威利综合征和威廉姆斯综合征的学龄前儿童,我们采用验证性因素分析(CFA)来评估 CBCL 窄带、宽带和 DSM 导向量表的拟合优度。

结果

CFA 模型在很大程度上支持了大多数窄带量表的单维性以及内隐和外显宽带量表的两因素结构。然而,大多数 DSM 导向量表的单维性证据有限。

结论

心理学家可以考虑将 CBCL 作为一种具有心理测量学意义的、用于评估挑战性行为的窄带和宽带工具,但在为 NGS 学龄前儿童解释 DSM 导向量表时应谨慎。我们的发现强调了在具有非典型发育轨迹的儿科人群中,需要不断增强评估工具,以识别儿童精神病理学的早期前兆。

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