Kazdin A E, Heidish I E
J Abnorm Child Psychol. 1984 Sep;12(3):421-35. doi: 10.1007/BF00910657.
The extent to which parent rating scales differentiated children according to DSM III diagnoses was examined. A total of 113 psychiatric inpatient boys (ages 6-11) were rated by their mothers or maternal figures on the Child Behavior Checklist (CBCL) and the Behavior Problem Checklist (BPC). Children with DSM III diagnoses of conduct disorder or depression were compared to children without these diagnoses. Externalizing and internalizing scales of the parent checklists and additional measures of child aggression and depression differentiated children according to major diagnoses. The use of parent checklists to classify children indicated a high level of sensitivity for CBCL and BPC scales for diagnosing conduct disorder and depression. However, specificity of the subscales, particularly for the CBCL, was relatively low, indicating a high rate of false positives. The need for further work that extends the range of diagnosis, that examines subtypes of disorders, and that increases the specificity of the measures for diagnostic purposes is discussed.
研究了父母评定量表根据《精神疾病诊断与统计手册第三版》（DSM III）诊断对儿童进行区分的程度。共有113名精神科住院男童（6至11岁）由其母亲或母亲角色人物根据儿童行为清单（CBCL）和行为问题清单（BPC）进行评定。将被诊断为患有品行障碍或抑郁症的DSM III儿童与未患这些疾病的儿童进行比较。父母清单的外化和内化量表以及儿童攻击性和抑郁的其他测量方法根据主要诊断对儿童进行了区分。使用父母清单对儿童进行分类表明，CBCL和BPC量表在诊断品行障碍和抑郁症方面具有较高的敏感性。然而，子量表的特异性，尤其是CBCL的特异性相对较低，表明假阳性率较高。讨论了开展进一步工作的必要性，这些工作包括扩大诊断范围、检查疾病亚型以及提高用于诊断目的的测量方法的特异性。
