Dutch Norms for the Eyberg Child Behavior Inventory: Comparisons with other Western Countries

The Eyberg Child Behavior Inventory (ECBI) is one of the most widely used and well-validated parent rating scales for children’s disruptive behavior. This screening instrument is a short, targetted and easy to implement inventory with good psychometric properties and is normed for different countries, among which the United States, Spain, Sweden and Norway. The ECBI has been successfully used for research and clinical purposes, in several countries including The Netherlands. To date, Dutch studies have relied on Scandinavian or US norm scores. However, this may be problematic because of cross-cultural differences in the degree to which certain behaviors are seen as problematic by parents. The main goal of this paper therefore was to obtain norm scores for The Netherlands among 6462 Dutch children aged 4 to 8 years (M _age?=?6.37 years; SD?=?1.32; 50.6% boys). In line with previous research, we found small differences on the mean sum scores across children of different ages (intensity scale) and gender (intensity and problem scale). Therefore, Dutch norm scores were provided age- and gender specific. Our results showed that disruptive behavior of children in the most rural areas was reported as occurring less frequently and was seen as less problematic by parents compared to the disruptive behavior of children in less rural areas. Finally, we found that Dutch norm scores on the ECBI were significantly lower than US norm scores, and significantly higher on the intensity scale (but not the problem scale) than Norwegian and Swedish norm scores.     

Kinesthetic Cues in the Development of Time Concepts

The intent of this study was to document general behavioral correlates of cognitive impulsivity. Fourth-grade children were individually administered the Matching Familiar Figures (MFF) test, and the resulting measures (latency and errors) were correlated with a group administered scale of impulsivity, the Impulsivity Scale for Children (ISC) and eight teacher ratings evaluating the child on a series of different behaviors. No relationships existed between MFF measures and the ISC; and only one teacher rating correlated significantly with either MFF variable. This teacher rating (tendency to respond) was found to be the only discriminating teacher rating, and the high correlation between it and the MFF latency was explained because of the high task similarity between MFF requirements and the behaviors rated on “tendency to respond.” Cognitive impulsivity was not predicted by classroom behavior, implying that an individual's preferred conceptual tempo is not a part of a global impulsive behavior pattern but rather a relatively independent dimension of cognitive style. The questionable validity of the ISC was discussed for children of this age group, as was the significant correlation between Primary Mental Abilities (PMA) scores and the ISC scores.     

Behavior change in children at a therapeutic summer camp as a function of feedback and individual versus group contingencies

Two contigency systems, individual and group, were evaluated for their effects on children's behavior during small group meetings. Forty-eight children, ages 8 through 14, attended a 7-week residential camp program operated on a token economy system. Ratings of the campers' behavior were made by the counselors on a 5-point rating scale at the daily meetings. Each camper received both contingency programs, in counterbalanced order. Data were gathered during baseline, two feedback and two treatment phases. An analysis of variance for repeated measures was performed on the mean weekly camper scores. The two systems were equally effective in significantly increasing the amount of desirable behavior, and there was no effect on behavior due to feedback alone. The results are discussed in terms of advantages and disadvantages of each type of contingency system, with some suggestions made regarding areas of further investigation.     

MMPI correlates of performance on a behavior therapy ward.

In a behavioral treatment program for acute psychiatric patients, points were earned for adaptive behavior (e.g. self-care, attending ward activities) and lost for maladaptive behavior (e.g. assaults, verbal abuse). Points earned could be spent for a variety of goods and services (e.g. passes, extra staff time). Statistically significant correlations were found between MMPI scale scores and point-earning behavior. High scores on the F, 5, 6 and 8 scales were associated with low point gain for adaptive behavior, high point loss for maladaptive behavior, a high proportion of points spent to points earned, and a low overall net point earnings. Low score on F scale in combination with high score on 2 scale best predicted point-gain behavior, whereas high score on 8 scale in combination with low score on 1 scale best predicted point-loss behavior. Overall net points were best predicted by low score on F scale in combination with high scores on 0 and 9 scales. When subjects were grouped into common psychiatric profile types, differences were found in point-gain behaviors for items related to personal care and attending ward activities. At least some of these differences could be attributed to two factors: high scores on the 2, 3 and 7 scales were associated with higher than average point earnings, while high scores on the 8 scale were associated with lower than average point earnings.     

Bender-Gestalt emotional indicators and acting-out behavior in young children.

This study was designed to investigate the relationship between 15 emotional indicators on the Bender-Gestalt Test and acting-out behavior in young children. The subjects were 93 children ranging in age from five to 12 years. Each was administered the Bender. A measure of each subject's overt acting-out behavior was then obtained by having teachers rate each student on a Behavioral Rating Scale. Subjects' records were then divided into groups on the basis of both sex and age. Results indicated that neither the total number of Bender indicators nor any of the individual Bender indicators were correlated significantly with total scores on the rating scale. Use of the Bender as a projective device to measure acting-out behavior was seriously questioned.     

Stability of children's behavior problems: A 312-year longitudinal study

This study examined the stability of behavior problems in a population of 81 boys and 83 girls from first through fourth grades. For a 6-month interval, the correlations for Conduct, Anxiety-Withdrawal, and Distractibility-Hyperactivity ranged from .60 to .80. For 1-year intervals, the correlations ranged from .34 to .68. The stability of Conduct and Distractibility (which did not differ) was significantly greater than the stability of Anxiety-Withdrawal. Despite moderate to high stability coefficients, classifications (≥ 1.5 SD above the mean) of individual children lacked consistency across rating periods. There were no sex differences in behavior problem stability. Finally, there was significant “drift” in behavior rating scores across time with the direction of drift depending upon the grade of the initial rating as well as the time interval between ratings.     

A factor analytic study of teachers' ratings of the personality of school children

Teachers' rating on 70 adjectives that described the personality of school children were factor analysed. Four main factors emerged, and the adjectives loading most highly on each were selected to form four subscales of a New Teachers Rating Scale (NTRS). The subscales were named Good Pupil, Extraversion, Psychoticism and Neuroticism. Normative data for the scale were reported. Correlations with self-rated personality inventories such as the JEPQ, JEPI and CPQ indicated that: the Extraversion subscale correlated with JEPI-E and CPQ-Exvia, the Psychoticism subscale correlated with EPQ-P, CPQ-Exvia and CPQ-Anxiety, while the Good Pupil subscale correlated positively with JEPI-E, and negatively with JEPQ-P and CPQ-Anxiety. The Neuroticism subscale did not correspond to Eysenck's measures of Neuroticism but correlated with CPQ-Anxiety. Test-retest reliability of the subscales ranged between 0.75 and 0.92. The usefulness of the NTRS in complementing self-rated personality measures and the need to explore the nature of self-rated and teacher-rated neuroticism were discussed.     

Assessing Psychiatric Symptoms in Youth Affected by HIV: Comparing a Brief Self-Administered Rating Scale with a Structured Diagnostic Interview

Brief psychiatric assessment tools are needed for evaluating children affected by HIV for emotional and behavioral problems. We compared a self-administered symptom rating scale (CASI-4R) to a semi-structured diagnostic interview (DICA-P) in 136 U.S. children affected by HIV. Agreement and performance measures for the two instruments were computed for attention deficit hyperactivity disorder, depression, anxiety, and disruptive behavior. Correlations and regression analyses were conducted to compare the two instruments, and to evaluate their associations with social, academic, and global function. Higher CASI-4R symptom severity scores were associated with DICA diagnoses (p?<?0.02 for all disorders). Agreement (κ) between DICA diagnoses and CASI-4R Clinical Cutoffs (which incorporated symptoms and impairment) was low to moderate (0.19–0.40 for all disorders). Thirty-two percent of cases with a DICA diagnosis were identified by the CASI-4R Clinical Cutoff (sensitivity), yet over 90% of DICA-negative cases were negative by the CASI-4R (specificity). Sensitivity was higher using CASI-4R Severity Score thresholds based on median scores compared to the DICA diagnoses. The presence and severity of psychiatric symptoms and impairment were associated with poorer academic, social, and global function. The CASI-4R symptom checklist can be used to inexpensively screen youth affected by HIV for emotional and behavioral problems, although it is important that there be appropriate mental health evaluation follow-up.     

Evidence for the validity of the Clinical Perfectionism Questionnaire in a nonclinical population: more than just negative affectivity

This study examined the validity of the Clinical Perfectionism Questionnaire (CPQ; Fairburn, Cooper, & Shafran, 2003) in a nonclinical sample of 61 men and 182 women. Consistent with expectations, we found that scores on the CPQ were positively associated with scores on common measures of maladjustment, namely, depressive symptoms, anxious symptoms, and stress. In addition, results from regression analyses indicated that the CPQ accounted for additional variance in each of the 3 indexes of maladjustment beyond what was accounted for by multidimensional perfectionism and negative affectivity. Accordingly, our findings provide promising support for the validity of the CPQ in a nonclinical population.     

A Really Big Picture View of Social Intelligence

This study examined the validity of the Clinical Perfectionism Questionnaire (CPQ; Fairburn, Cooper, &; Shafran, 2003) in a nonclinical sample of 61 men and 182 women. Consistent with expectations, we found that scores on the CPQ were positively associated with scores on common measures of maladjustment, namely, depressive symptoms, anxious symptoms, and stress. In addition, results from regression analyses indicated that the CPQ accounted for additional variance in each of the 3 indexes of maladjustment beyond what was accounted for by multidimensional perfectionism and negative affectivity. Accordingly, our findings provide promising support for the validity of the CPQ in a nonclinical population.     

Rating scales for hyperactivity: Concurrent validity,reliability, and decisions to label for the Conners and Davids abbreviated scales

Rating scales have become the instrument of choice in labeling and assessing change in behavior of hyperactive children. However, several criticisms have recently have levied against their use. The present investigation examined the concurrent validity, and inter- and intrarater reliability for the Abbreviated Teacer Questionnaire (ATQ, Conners, 1973) and the Rating Scales for Hyperkinesis (Davids, 1971). Sixteen teachers from two special and two regular schools (grades 1-4) rated 211 normal and 49 special children using both scales. High correlations were found suggesting excellent predictability between scales and considerable stability across time and rater. Lower scores on a subsequent rating relative to an initial rating were demonstrated, dependent on time between ratings but independent of (a) teacher expectation of treatment gains, (b) bias produced by rating selected children, and (c) whether children were hyperactive or normal. Use of initial and infrequent rating scores versus subsequent, closely spaced ratings was related to the rater's objective (e.g., diagnosis, treatment, or assessment).     

A reexamination of the validity of the Children's Personality Questionnaire

Scores on the Children's Personality Questionnaire (CPQ) were correlated with ratings on the Devereux Elementary School Behavior Rating Scale (DESB). Three judges matched scales from the two instruments that appeared to measure the same behavior. For about one-third of these matches, significant correlations in the predicted direction were found. Of the 154 possible correlations between CPQ factors and DESB scales, 50 reached significance. The results contradict those of a similar investigation (Willis & Seymour, 1978), whose methodology is questioned. The correlations found in the present study provide limited support for the validity of CPQ factors.     

Trajectories of Youthful Antisocial Behavior: Categories or Continua?

The purpose of this study was to determine whether qualitatively distinct trajectories of antisocial behavior could be identified in 1,708 children (843 boys, 865 girls) from the 1979 National Longitudinal Survey of Youth–Child Data (NLSY-C). Repeated ratings were made on the Behavior Problems Index (BPI: Peterson and Zill Journal of Marriage and the Family, 48, 295–307, 1986) antisocial scale by the mothers of these children when the children were 6, 8, 10, 12, and 14 years of age. Scores on three indicators constructed from the six BPI Antisocial items (callousness, aggression, noncompliance) were then analyzed longitudinally (by summing across the rating periods) and cross-sectionally (by testing each individual rating period) in the full sample as well as in subsamples of boys and girls. Results obtained with the mean above minus below a cut (MAMBAC), maximum covariance (MAXCOV), and latent mode factor analysis (L-Mode) taxometric procedures revealed consistent evidence of continuous latent structure despite the fact Growth Mixture Modeling (GMM) and Latent Class Growth Analysis (LCGA) identified between two and eight trajectories, depending on the stopping rule, in the three antisocial indicators. From these results, it is concluded that the structural model underlying these data is better represented as continuous rather than as categorical. The implications of these results for future research on developmental trajectories of antisocial behavior are discussed.     

Agreement of parent and teacher rating scales with comprehensive clinical assessments of attention deficit disorder with hyperactivity

Forty-one clinic-referred children were given the DSM-III diagnosis of attention deficit disorder with hyperactivity (ADD/H) based on structured diagnostic interviews of the child and mother and on two teacher and two parent rating scales. The degree of agreement between diagnostic classification of ADD/H based solely on criterion scores on each rating scale and classification based on the comprehensive clinical assessments that included use of the same rating scaleswas assessed by comparing the ratings of the 41 children with ADD/H to those of 47 clinic-referred children given other diagnoses or no diagnosis. The accuracy of classification was highly similar across scales. Increasing the cutoff score increased the acing true positives. Using the point of intersection of these two curves to choose the optimal cutoff scores resulted in 70–75% accurate classification and 25–30% misclassification of children given clinical diagnoses of ADD/H. This rate of misclassification suggests that rating scales alone should not be used to classify ADD/H for most clinical and research purposes, especially because the method of comparison used in this study favored finding a high degree of correspondence.     

比较母亲和老师对幼儿亲社会行为的评价：一致性和预测性

采用儿童移情和亲社会反应量表,由母亲（n=86）和老师（n=8）分别对86名3-5岁儿童进行评价,并记录实验情境中儿童的亲社会反应,考察母评和师评间的一致性,以及两种评价对儿童亲社会反应的预测性。结果发现：（1）母评得分高于师评,两种评价只在男孩中存在中等程度正相关;（2）只有师评能预测男孩的亲社会反应,两种评价对女孩的亲社会反应都有预测作用。结果提示评价者间的差异反映了不同评价者在儿童亲社会行为关注点上的特点。     

Normative data on the Missouri Children's Picture Series and the Missouri Children's Behavior Checklist with southern black children

Normative data are presented for Southern black children on two objective personality inventories for children: the Missouri Children's Picture Series (MCPS), a child picture-sorting task, and the Missouri Children's Behavior Checklist (MBCL), a parent rating scale. The MCPS was administered to 615 black children attending public schools in a low socioeconomic area of the southeast United States. Parents returned the MBCL on 437 of the children. Means and standard deviations on eight MCPS personality scales and six MCBL behavior rating scales are presented for black males and females at ages 5 through 16, and effects of age, sex, and various scale intercorrelations are discussed. Results suggest systematic age and sex differences on the various scales for black children that are quite atypical when compared with the MCPS in other samples. Various empirical questions regarding the validity of these instruments when used with Southern black children are raised.     

DECREASING BURNED CHILDREN'S PAIN BEHAVIOR: IMPACTING THE TRAUMA OF HYDROTHERAPY

We evaluated the effects of cartoon viewing with the use of a star feedback chart on two burned children's pain behavior during their physical therapy sessions. In addition, the degree to which the observational data corresponded with physical therapists' and mothers' ratings of the children's pain, fear, and cooperativeness was examined. Using a reversal single-subject design, the results showed that the children's pain behavior substantially decreased during experimental treatment sessions compared to their baseline levels. The rating scale data indicated that the physical therapist's and mother's rating of pain, anxiety, and cooperativeness were all correlated significantly with the observational data (p < .05). The contributions of respondent and operant conditioning to the occurrence and treatment of pain behavior in burned children are discussed.     

A Brief Parent Rating Scale for Assessing Young Children's Adjustment

This report describes the development of the Parent Rating Scale (PRS), a 20-item scale for use by parents in rating the adjustment of young normal children. Based on the responses of 416 parents of urban and suburban 2nd and 3rd grade children, a principal components factor analysis with varimax rotation yielded a 4-factor solution accounting for 48.3% in total variance. Low to moderate relationshps were found between PRS scores and teacher, self, and sociometric ratings fo children. PRS total and factor and total scores discriminated clearly between referred and nonreferred children. Suburban children had higher PRS scores than urban children and girls had higher scores than boys.     

Psychometric properties of the children's atypical development scale

The Children's Atypical Development Scale (CADS) is a 53-item rating scale designed to measure unusual behaviors in children. Principal-factor analysis on a clinic-referred and pediatric sample of 474 children resulted in a four-factor solution: Communication Deficits, Lability, Social Relatedness Deficits, and Preoccupation. The CADS is internally consistent and has adequate temporal stability. CADS factor scores were differentially associated with parent and teacher rating scales, IQ, and Continuous Performance Test errors. The scale shows promise as a clinical and research tool for assessing atypical behaviors associated with pervasive developmental disorder and other neurobehavioral disorders.This research was supported in part by a grant from the Smart Family Foundation. The authors are grateful to James P. O'Donnell, Catherine Lord, and Frank A. Zelko for their comments on an earlier draft.