The Beavers, McMaster and Circumplex clinical rating scales: a study of their sensitivity, specificity and discriminant validity

To assess the sensitivity and specificity of clinical rating scales from the Beavers, McMaster and Circumplex models of family functioning videotapes of sixty families engaging in a standardized family task interview were rated using the three rating scales. The sixty families included twenty containing a child with an emotional disorder, twenty containing a child with a mixed disorder of emotions and conduct, and twenty in which none of the children presented with clinically significant difficulties. The three rating scales accurately classified 85-90% of normal controls, 70-90% of cases containing a child with a mixed disorder of emotions and conduct, and 55-65% of families containing a child with an emotional disorder. On the rating scales, the Beavers and McMaster models showed particularly high levels of sensitivity in detecting clinical cases, whereas the Circumplex rating scale was particularly good at classifying non-clinical cases accurately.