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A Cluster Analysis of K-CBCL for Outpatient Children

Abstract

The purpose of the current study was to verify discrimination of the K-CBCL 11 Behavior Problem Scale, the diagnostic accuracy of the K-CBCL as a screening tools, and criteria of subtype of various diagnostic cases. The subjects were 358_(271 boys, 87 girls) 4 to 11 year old children who visited the child psychiatry clinic of four university medical centers, two psychiatric hospitals, 358 parents participated in evaluation of those children with the K-CBCL, and the K-CBCL profile was statistically analyzed with cluster analysis. Significant differences in the K-CBCL 11 Behavior Problem Scale were found in the DSM-Ⅳ diagnosed group, subscales of the K-CBCL 11 Behavior Problem Scale were closely associated with the different DSM-Ⅳ diagnosed group. In the results of cluster analysis by the K-CBCL 8 Behavior Problem Scale, the DSM-Ⅳ diagnosed group was classified according to four subtypes. The four subtypes were shown to have differentially DSM-Ⅳ diagnosed group distribution. Anxiety disorder group_(43.9%) was included in the Internalizing Disorder group_(cluster 2), Attention Deficit Hyperactivity Disorder group_(37.0%) was included Externalizing Disorder cluster_(cluster 3). The results showed that it could discriminate the DSM-Ⅳ diagnostic group according to the two classification axes of K-CBCL, Internalizing/Externalizing scales. In the result of discriminant analysis, the K-CBCL 8 Behavior Problem Scale was identified to significant variables in four subtypes, Hit Ratio was identified in 96.1%. These Findings suggest that the K-CBCL is generally accepted as an objective tool for screening in symptoms of psychopathology. Finally, clinical implications and limitations of the current study were discussed.

keywords
K-CBCL 문제행동 증후군 척도, DSM-Ⅳ 진단, 군집분석, K-CBCL, Behavior Problem Scale, DSM-Ⅳ diagnosed group, Cluster Analysis

Reference

1.

문경주, 오경자, 하은혜, 박중규 (1999). 주의산만․과잉행동문제를 보이는 아동의 아동․청소년 행동평가척도(K-CBCL) 군집분석. 한국심리학회지: 임상, 18(2), 199-207.

2.

배도희, 오경자 (2010). 한국판 CBCL 공격행동척도의 하 위 2요인 모형탐색. 한국심리학회지: 학교, 7(3), 371-390.

3.

안동현 외 공역, Shaffer, D., Lucas, C. P., Richters, J. E. (2005). 아동 및 청소년 정신병리의 진단평가. 서울: 학지사.

4.

오경자, 김영아 (2010). 아동 청소년 행동평가척도 메뉴얼, 미간행 출판물.

5.

오경자, 이혜련 (1990). 한국 아동 청소년의 문제행 동증후군 연구 Ⅰ: 4-5세, 6-11세, 12-16세 남아 CBCL 자료의 분석. 한국심리학회지: 임상, 9(1), 33-55.

6.

오경자, 이혜련, 홍강의, 하은혜 (1997). K-CBCL 아동 청소년 행동평가 척도. 서울: 중앙 적성 출판사.

7.

이소영, 박준호, 임은지, 정한용 (2011). 아동․청소년 문제행동평가척도를 이용한 반항성 도전장애의 선별: 공격성 및 비행 하위척도의 역할. 소아청소년 정신의학, 22(2). 95-102.

8.

이환배, 곽영숙, 백기청 (1992). 아동 행동 조사표에 의한 입원한 행동장애 청소년의 분류. 신경정신의학, 31(2). 351-362.

9.

신윤오, 조수철, 홍강의, 김지성 (1993). 소아정신과 입원환자의 공존질병. 소아․청소년 정신의학 4(1), 91-97.

10.

장문선, 곽호완 (2007). 성인 ADHD 성향집단의 하위군집 탐색: 우울, 자아존중감 및 대인관계 문제를 중심으로. 한국심리학회지: 임상, 26(4), 827-843.

11.

전창무, 이영식, 김은영, 나 철 (2000), 야뇨증을 보이는 일반아동에서의 정서-행동 문제. 소아․청소년 정신의학, 11(1), 42-50.

12.

정선주, 정희연, 황정민 (2001). 틱 장애의 진단분류에 따른 임상특징과 질환 심각도와 연관된 변인들. 소아․청소년 정신의학, 12(1), 115-124.

13.

조수철, 신민섭 (2006). 소아정신병리의 진단과 평가. 서울: 학지사

14.

황응연, 박영숙, 허묘연 (1990). 학습장애아동의 인지적, 정서적, 행동적 특성. 한국심리학회지: 임상, 9(1). 120-134.

15.

Achenbach, T. M., & Edelbrock, C. S. (1983). Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Burlington, VT: University of Vermont.

16.

Achenbach, T. M., & Rescorla, L. A. (2001). Manual for ASEBA school age Forms & Profiles. Burlington, VT: University of Vermont, Department of Psychiatry.

17.

Achenbach, T. M., Dumenci, L., & Rescorla (2003). DSM-Oriented and Empirically Based Approaches to Constructing Scales From the Same Item Pools. Journal of Clinical and Adolescent Psychology, 32(3). 328-340.

18.

Arend, R., Lavigne, J. V., Rosenbaum, D., Binns, H. J., & Christoffel, K. K. (1996). Relation between taxonomic and quantitative diagnostic systems in pre-school children: Emphasis on disruptive disorders. Journal of Clinical Child Psychology, 25, 388-397.

19.

Aschenbrand, S. G., Angelosante, A. G., & Kendall, P. C. (2005). Discriminant Validity and Clinical Utility of the CBCL with Anxiety-Disordered Youth. Journal of Clinical and Adolescent Psychology, 34(4). 735-746.

20.

Biderman, J., Faraone, S. V., Doyle, A., Lehman, B. K., Kraus, L., Perrin, J., & Tsuang, M. T. (1993). Convergence of the Child Behavior Checklist with structured interview-based psychiartric diagnoses of ADHD children with and without comorbidity. Journal of Child Psychology and Psychiatry, 34, 1241-1251.

21.

Biderman, J., Faraone, S. V. (1996). A prospective 4-year follow up study of attention-deficit hyperactivity and related disorders. Arch Gen Psychiatry, 53, 437-446.

22.

Braet C., & Beyers, W. (2009). Subtyping Children and Adolescents Who Are Overweight: Different Symptomatology and Treatment Outcomes. Journal of Consulting Clinical Psychology, 77(5), 814-824.

23.

Bölte, S., Dickhut, H., & Poustka, F. (1991). Patterns of parents-reported problems indicative in autism. Journal of Descriptive and Experimental Psychopathology, 32(2), 93-97.

24.

Clark, L. A., & Watson, D. (1995). Constructing validity: Basic issues in objective scale development. Psychological Assessment, 7, 309- 319.

25.

Conners, C. K. (1969). A teacher rating scale for use in drug sstudies with children. American Journal of Psychiatry, 126, 884-888.

26.

Dekker, M. C., Koot, H. M., van der Ende J, Verhulst F. C. (2002). Emotional and Behavioral problems in childrens and adolescents with and without intellectual disability. Journal of Child Psycholoy and Psychiatry, 43(8), 1087-1098.

27.

Derks, M. E., Hudziak, J. J., Dolan, V. C., Ferdinand, F. R., & Boomsma, I. D. (2006). The relations between DISC-Ⅳ DSM diagnoses of ADHD and multi-informant CBCL-AP syndrome scroes. Comprehensive Psychiatry, 47, 116-122.

28.

Duarte, C. S., Bordin, L. A. S., de Oliveira, A., & Bird, H. (2003). The CBCL and the identifiction of children with autism and related conditions in Brazil: Pliot findings. Journal of Autism and Develompmental Disorders, 33(6), 703-707.

29.

Edelbrock, C., & Costello, A. J. (1988). Convergence between statistically derived behavior problem syndromes and child psychiatric diagnoses. Journal of Abnormal Child Psychology, 16(2), 219-231.

30.

Graetz, B. W., Sawyer, M. G., Hazell, P. L., Arney, F., & Baghurst, P. (2001). Validity of DSM-Ⅳ subtyes in a nationally representative sample of Australian children and adolescents. Journal of the American Accademy of Child and Adolescent Psychiatry, 40, 1410-1417.

31.

Faraone, S. V., Althoff, R. R., Hudziak, J. J., Monuteaux, M., Biderman, J. (2005). The CBCL predicts DSM biopolar disorder in children: a receiver operating characteristic curve analysis. Biopolar Disord, 7, 518-524.

32.

Hagaman, J. L., Trout, A. L., Chmelka, M. B., Thompson, R. W., & Reid, R. (2010). Risk Profiles of Children Entering Risidential Care: A Cluster Analysis. Journal of Child Family Study, 19, 525-535.

33.

Handwerk, M. J., & Marshall, R. M. (1998). Behavioral and Emotional Problems of Students with Learning Disabilities, Serious Emotional Disturbance, or Both Conditions. Journal of Learning Disablities, 31(4), 327-338.

34.

Hudziak, J. J., Copeland, W., Stanger, C., & Wadsworth, M. (2004). Screening for DSM-Ⅳ externalizing disorders with the Child Behavior Checklist: a receiver-operating characteristic analysis. Journal of Child Psychology and Psychiatry, 45(7). 1299-1307.

35.

Hurtig, T., Kuusikko, S., Mattila, M. L., Haapsamo, H., Ebeling, H., Jussila, K., Joskitt, L., Pauls, D., & Moilanen, I. (2009). Multi-informant reports of psychiatric symptoms among high-functioning adolescents with Asperger syndrome or autism. autism, 13(6), 583-598.

36.

Kasuis, M., Ferdinand, R. F., van den Berg, H., & Verhulst, F. C. (1997). Associations between different diagnostic approaches for child and adolescent psychopathology. Journal of Child Psychology and Psychiatry, 38, 625-632.

37.

Kazdin, A. E., & Heidish, I. E. (1984). Convergence of clinically derived diagnoses and parent checklists among inpatient children. Journal of Abnormal Child Psychology, 16, 421-435.

38.

Kendall, P. C., Puliafico, A. C., Barmish, A. J., Choudhury, M. S., Henin, A., & Treadwell, K. S. (2007). Assessing anxiety with the Child Behavior Checklist and the Teacher Report Form. Journal of Anxiety Disorders, 21, 1004-1015.

39.

Koskentausta, T., Iivanainen, M., & Almqvist, F. (2004). CBCL in the assessment of psychopathology in Finnish children with intellectual disability. Research in Developmental Disabilities. 25(4). 341-354.

40.

Kroes, M., Kalff, A. C., Steyaert, J., Kessels, A. G. H., Feron, F. J. M., Hendriksen, J. G. M., Yan Zeben, T. M. C. B., Troost, J., Jolles, J., & Vles, J. S. H. (2002). A longitudianal community study: Do psychosocial risk factors and Child Behavior Checklist scores at 5 years of age predict psychiatric diagnoses at a later age? Journal of American Academy of Child and Adolescent Psychiatry, 41, 955-963.

41.

Lovell, R. W., & Reiss, A. L. (1993). Dual diagnosis: Psychiatric disorders in developmental disabilities. Pediatric Clinics of North America, 40, 579-592.

42.

Marks, D. J., Himelstein, J., Newcorn, J. H., & Halperin, J. M. (1999). Identification of AD/HD Subtypes Using Laboratory-Based Measures: A Cluster Analysis. Journal of Abnormal Child Psychology, 27(2), 167-175.

43.

Mash, E. J., & Wolfe, D. A. (1991). Methodological issues in research on physical child abuse. Criminal Justice and Behavior, 18, 8-29.

44.

McConaughy, S. H., Achenbach, T. M., & Gent C. L. (1988). Multiaxial Empirically Based Assessment: Parent, Teacher, Observational, Cognitive, and Personality Correlates of Child Behavior Profile Types for 6-to 11-Year-Old Boys. Journal of Abnormal Child Psychology, 16(5), 485-509.

45.

Mick, E., Biederman, J., Pandina, G., Faraone, S. V. (2003). A preliminary meta-analysis of the child behavior checklist in pediatricc bipolar disorder. Biol Psychiartry, 53, 1021-1027.

46.

Miller, L. C. (1967). Louisville Behavior Checklist for males, 6-12 years of age, Psychological Reports, 21, 885-89 study. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1237-1245.

47.

Nakamura, B. J., Ebesutani, C., Bernstein, A., Chorpita, B. F. (2009). A Psychometric Analysis of the Child Behavior Checklist DSM-Oriented Scales. J Psychopathol Behav Assess, 31, 178-189.

48.

Nurcombe, B., Selfer, R., Scioli, A., Tramontana, M., Grapentine. L., Beauchesne, H. (1989). Is Major Depressive Disorder in Adolescence a Distinct Diagnostic Entity? Journal of Child and Adolescent Psychiatry, 28(3), 333-42.

49.

Ooi, Y. P., Rescorla, L., Ang, R. P., Woo, B., & Fung, D. S. Identification of Autism Spectrum Disorders Using the Child Behavior Checklist in Singapore. Journal of Autism and Developmental Disorders. online first, 20 April 2010.

50.

Quay, H. C. (1964). Personality dimensions in delinquent males as inferred from the fator analysis of behavior ratings. Journal of Research in Crime and Delinquency., 1, 33-37.

51.

Rescorla, L. (1988). Cluster Analytic Identification of Autistic Preschoolers. Journal of Autism and Developmental Disorders, 18(4).

52.

Rourke, P. G., & Quinlan, D. M. (1973). Psychological Characteristics of Problem Children at the Borderline of Mental Retardation, Journal of Consulting Clinical Psychological, 40(1), 56-58.

53.

Singer, H. S., & Rosenberg, L. A. (1988). Development of Behavioral and Emotional Problems in Tourette Syndrome. Pediatric neurology, 5(1), 41-44.

54.

Skinner, H. A., & Blashfield, R. K (1982). Increasing the Impact of Cluster Analysis Research: The Case of Psychiatric Classification. Journal of Consulting and Clinical Psychology, 50(5), 727-735.

55.

Spitzer, R, L., & Cantwell, D. P. (1980). The DSM-Ⅲ classification of the psychiatric disorder of infancy, child-hood, and adolescence. Journal of the American Academy of child Psychiatry, 19, 356-370.

56.

Steingard, R., Biedreman, J., Doyle, A., Sprich-Buckminster, S. (1992). Psychiatric comorbidity in attention deficit disorder: impact on the interpretation of Child Behavior Checklist results. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 449-454.

57.

Weinstein, S. R., Noam, G. G., Grimes, K., Stone, K., & Schwab-Stone, M. (1990). Convergence of DSM-Ⅲ diagnoses and self-reported symptoms in child and adolescent inpatients. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 627-634.

58.

Zenglein Y, Schwenck C, Westerwald E, Schmidt C, Beuth S, Meyer J, Palmason H, Seitz C, Hἅnig S, Freitag CM. (2013). Empirically Determined, Psychopathological Subtypes in Children With ADHD. journal of Attention Disorder, XX(X)1-12. DOI: 10.1177/ 1087054713508312

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