title: A rating scale for disruptive behavior disorders, based on the DSM-IV item pool.
abstract: DSM IV includes three clusters of items that are used to establish diagnoses for the Disruptive Behavior Disorders: Attention Deficit, Conduct, and Oppositional Defiant. In this report, we examine the feasibility of using the items in each cluster to form a rating scale. We studied eighty-four consecutive school-aged referrals to an inner-city child and adolescent Psychiatry clinic. Case diagnosis was established with a clinician's KID-SCID assessment. Parents and teachers rated the 41 DSM items on four-point scales, and completed the Conners' Rating Scales, in English or Spanish. In this paper we report psychometrics of the new scale, the Rating Scale for Disruptive Behavior Disorders (RS-DBD), along with the agreement among parents and teachers, and concurrence between the new scales and the relevant Conners' scales. While, the parent and teacher ratings may provide a useful index for severity of behavioral disturbance in the home and school environments, it will not establish a diagnosis. There was a great deal of comorbidity among diagnostic groups.
authors.affiliation: Division of Child and Adolescent Psychiatry, NYU School of Medicine, New York 10016, USA. raul.silva@med.nyu.edu
authors.forename: Raul R
authors.initials: RR
authors.lastname: Silva
authors.forename: Murray
authors.initials: M
authors.lastname: Alpert
authors.forename: Enrique
authors.initials: E
authors.lastname: Pouget
authors.forename: Victoria
authors.initials: V
authors.lastname: Silva
authors.forename: Sarah
authors.initials: S
authors.lastname: Trosper
authors.forename: Kimberly
authors.initials: K
authors.lastname: Reyes
authors.forename: Steven
authors.initials: S
authors.lastname: Dummit
mesh_terms: D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000453:epidemiology; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000175:diagnosis* / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008297:Male; D015588:Observer Variation; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires