Screening for DSM-IV externalizing disorders with the Child Behavior Checklist : a receiver operating characteristic analysis
Externalizing behavior problems account for over halfof referrals for mental health services by children in
the United States (Kazdin, 1995). Children with these
problems are at increased risk for juvenile delin-
quency, academic failure, and social maladjustment,
thus placing a tremendous strain on educational and
mental health services (Frick, O’Brien, Wooton, &
McBurnett, 1994; Hinshaw, 1992). These problems
are represented in the DSM-IV (American Psychiatric
Association 1994) by Oppositional Defiant Disorder
(ODD), Conduct Disorder (CD) and Attention-Deficit/
Hyperactivity Disorder (ADHD). Diagnosis of these
conditions often requires structured clinical inter-
views or semi-structured interviews. These methods
require administration by trained personnel, may be
time-consuming, and thus, are quite costly. Current
clinical practice and insurance guidelines put a
premium on accurate and expeditious screening
for the presence of these conditions. In addition,
efficient screening expedites effective interventions.
Behavior checklists have proven to be useful as
quick, efficient, and importantly, low-cost, measures
of broad constructs of psychopathology.
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