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      Predictive Validity of Symptoms-Based Approaches to the Adjustment of High-Risk Children at School and in the Community

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          Abstract

          Objective: To compare the predictive validity of different diagnostic classifications for disruptive behavioral disorder (DBD) in youths aged 9 to 15 years of age: the DSM-IV categorical diagnosis, the number of DSM-IV DBD symptoms and Achenbach’s taxonomy (Child Behaviors Checklist scores for social problems, rule-breaking behaviors, aggressive behaviors, and attention problems). The incremental validity, after including clinical structured interviews with parents and children into models that contained CBCL scores, is reported. Method: Longitudinal study in a Spanish high-risk population, comparing each classification in 1 and 2-year follow-ups. Both predictors and criteria pertain to measures of the same class of behaviors: clinical information regarding impairment at school and community. Results: Predictive accuracy was dependent on the specific outcomes and the children’s age. The CBCL scores obtained the best predictive results. Dimensional approaches (the number of DSM-IV DBD symptoms and CBCL) obtained higher R 2 values than categorical DSM-IV diagnosis. Assessment based on clinical interviews with family significantly increased the predictive validity of Achenbach’s taxonomy. Conclusions: These results provide guidance for detecting early disruptive behaviors and planning measures for the prevention of subsequent antisocial conduct. This work may provide direction to future validation studies of classifications and diagnostic systems for behavioral adjustment in youths.

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          A person-oriented approach in research on developmental psychopathology

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            Unmet Need for Mental Health Care Among U.S. Children: Variation by Ethnicity and Insurance Status

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              A Note on a General Definition of the Coefficient of Determination

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                Author and article information

                Journal
                jpa
                European Journal of Psychological Assessment
                Hogrefe Publishing
                1015-5759
                January 2009
                : 25
                : 4
                : 274-284
                Affiliations
                [ 1 ] Unitat d’Epidemiologia i de Diagnòstic en Psicopatologia del Desenvolupament, Universitat Autònoma de Barcelona, Spain
                [ 2 ] Departament de Psicobiologia i Metodologia de les Ciències de la Salut, Universitat Autònoma de Barcelona, Spain
                [ 3 ] Departament de Psicologia Clínica i de la Salut, Universitat Autònoma de Barcelona, Spain
                Author notes
                Roser Granero Pérez, Departament de Psicobiologia i, Metodologia de les Ciències de la Salut, Facultat de Psicologia, Edifici B, E-08193 Bellaterra, Spain, +34 93 581-32-62, +34 93 346-40-17, roser.granero@ 123456uab.cat
                Article
                jpa_25_4_274
                10.1027/1015-5759.25.4.274
                591e4e84-c5d2-40e5-85d2-6dac944a77c9
                Copyright @ 2009
                History
                Categories
                Original Article

                Assessment, Evaluation & Research methods,Psychology,General behavioral science
                high-risk population,dimensional,longitudinal prospective design,taxonomy,children and adolescents,developmental adjustment

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