Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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Screening Oppositional Defiant Disorder with the Korean Child Behavior Checklist : The Role of the Subscales of Aggressive and Delinquent Behavior

아동·청소년 문제행동평가척도를 이용한 반항성 도전장애의 선별 : 공격성 및 비행 하위척도의 역할

  • Lee, So-Young Irene (Department of Psychiatry, Soonchunhyang University Bucheon Hospital, Soonchunhyang University, College of Medicine) ;
  • Park, Joon-Ho (Department of Psychiatry, Soonchunhyang University Bucheon Hospital, Soonchunhyang University, College of Medicine) ;
  • Lim, Eun-Ji (Department of Psychiatry, Soonchunhyang University Bucheon Hospital, Soonchunhyang University, College of Medicine) ;
  • Jung, Han-Yong (Department of Psychiatry, Soonchunhyang University Bucheon Hospital, Soonchunhyang University, College of Medicine)
  • 이소영 (순천향대학교 의과대학 부천병원 신경정신과학교실) ;
  • 박준호 (순천향대학교 의과대학 부천병원 신경정신과학교실) ;
  • 임은지 (순천향대학교 의과대학 부천병원 신경정신과학교실) ;
  • 정한용 (순천향대학교 의과대학 부천병원 신경정신과학교실)
  • Received : 2010.08.27
  • Accepted : 2010.09.14
  • Published : 2011.06.30
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Abstract

Objectives : This present study examined the power of the Korean Child Behavior Checklist (K-CBCL) subscales to predict a DSM-IV diagnosis of oppositional defiant disorder (ODD). Methods : The sample included 37 children and adolescents with ODD and 46 normal controls. The participants and their parents were interviewed for clinical diagnosis using the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version (K-SADS-PL) and the parents completed the K-CBCL. Logistic regression analysis was used to predict the diagnosis of ODD. Results : Among the CBCL subscales, Delinquent and Aggressive Behavior scales significantly predicted ODD diagnosis. The means of these CBCL subscales were significantly higher in the ODD group when compared to the controls. Conclusion:Two CBCL subscales (Deliquent and Aggressive Behavior) displayed good diagnostic efficiency for assessing ODD in children and adolescents. Through combining information from the CBCL, an empirical-quantitative approach to psychopathology in children and the DSM-IV diagnostic criteria, the results demonstrated that a clinical diagnostic approach is an effective diagnostic paradigm for children with ODD.

Keywords

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