Disruptive behavior disorders (e.g., attention-deficit/hyperactivity disorder and oppositional defiant disorder) are increasingly being diagnosed in preschool children. However, the assessment and differential diagnosis of these disorders presents several challenges to clinicians. For example, most rating scales used to help diagnose such problems were developed using school age children. Thus, the psychometric properties of many commonly used assessment tools have yet to be investigated with a preschool population. The purpose of this study is to investigate the psychometric properties of the Disruptive Behavior Disorders Rating Scale (DBDRS) and the School Situations Questionnaire (SSQ) when used with a community sample of at-risk pre school children. Results indicate that both measures have adequate psychometric properties for use with preschoolers. Additionally, as with school-age populations, a three-factor solution, with factors reflecting inattentive, hyperactive-impulsive, and oppositional defiant behaviors, was the best fit for the DBDRS data. Implications for clinicians are discussed, as are limitations and suggestions for future research.
Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implication of cross-informant correlations for situational specificity. Psychological Bulletin, 101, 213-232.
2.
Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA Preschool Forms & Profiles. Burlington: University of Vermont, Research Center for Children, Youth, and Families.
3.
Adams, C. D., McCarthy, M., & Kelly, M. L. (1995). Adolescent versions of the Home and School Situations Questionnaires: Initial psychometric properties. Journal of Clinical Child Psychology, 24, 377-385.
4.
Altepeter, T. S., & Breen, M. J. (1989). The Home Situations Questionnaire (HSQ) and the School Situations Questionnaire (SSQ): Normative data and an evaluation of psychometric properties. Journal of Psychoeducational Assessment, 7, 312-322.
5.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
6.
Barkley, R. A. (1981). Hyperactive children: A handbook for diagnosis and treatment. New York: Guilford.
7.
Barkley, R. A. (1987). Defiant children: A clinician's manual for parent training. New York: Guilford.
8.
Barkley, R. A. (1997). Defiant children: A clinician's manual for assessment and parent training (2nd ed.). New York: Guilford.
9.
Barkley, R. A., DuPaul, G. J., & McMurray, M. B. (1990). Comprehensive evaluation of attention deficit disorder with and without hyperactivity as defined by research criteria. Journal of Consulting & Clinical Psychology, 58, 775-789.
10.
Bauermeister, J. J. (1992). Factor analysis of teacher ratings of attention-deficit hyperactivity and oppositional defiant symptoms in children age four through thirteen years. Journal of Child Clinical Psychology, 21, 27-34.
11.
Burns, G. L., Boe, B., Walsh, J. A., Sommers-Flanagan, R., & Teegarden, L. A. (2001). A confirmatory factor analysis on the DSM-IV ADHD and ODD symptoms: What is the best model for the organization of these symptoms?Journal of Abnormal Child Psychology, 29, 339-349.
12.
Byrne, B. M. (1998). A primer of LISREL: Basic applications and programming for confirmatory factor analytic models. New York: Springer-Verlag.
13.
Campbell, S. (1995). Behavior problems in preschool children: A review of recent research. Journal of Child Psychology & Psychiatry & Allied Disciplines, 36, 113-149.
14.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed). Hillsdale, NJ: Lawrence Erlbaum.
15.
Collett, B. R., Ohan, J. L., & Myers, K. M. (2003a). Ten-year review of rating scales. V: Scales assessing attention-deficit/hyperactivity disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 42, 1015-1037.
16.
Collett, B. R., Ohan, J. L., & Myers, K. M. (2003b). Ten-year review of rating scales. VI: Scales assessing externalizing behaviors. Journal of the American Academy of Child & Adolescent Psychiatry, 42, 1143-1170.
17.
DuPaul, G. J., & Barkley, R. A. (1992). Situational variability of attention problems: Psychometric properties of the Revised Home and School Situations Questionnaires. Journal of Clinical Child Psychology, 21, 178-188.
18.
DuPaul, G. J., Power, T. J., Anastopoulos, A. D., & Reid, R. (1998). ADHD Rating Scale–IV: Checklist, norms, and clinical interpretation. New York: Guilford.
19.
DuPaul, G. J., Power, T. J., Anastopoulos, A. D., Reid, R., McGoey, K. E., & Ikeda, M. J. (1997). Teacher ratings of attention-deficit/hyperactivity disorders symptoms: Factor structure and normative data. Psychological Assessment, 9, 436-444.
20.
Gadow, K., Sprafkin, J., & Nolan, E. (2001). DSM-IV symptoms in community and clinic preschool children. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 1383-1392.
21.
Gaub, M., & Carlson, C. L. (1997). Gender differences in ADHD: A meta-analysis and critical review. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1036-1045.
22.
Gomez, R., Harvey, J., Quick, C., Scharer, I., & Harris, G. (1999). DSM-IV AD/HD: Confirmatory factor models, prevalence, and gender and age differences based on parent and teacher ratings of Australian primary school children. Journal of Child Psychology and Psychiatry, 40, 264-274.
23.
Gorsuch, R. L. (1997). Exploratory factor analysis: Its role in item analysis.Journal of Personality Assessment, 68, 532-560.
24.
Kadesjö, C., Kadesjö, B., Hägglöf, B., & Gillberg, C. (2001). ADHD in Swedish 3 to 7-year-old children. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 1021-1028.
25.
Keenan, K., & Wakschlag, L. S. (2000). More than the terrible twos: The nature and severity of behavior problems in clinic-referred preschool children. Journal of Abnormal Child Psychology, 28, 33-46.
26.
Keenan, K., & Wakschlag, L. S. (2002). Can a valid diagnosis of disruptive behavior disorder be made in pre school children?American Journal of Psychiatry, 159, 351-358.
27.
Lavigne, J. V., Arend, R., Rosenbaum, D., Binns, H. J., Christoffel, K. K., & Gibbons, R. D. (1998). Psychiatric disorders with onset in the preschool years I: Stability of diagnoses. Journal of the American Academy of Child & Adolescent Psychiatry, 37, 1246-1254.
28.
Lavigne, J. V., Gibbons, R. D., Christoffel, K. K., Arend, R., Rosenbaum, D., Binns, H., et al. (1996). Prevalence rates and correlates of psychiatric disorders among preschool children. Journal of the American Academy of Child & Adolescent Psychiatry, 35, 204-214.
29.
Loeber, R., Green, S. M., Lahey, B. B., Christ, M. A., & Frick, P. J. (1992). Developmental sequences in the age of onset of disruptive child behaviors. Journal of Child and Family Studies, 1, 21-41.
30.
Maughan, B., Rowe, R., Messer, J., Goodman, R., & Meltzer, H. (2004). Conduct disorder and oppositional defiant disorder in a national sample: Developmental epidemiology. Journal of Child Psychology & Psychiatry & Allied Disciplines, 45, 609-621.
31.
Molina, B. S. G., Smith, B. H., & Pelham, W. E. (2001). Factor structure and criterion validity of secondary school teacher ratings of ADHD and ODD. Journal of Abnormal Child Psychology, 29, 71-82.
32.
Pillow, D. R., Pelham, W. E., Hoza, B., Molina, B. S. G., & Stultz, C. H. (1998). Confirmatory factor analyses examining attention deficit hyperactivity disorder symptoms and other childhood disruptive behaviors. Journal of Abnormal Child Psychology, 26, 293-309.
33.
Reynolds, C. R., & Kamphaus, R. W. (2004). Behavior assessment system for children (2nd ed.). Circle Pines, MN: AGS Publishing.
34.
Rockhill, C., Collett, B., McClellan, J., & Speltz, M. (in press). Oppositional defiant disorder. In J. Luby (Ed.), Preschool mental health: A guide for practitioners. New York: Guilford.
35.
Speltz, M. L., McClellan, J., DeKlyen, M., & Jones, K. (1999). Preschool boys with oppositional defiant disorder: Clinical presentation and diagnostic change. Journal of the American Academy of Child & Adolescent Psychiatry, 38, 838-845.
36.
Sprafkin, J., Volpe, R. J., Gadow, K., Nolan, E. E., & Kelly, K. (2002). A DSM-IV-referenced screening instrument for preschool children: The Early Childhood Inventory–4. Journal of the American Academy of Child & Adolescent Psychiatry, 41, 604-612.
37.
Swanson, J. (1992). School based assessments and interventions for ADD students. Irvine, CA: KC Publishing.
38.
Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Boston: Allyn & Bacon.
39.
Wakschlag, L. S., & Keenan, K. (2001). Clinical significance and correlates of disruptive behavior in environmentally at-risk preschoolers. Journal of Clinical Child Psychology, 30, 262-275.
40.
Wilens, T. E., Biederman, J., Brown, S., Tanguay, S., Monuteaux, M., Blake, C., et al. (2002). Psychiatric comorbidity and functioning in clinically referred preschool children and school-age youths with ADHD. Journal of the American Academy of Child & Adolescent Psychiatry, 41, 262-268.
41.
Wolraich, M. L., Lambert, E. W., Bickman, L., Simmons, T., Doffing, M. A., & Worley, K. A. (2004). Assessing the impact of parent and teacher agreement on diagnosing attention-deficit hyperactivity disorder. Developmental and Behavioral Pediatrics, 25, 41-47.
42.
Youngstrom, E., Loeber, R., & Stouthamer-Loeber, M. (2000). Patterns and correlates of agreement between parent, teacher, and male adolescent ratings of externalizing and internalizing problems. Journal of Consulting and Clinical Psychology, 68, 1038-1050.
