Objective: To complement standardized measurement of symptoms, we developed and tested an efficient strategy for identifying (before treatment) and repeatedly assessing (during treatment) the problems identified as most important by caregivers and youths in psychotherapy. Method: A total of 178 outpatient-referred youths, 7-13 years of age, and…

The need to assess Diagnostic and Statistical Manual, Fourth Edition (DSM-IV) disorders in children younger than 7 years of age has intensified as clinical efforts to diagnose and treat this population have increased, and clinical research on psychopathology has advanced. A new diagnostic instrument for young children was created, the Diagnostic…

Objective: To examine the test-retest reliability of a new interviewer-based psychiatric diagnostic measure (the Preschool Age Psychiatric Assessment) for use with parents of preschoolers 2 to 5 years old. Method: A total of 1,073 parents of children attending a large pediatric clinic completed the Child Behavior Checklist 1 1/2-5. For 18 months,…

This study evaluated the reliability of the Child Behavior Checklist with 42 children and youth with mild mental retardation. Use of kappa coefficients and intra-class correlations at item and syndrome levels indicated that the Child Behavior Checklist may not always represent a reliable checklist for the assessment of psychopathology in this…

Standardized rating scales are the most often used part of the multidimensional assessment of children's behavior. However, low cross-informant correlations raise concerns about the reliability and validity of the resulting scores. This study examined whether the manner in which behavioral constructs are measured differs across informants, across…