Observational Assessment of Preschool Disruptive Behavior, Part I: reliability of the Disruptive Behavior Diagnostic Observation Schedule (DB-DOS).

Full Abstract

OBJECTIVE:
To examine the reliability of the Disruptive Behavior Diagnostic Observation Schedule (DB-DOS), a new observational method for assessing preschool disruptive behavior.

METHOD:
The DB-DOS is a structured clinic-based assessment designed to elicit clinically salient behaviors relevant to the diagnosis of disruptive behavior in preschoolers. Child behavior is assessed in three interactional contexts that vary by partner (parent versus examiner) and level of support provided. Twenty-one disruptive behaviors are coded within two domains:
problems in Behavioral Regulation and problems in Anger Modulation. A total of 364 referred and nonreferred preschoolers participated:
interrater reliability and internal consistency were assessed on a primary sample (n = 335) and test-retest reliability was assessed in a separate sample (n = 29).

RESULTS:
The DB-DOS demonstrated good interrater and test-retest reliability. Confirmatory factor analysis demonstrated an excellent fit of the DB-DOS multidomain model of disruptive behavior.

CONCLUSIONS:
The DB-DOS is a reliable observational tool for clinic-based assessment of preschool disruptive behavior. This standardized assessment method holds promise for advancing developmentally sensitive characterization of preschool psychopathology.

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Author information

Author/s: Wakschlag, Lauren S (LS); Hill, Carri (C); Carter, Alice S (AS); Danis, Barbara (B); Egger, Helen L (HL); Keenan, Kate (K); Leventhal, Bennett L (BL); Cicchetti, Domenic (D); Maskowitz, Katie (K); Burns, James (J); Briggs-Gowan, Margaret J (MJ);

Affiliation: Institute for Juvenile Research, Department of Psychiatry, University of Illinois at Chicago, 1747 W. Roosevelt Road, MC 747, Chicago, IL 60608, USA. lwakschlag@psych.uic.edu

Grants: MH62437 (Agency:United States NIMH) ; R01 MH68455 (Agency:United States NIMH)

Journal and publication information

Publication Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't

Journal: Journal of the American Academy of Child and Adolescent Psychiatry (J Am Acad Child Adolesc Psychiatry), published in United States. (Language: eng)

Reference: 2008-Jun; vol 47 (issue 6) : pp 622-31

Dates: Created 2008/05/22; Completed 2008/06/11;

PMID: 18434926, status: MEDLINE (last retrieval date: 11/6/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Attention Deficit and Disruptive Behavior Disorders - diagnosis
Child Behavior Disorders - diagnosis; psychology
Child, Preschool
Humans
Personality Assessment - statistics & numerical data

Personality Assessment - statistics & numerical data
Psychometrics - statistics & numerical data
Referral and Consultation
Reproducibility of Results
Social Environment

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