Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESA DSM-IV—Referenced Teacher Rating Scale for Use in Clinical Management
Section snippets
STUDY 1
Subjects
The reliability sample consisted of children who were attending a separate public school for special education students with serious behavioral and/or emotional problems located on Long Island, New York. All teachers (N = 15) completed ratings for a subsample (see “Procedure”) of 74 children (56 males and 18 females) between the ages of 5 and 13 years (mean = 8.9 ± 2.0 years). Their ethnic distribution was white (39%), African American (56%), and Hispanic American (5%). Most students qualified
RESULTS
Coefficient α values indicated satisfactory internal consistency reliabilities for CSI-4T symptom categories: ADHD-I (.92), ADHD-HI (.93), ADHD-C (.93), CD (.85), ODD (.94), GAD (.76), MDD (.75), Dysthymic Disorder (.73), Schizophrenia (.72), Autistic Disorder (.86), and Asperger's Disorder (.81).
Two-week test-retest reliabilities were generally strong for the major symptom categories for both Symptom Count and Symptom Severity scores, respectively: ADHD-I (r = 0.84, r = 0.84), ADHD-HI (r =
STUDY 2
Subjects
The validity sample was composed of 101 consecutive students (86 males and 15 females) between 6 and 18 years old (mean = 11.4 ± 2.8 years) who were served by a special education agency in the metropolitan St. Louis area. They were referred by their special education staffs to the agency's child and adolescent psychiatrist (R.E.M.) for consultation regarding behavioral and/or emotional problems. Most students were either in self-contained classrooms (36%) or separate public school centers for
Convergent and Divergent Validity
Examination of the most highly correlated CSI-4T category/TRF syndrome pairs (Table 1) provides evidence of convergent validity: ODD and Aggressive Behavior, CD and Delinquent Behavior/Aggressive Behavior, GAD and Anxious/Depressed, Social Phobia and Withdrawn, MDD and Withdrawn, Dysthymic Disorder and Withdrawn, Schizophrenia and Thought Problems, Autistic Disorder and Thought Problems, and Asperger's Disorder and Withdrawn. Within the ADHD symptom categories, ADHD-I was the most highly
DISCUSSION
Collectively, findings support the reliability and validity of CSI-4T symptom categories in special education students with behavioral and/or emotional problems, further recommending its use for gathering information from teachers about DSM-IV symptoms. Two-week test-retest reliabilities were greater than 0.70 for most symptom categories, and interrater reliability was moderate to strong. Good evidence of convergent-divergent validity was found between CSI-4T symptom categories and TRF scales.
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