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Discriminant Validity and Clinical Utility of the Korean Version of the Child Behavior Checklist for Ages 1.5-5

Abstract

The purpose of this study was to verify the validity and clinical utility of the Korean version of the Child Behavior Checklist for Ages 1.5-5 (CBCL 1.5-5) by demonstrating that the total and subscale scores of the checklist provide valid criteria for classifying referred and non-referred groups. The study participants were a referred group of 228 preschoolers (153 boys, 75 girls, age range 1.5-5 yrs, mean age 3.3 yrs) and a non-referred group which was demographically matched for sex and age (n=228, mean age 3.3 yrs). An ANOVA, ROC curve analysis, discriminant analysis, and odds ratio analysis were performed on the syndrome scale data obtained on the participants. The results supported the efficiency of the Korean version of the CBCL 1.5-5 in referral status screening and its clinical validity. The overall results showed that, with the exception of the somatic complaints and sleep problem scales, the sub-scales of the Korean version of CBCL 1.5-5 were effective in discriminating between clinical and non-clinical groups, and the DSM pervasive developmental problems and DSM attention deficit/hyperactivity problems scales were the most successful. The clinical cutoff-score-criteria adopted for the Korean version of CBCL 1.5-5 were shown to be statistically valid. Further studies with a larger clinical sample and more detailed diagnostic information will be necessary in order to clarify why some sub-scales were more successful than others in discriminating the referral status of the pre-schoolers. The implications of using the CBCL 1.5-5 in Korea as a clinical and research tool were discussed.

keywords
CBCL 1.5-5, 표준화, 임상군, 정상군, 변별타당도, 승산비, ROC curve 분석, 판별분석, CBCL 1.5-5, referred group, discriminant validity, odds ratio, ROC curve., CBCL 1.5-5, referred group, discriminant validity, odds ratio, ROC curve.

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