Child Psychiatry & Human Development

, Volume 45, Issue 4, pp 388–397 | Cite as

Psychometric Properties of a German Parent Rating Scale for Oppositional Defiant and Conduct Disorder (FBB-SSV) in Clinical and Community Samples

  • Anja Görtz-Dorten
  • Elena Ise
  • Christopher Hautmann
  • Daniel Walter
  • Manfred Döpfner
Original Article


The Fremdbeurteilungsbogen für Störungen des Sozialverhaltens (FBB-SSV) is a commonly used DSM- and ICD-based rating scale for disruptive behaviour problems in Germany. This study examined the psychometric properties of the FBB-SSV rated by parents in both a clinical sample (N = 596) and a community sample (N = 720) of children aged 4–17 years. Results indicate that the FBB-SSV is internally consistent (α = .69–.90). Principal component analyses produced two-factor structures that are largely consistent with the distinction between oppositional defiant disorder (ODD) and conduct disorder (CD). Diagnostic accuracy was examined using receiver operating characteristic analyses, which showed that the FBB-SSV is excellent at discriminating children with ODD/CD from those in the community sample (AUC = .91). It has satisfactory diagnostic accuracy for detecting ODD/CD in the clinical sample (AUC = .76). Overall, the results show that the FBB-SSV is a reliable and valid instrument. This finding provides further support for the clinical utility of DSM- and ICD-based rating scales.


Oppositional defiant disorder Conduct disorder Factor structure Reliability Diagnostic accuracy 



The authors wish to thank all families that participated in this study.

Conflict of interest

Anja Görtz-Dorten and Manfred Döpfner are authors of the “Diagnostik-System für Psychische Störungen im Kindes- und Jugendalter nach ICD-10 und DSM-IV (DISYPS-II)”which includes the rating scale for ODD and CD (FBB-SSV). They receive royalties from the publisher.


  1. 1.
    American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders. Text revision (DSM-IV-TR), 4th edn. American Psychiatric Association, WashingtonCrossRefGoogle Scholar
  2. 2.
    World Health Organization (1994) The ICD-10 classification of mental and behavioural disorders: diagnostic criteria for research. WHO, GenevaGoogle Scholar
  3. 3.
    American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (DSM-5), 5th edn. American Psychiatric Association, WashingtonGoogle Scholar
  4. 4.
    Lahey BB, Loeber R, Hart EL, Frick PJ, Applegate B, Zhang Q et al (1995) Four-year longitudinal study of conduct disorder in boys: patterns and predictors of persistence. J Abnorm Psychol 104:83–93PubMedCrossRefGoogle Scholar
  5. 5.
    Offord DR, Boyle MH, Racine YA, Fleming JE, Cadman DT, Blum HM et al (1992) Outcome, prognosis, and risk in a longitudinal follow-up study. J Am Acad Child Adolesc Psychiatry 31:916–923PubMedCrossRefGoogle Scholar
  6. 6.
    Angold A, Costello E, Erkanli A (1999) Comorbidity. J Child Psychol Psychiatry 40:57–97PubMedCrossRefGoogle Scholar
  7. 7.
    Beauchaine TP, Hinshaw SP, Pang KL (2010) Comorbidity of attention-deficit/hyperactivity disorder and early onset conduct disorder: biological, environmental, and developmental mechanisms. Clin Psychol-Sci Pract 17:327–336CrossRefGoogle Scholar
  8. 8.
    Nock MK, Kazdin AE, Hiripi E, Kessler RC (2007) Lifetime prevalence, correlates, and persistence of oppositional defiant disorder: results from the national comorbidity survey replication. J Child Psychol Psychiatry 48:703–713PubMedCrossRefGoogle Scholar
  9. 9.
    Odgers CL, Moffitt TE, Broadbent JM, Dickson N, Hancox RJ, Harrington H et al (2008) Female and male antisocial trajectories: from childhood origins to adult outcomes. Dev Psychopathol 20:673–716PubMedCrossRefGoogle Scholar
  10. 10.
    Pajer KA (1998) What happens to “bad” girls? A review of the adult outcomes of antisocial adolescent girls. Am J Psychiatry 155:862–870PubMedGoogle Scholar
  11. 11.
    Maughan B, Rowe R, Messer J, Goodman R, Meltzer H (2004) Conduct disorder and oppositional defiant disorder in a national sample: developmental epidemiology. J Child Psychol Psychiatry 45:609–621PubMedCrossRefGoogle Scholar
  12. 12.
    Egger HL, Angold A (2006) Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology. J Child Psychol Psychiatry 43:313–337CrossRefGoogle Scholar
  13. 13.
    Lahey BB, Miller TL, Gordon RA, Riley AW (1999) Developmental epidemiology of the disruptive behaviour disorders. In: Quay HC, Hogan AE (eds) Handbook of disruptive behavior disorders. Kluwer Academic/Plenum Publishers, New York, pp 23–48CrossRefGoogle Scholar
  14. 14.
    Burke JD, Loeber R, Lahey BB, Rathouz PJ (2005) Developmental transitions among affective and behavioral disorders in adolescent boys. J Child Psychol Psychiatry 46:1200–1210PubMedCrossRefGoogle Scholar
  15. 15.
    Burke JD, Waldman I, Lahey BB (2010) Predictive validity of childhood oppositional defiant disorder and conduct disorder: implications for DSM-V. J Abnorm Psychol 119:739–751PubMedCrossRefGoogle Scholar
  16. 16.
    Rowe R, Costello EJ, Angold A, Copeland WE, Maughan B (2010) Developmental pathways in oppositional defiant disorder and conduct disorder. J Abnorm Psychol 119:726–738PubMedCentralPubMedCrossRefGoogle Scholar
  17. 17.
    Rey JM, Bashir MR, Schwarz M, Richards IN, Plapp JM, Stewart GW (1988) Oppositional disorder: fact or fiction? J Am Acad Child Adolesc Psychiatry 27:157–162PubMedCrossRefGoogle Scholar
  18. 18.
    Lahey BB, Waldman ID (2012) Annual research review: phenotypic and causal structure of conduct disorder in the broader context of prevalent forms of psychopathology. J Child Psychol Psychiatry 53:536–557PubMedCentralPubMedCrossRefGoogle Scholar
  19. 19.
    Loeber R, Burke JD, Lahey BB, Winters A, Zera M (2000) Oppositional defiant and conduct disorder: a review of the past 10 years, part I. J Am Acad Child Adolesc Psychiatry 39:1468–1484PubMedCrossRefGoogle Scholar
  20. 20.
    Rowe R, Maughan B, Pickles A, Costello EJ, Angold A (2002) The relationship between DSM-IV oppositional defiant disorder and conduct disorder: findings from the great smoky mountains study. J Child Psychol Psychiatry 43:365–373PubMedCrossRefGoogle Scholar
  21. 21.
    Frick PJ, Nigg JT (2012) Current issues in the diagnosis of attention deficit hyperactivity disorder, oppositional defiant disorder, and conduct disorder. Annu Rev Clin Psychol 8:77–107PubMedCrossRefGoogle Scholar
  22. 22.
    Burns GL, Walsh JA, Patterson DR, Holte CS, Sommers-Flannagan R, Parker CM (1997) Internal validity of disruptive behavior disorder symptoms: implications from parent ratings for a dimensional approach to symptom validity. J Abnorm Child Psychol 25:307–319PubMedCrossRefGoogle Scholar
  23. 23.
    Hartman C, Hox J, Mellenbergh GJ, Boyle MH, Offord DR, Racine Y et al (2001) DSM-IV internal construct validity: when a taxonomy meets data. J Child Psychol Psychiatry 42:817–836PubMedCrossRefGoogle Scholar
  24. 24.
    Pillow DR, Pelham WE, Hoza B, Molina BSG, Stultz CH (1998) Confirmatory factor analyses examining attention deficit hyperactivity disorder symptoms and other childhood disruptive behaviors. J Abnorm Child Psychol 26:293–309PubMedCrossRefGoogle Scholar
  25. 25.
    Zuddas A, Marzocchi GM, Oosterlaan J, Cavolina P, Ancilletta B, Sergeant J (2006) Factor structure and cultural factors of disruptive behavior disorders symptoms in Italian children. Eur Psychiatry 21:410–418PubMedCrossRefGoogle Scholar
  26. 26.
    Lahey BB, Rathouz PJ, van Hulle C, Urbano RC, Krueger RF, Applegate B et al (2008) Testing structural models of DSM-IV symptoms of common forms of child and adolescent psychopathology. J Abnorm Child Psychol 36:187–206PubMedCrossRefGoogle Scholar
  27. 27.
    Tackett JL, Krueger RF, Iacono WG, McGue M (2005) Symptom-based subfactors of DSM-defined conduct disorder: evidence for etiologic distinctions. J Abnorm Psychol 114:483–487PubMedCentralPubMedCrossRefGoogle Scholar
  28. 28.
    Tackett JL, Krueger RF, Sawyer MG, Graetz BW (2003) Subfactors of DSM–IV conduct disorder: evidence and connections with syndromes from the child behavior checklist. J Abnorm Child Psychol 31:647–654PubMedCrossRefGoogle Scholar
  29. 29.
    Bezdjian S, Krueger RF, Derringer J, Malone S, McGue M, Iacono WG (2011) The structure of DSM-IV ADHD, ODD, and CD criteria in adolescent boys: a hierarchical approach. Psychiatry Res 188:411–421PubMedCentralPubMedCrossRefGoogle Scholar
  30. 30.
    Frick PJ, Lahey BB, Loeber R, Stouthamer-Loeber M, Green S, Hart EL, Christ MAG (1991) Oppositional defiant disorder and conduct disorder in boys: patterns of behavioral covariation. J Clin Child Psychol 20:202–208CrossRefGoogle Scholar
  31. 31.
    Pelham WE, Evans SW, Gnagy EM, Greenslade KE (1992) Teacher ratings of DSM-III-R symptoms for the disruptive behavior disorders: prevalence, factor analyses, and conditional probabilities in a special education sample. School Psych Rev 21:285–299Google Scholar
  32. 32.
    Pelham WE, Gnagy EM, Greenslade KE, Milich R (1992) Teacher ratings of DSM-III-R symptoms for the disruptive behavior disorders. J Am Acad Child Adolesc Psychiatry 31:210–218PubMedCrossRefGoogle Scholar
  33. 33.
    Quay HC (1986) Classification. In: Quay HC, Werry JS (eds) Psychopathological disorders in childhood, 3rd edn. Wiley, New York, pp 1–34Google Scholar
  34. 34.
    Halperlin JM, McKay KE, Newcorn JH (2002) Development, reliability, and validity of the children’s aggression scale—parent version. J Am Acad Child Adolesc Psychiatry 41:245–252CrossRefGoogle Scholar
  35. 35.
    Achenbach TM (1991) Manual for the child behaviour checklist 4-18 and 1991 profile. University of Vermont, BurlingtonGoogle Scholar
  36. 36.
    Gadow KD, Sprafkin J (1994) Child symptom inventories manual. Checkmate Plus, Stony BrookGoogle Scholar
  37. 37.
    Gadow KD, Sprafkin J (2002) Child symptom inventory-4 Screening and norms manual. Checkmate Plus, Stony BrookGoogle Scholar
  38. 38.
    Conners CK (1997) Conners rating scales-revised technical manual. Multihealth Systems, North TonawandaGoogle Scholar
  39. 39.
    Döpfner M, Görtz-Dorten A, Lehmkuhl G, Breuer D, Goletz H (2008) Diagnostik-system für psychische störungen nach ICD-10 und DSM-IV für kinder und jugendliche-II (DISYPS-II). Huber, BernGoogle Scholar
  40. 40.
    Gevensleben H, Holl B, Albrecht B, Schlamp D, Kratz O, Studer P et al (2010) Neurofeedback training in children with ADHD: 6-month follow-up of a randomised controlled trial. Eur Child Adolesc Psychiatry 19:715–724PubMedCentralPubMedCrossRefGoogle Scholar
  41. 41.
    Huebner T, Vloet TD, Marx I, Konrad K, Fink GR, Herpertz SC, Herpertz-Dahlmann B (2008) Morphometric brain abnormalities in boys with conduct disorder. J Am Acad Child Adolesc Psychiatry 47:540–547PubMedCrossRefGoogle Scholar
  42. 42.
    Kierfeld F, Döpfner M (2006) Bibliotherapie als Behandlungsmöglichkeit bei Kindern mit externalen Verhaltensstörungen [Bibliotherapy as a self-help program for parents of children with externalizing problem behavior]. Z Kinder Jugendpsychiatr Psychother 34:377–386PubMedCrossRefGoogle Scholar
  43. 43.
    Kierfeld F, Ise E, Hanisch C, Görtz-Dorten A, Döpfner M (2013) Effectiveness of telephone-assisted parent-administered behavioural family intervention for preschool children with externalizing problem behaviour: a randomized controlled trial. Eur Child Adolesc Psychiatry 22:553–565PubMedCrossRefGoogle Scholar
  44. 44.
    Nunnally JC, Bernstein IH (1994) Psychometric theory, 3rd edn. McGraw-Hill, New YorkGoogle Scholar
  45. 45.
    Henderson AR (1993) Assessing test accuracy and its clinical consequences: a primer for receiver operating characteristic curve analysis. Ann Clin Biochem 30:521–539PubMedCrossRefGoogle Scholar
  46. 46.
    Youden WJ (1950) Index for rating diagnostic tests. Cancer 3:32–35PubMedCrossRefGoogle Scholar
  47. 47.
    Ivanova MY, Achenbach TM, Dumenci L, Rescorla LA, Almqvist F, Weintraub S et al (2007) Testing the 8-syndrome structure of the CBCL in 30 societies. J Clin Child Adolesc Psychol 36:405–417PubMedCrossRefGoogle Scholar
  48. 48.
    Myers K, Winters NC (2002) Ten-year review of rating scales. I: overview of scale functioning, psychometric properties, and selection. J Am Acad Child Adolesc Psychiatry 41:114–122PubMedCrossRefGoogle Scholar
  49. 49.
    Drabick DAG, Gadow KD, Loney J (2007) Source-specific oppositional defiant disorder: comorbidity and risk factors in referred elementary schoolboys. J Am Acad Child Adolesc Psychiatry 46:92–101PubMedCrossRefGoogle Scholar
  50. 50.
    Gadow KD, Sprafkin J, Salisbury H, Schneider J, Loney J (2004) Further validity evidence for the teacher version of the child symptom inventory-4. Sch Psychol Q 19:50–71CrossRefGoogle Scholar
  51. 51.
    Mattison RE, Gadow KD, Sprafkin J, Nolan EE, Schneider J (2003) A DSM-IV–referenced teacher rating scale for use in clinical management. J Am Acad Child Adolesc Psychiatry 42:442–449PubMedCrossRefGoogle Scholar
  52. 52.
    Sprafkin J, Gadow KD, Salisbury H, Schneider J, Loney J (2002) Further evidence of reliability and validity of the child symptom inventory-4: parent checklist in clinically referred boys. J Clin Child Adolesc Psychol 31:513–524PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Anja Görtz-Dorten
    • 1
    • 2
  • Elena Ise
    • 1
  • Christopher Hautmann
    • 1
  • Daniel Walter
    • 1
  • Manfred Döpfner
    • 1
    • 2
  1. 1.Department of Child and Adolescent Psychiatry and PsychotherapyUniversity of CologneCologneGermany
  2. 2.Christoph Dornier Foundation for Clinical PsychologyCologneGermany

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