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Discriminative Validity of the General Behavior Inventory Using Youth Report

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Abstract

The present study investigated the ability of the General Behavior Inventory (GBI) to discriminate between diagnostic groups using youth self-report. One hundred and ninety-seven youths ages 10–17 years presenting at a midwestern urban outpatient clinic specializing in mood disorders completed the GBI as part of the intake process. Diagnoses were determined by a structured clinical interview (K-SADS) administered by either a child and adolescent psychiatrist or a research assistant trained to a high level of interrater reliability (κ > .85). Games–Howell post hoc tests showed that the diagnostic groups significantly differed on the GBI's 2 subscales, Depression and Hypomanic–Biphasic. Logistic regression demonstrated that the scales discriminated between bipolar and disruptive behavior disorders, unipolar and bipolar depression, and mood and disruptive behavior disorders or no diagnosis. Receiver Operating Characteristic (ROC) curves further indicated the good diagnostic efficiency of the scales. Results indicate that the GBI's subscales might aid in making traditionally difficult differential diagnoses, such as between bipolar disorder and Attention Deficit Hyperactivity Disorder (ADHD) and between unipolar and bipolar depression.

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References

  • Achenbach, T. M. (1991). Manual for the Child Behavior Checklist/4-18. Burlington: University of Vermont.

    Google Scholar 

  • Baldessarini, R. J., & Tondo, L. (2000). Treatment of bipolar disorder. Clinical Reviews and Updates in Neurology and Psychiatry, 2, 9-12.

    Google Scholar 

  • Biederman, J. (1995). Developmental subtypes of juvenile bipolar disorder. Harvard Review of Psychiatry, 3, 227-230.

    PubMed  Google Scholar 

  • Biederman, J. (1998). Resolved: Mania is mistaken for ADHD in prebubertal children. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 1091-1093.

    PubMed  Google Scholar 

  • Biederman, J., Russell, R., Soriano, J., Wozniak, J., & Faraone, S. V. (1998). Clinical features of children with both ADHD and mania: Does ascertainment source make a difference? Journal of Affective Disorders, 51, 101-112.

    PubMed  Google Scholar 

  • Biederman, J., Wozniak, J., Kiely, K., Ablon, S., Faraone, S., Mick, E., et al. (1995). CBCL clinical scales discriminate prepubertal children with structured interview-derived diagnosis of mania from those with ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 464-471.

    PubMed  Google Scholar 

  • Bowring, M. A., & Kovacs, M. (1992). Difficulties in diagnosing manic disorders among children. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 611-614.

    PubMed  Google Scholar 

  • Brown, R. T., & Sawyer, M. G. (1998). Medications for school-age children: Effects on learning and behavior. New York: Guilford Press.

    Google Scholar 

  • Carlson, G. A. (1998). Mania and ADHD: Comorbidity or confusion. Journal of Affective Disorders, 51, 177-187.

    PubMed  Google Scholar 

  • Chen, W. J., Faraone, S. V., Biederman, J., & Tsuang, M. (1994). Diagnostic accuracy of the Child Behavior Checklist Scales for attention-deficit hyperactivity disorder: A receiver-operating characteristic analysis. Journal of Consulting and Clinical Psychology, 62, 1017-1025.

    PubMed  Google Scholar 

  • Clark, D. A., & Bolton, D. (1985). An investigation of two self-report measures of obsessional phenomena in obsessive–compulsive adolescents: Research note. Journal of Child Psychology and Psychiatry and Allied Disciplines, 26, 429-437.

    Google Scholar 

  • Depue, R. A. (1987). General Behavior Inventory (manual). Minneapolis: University of Minnesota.

    Google Scholar 

  • Depue, R. A., Krauss, S., Spoont, M. R., & Arbisi, P. (1989). General Behavior Inventory identification of unipolar and bipolar affective conditions in a nonclinical university population. Journal of Abnormal Psychology, 98, 117-126.

    PubMed  Google Scholar 

  • Depue, R. A., Slater, J. F., Wolfstetter-Kausch, H., Klein, D., Goplerud, E., & Farr, D. (1981). A behavioral paradigm for identifying persons at risk for bipolar depressive disorder: A conceptual framework and five validation studies. Journal of Abnormal Psychology Monograph, 90, 381-487.

    Google Scholar 

  • Fabrigar, L. R., Wegener, D. T., MacCallum, R. C., & Strahan, E. J. (1999). Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods, 4, 272-299.

    Google Scholar 

  • Findling, R. L., Youngstrom, E. A., Danielson, C. K., DelPorto, D., Papish David, R., Townsend, L., & Calabrese, J. R. (2002). Clinical decision-making using the General Behavior Inventory in juvenile bipolarity. Bipolar Disorders, 4, 34-42.

    PubMed  Google Scholar 

  • Fine, S., Moretti, M., Haley, G., & Marriage, K. (1985). Affective disorders in children and adolescents: The dysthymic disorder dilemma. Canadian Journal of Psychiatry, 30, 173-177.

    Google Scholar 

  • Geller, B., Warner, K., Williams, M., & Zimerman, B. (1998). Prepubertal and young adolescent bipolarity versus ADHD: Assessment and validity using the WASH-U-KSADS, CBCL and TRF. Journal of Affective Disorders, 51, 93-100.

    PubMed  Google Scholar 

  • Geller, B., Warner, K., Williams, M., Zimerman, B., Frazier, Z., Beringer, L., et al. (1998). Prepubertal and early adolescent bipolarity differentiate from ADHD by manic symptoms, grandiose delusions, ultra-rapid or ultradian cycling. Journal of Affective Disorders, 51, 81-91.

    PubMed  Google Scholar 

  • Giedd, J. N. (2000). Bipolar disorder and attention-deficith/hyperactivity disorder in children and adolescents. Journal of Clinical Psychiatry, 61, 31-34.

    Google Scholar 

  • Grom-Marnat, G. (1999). Handbook of psychological assessment (3rd ed.). New York: Wiley.

    Google Scholar 

  • Herjanic, B., Herjanic, M., Brown, F., & Wheatt, T. (1975). Are children reliable reporters? Journal of Abnormal Child Psychology, 3, 41-48.

    PubMed  Google Scholar 

  • Horn, J. L. (1965). A rationale and test for the number of factors in factor analysis. Psychometrika, 30, 179-185.

    PubMed  Google Scholar 

  • Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., et al. (1997). Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): Initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 980-988.

    PubMed  Google Scholar 

  • Klein, D. N., Depue, R. A., & Slater, J. F. (1986). Inventory identification of cyclothymia IX. Validation in offspring of bipolar I patients. Archives of General Psychiatry, 43, 441-445.

    PubMed  Google Scholar 

  • Klein, D. N., Dickstein, S., Taylor, E. B., & Harding, K. (1989). Identifying chronic affective disorders in outpatients: Validation of the General Behavior Inventory. Journal of Consulting and Clinical Psychology, 57, 106-111.

    PubMed  Google Scholar 

  • Kovacs, M. (1987). Diagnosis of depressive disorders in children: An interim appraisal of the pertinent DSM-III categories. In G. L. Tischler (Ed.), Diagnosis and classification in psychiatry: A critical appraisal of DSM-III (pp. 369-383). New York: Cambridge University Press.

    Google Scholar 

  • Kraemer, H. C. (2000). Statistical analysis to settle ethical issues? Archives of General Psychiatry, 57, 327-328.

    PubMed  Google Scholar 

  • Loeber, R., Green, S. M., & Lahey, B. B. (1990). Mental health professionals' perception of the utility of children, mothers, and teachers as informants on childhood psychopathology. Journal of Clinical Child Psychology, 19, 136-143.

    Google Scholar 

  • Mallon, J. C., Klein, D. N., Bornstein, R. F., & Slater, J. F. (1986). Discriminant validity of the General Behavior Inventory: An outpatient study. Journal of Personality Assessment, 50, 568-577.

    PubMed  Google Scholar 

  • McFall, R. M., & Treat, T. A. (1999). Quantifying the information value of clinical assessment with signal detection theory. Annual Review of Psychology, 50, 215-241.

    PubMed  Google Scholar 

  • Pedhazur, E., & Schmelkin, L. P. (1991). Measurement, design, and analysis: An integrated approach. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Richters, J. E. (1992). Depressed mothers as informants about their children: A critical review of the evidence for distortion. Psychological Bulletin, 112, 485-499.

    PubMed  Google Scholar 

  • Starfield, B., Powe, N. R., Weiner, J. R., Stuart, M., Steinwachs, D., Scholle, S. H., et al. (1994). Costs vs. quality in different types of primary care settings. JAMA, 272, 1903-1908.

    PubMed  Google Scholar 

  • Steinhausen, H., & Metzke, C. W. (2000). Adolescent self-rated depressive symptoms in a Swiss epidemiological study. Journal of Youth and Adolescence, 29, 427-440.

    Google Scholar 

  • Velicer, W. F. (1976). Determining the number of components from the matrix of partial correlations. Psychometrika, 41, 321-327.

    Google Scholar 

  • Velicer, W. F., Eaton, C. A., & Fava, J. L. (2000). Construct explication through factor or component analysis. A review and evaluation of alternative procedures for determining the number of factors or components. In R. O. Goffin & E. Helmes (Eds.), Problems and solutions in human assessment: A festschrift to Douglas Jackson at seventy (pp. 41-71). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Weinberger, D. A. (1996). Distorted self-perceptions: Divergent self-reports as statistical outliers in the multimethod assessment of children's social–emotional adjustment. Journal of Personality Assessment, 66, 126-143.

    PubMed  Google Scholar 

  • Weller, E. B., Weller, R. A., & Fristad, M. A. (1995). Bipolar disorder in children: Misdiagnosis, underdiagnosis, and future directions. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 709-714.

    PubMed  Google Scholar 

  • Winokur, G., Coryel, W., Keller, M., Endicott, J., & Akishal, H. (1993). A prospective follow-up of patients with bipolar and primary unipolar affective disorder. Archives of General Psychiatry, 50, 457-465.

    PubMed  Google Scholar 

  • Witt, J., Cavell, T., Heffer, R., Carey, M., & Martens, B. (1988). Child self-report: Interviewing techniques and rating scales. In E. Shapiro & T. Kratochwill (Eds.), Behavioral assessment in schools: Conceptual foundations and practical applications (pp. 384-454). New York: Guilford Press.

    Google Scholar 

  • Youngstrom, E. A., Findling, R. L., Danielson, C. K., & Calabrese, J. (2001). Discriminant validity of parent report of hypomanic and depressive symptoms on the General Behavior Inventory. Psychological Assessment, 13, 267-276.

    PubMed  Google Scholar 

  • Youngstrom, E. A., Izard, C., & Ackerman, B. (1999). Dysphoria-related bias in maternal ratings of children. Journal of Consulting and Clinical Psychology, 67, 1-12.

    Google Scholar 

  • Youngstrom, E. A., Loeber, R., & Stouthamer-Loeber, M. (2000). Patterns and correlates of agreement between parent, teacher, and male youth behavior ratings. Journal of Consulting and Clinical Psychology, 68, 1038-1050.

    PubMed  Google Scholar 

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Correspondence to Eric A. Youngstrom.

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Danielson, C.K., Youngstrom, E.A., Findling, R.L. et al. Discriminative Validity of the General Behavior Inventory Using Youth Report. J Abnorm Child Psychol 31, 29–39 (2003). https://doi.org/10.1023/A:1021717231272

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