Our purpose in this article was to determine the degree of consistency between different informants' reports of the behavioral/emotional problems of subjects aged from IVi to 19 years. We found 269 samples in 119 studies for meta-analyses of Pearson re between ratings by parents, teachers, mental health workers, observers, peers, and the subjects themselves. The mean rs between all types of informants were statistically significant. The mean rs were .60 between similar informants (e.g., pairs of parents), .28 between different types of informants (e.g., parent/teacher), and .22 between subjects and other informants. Correlations were significantly higher for 6-to 11-year-olds than for adolescents, and for undercontrolled versus overcomrolled problems, although these differences were not large. The modest correlations between informants indicate that child and adolescent problems are not effectively captured by present-versus-absent judgments of problems. Instead, the variations between reports by different informants argue for assessment in terms of multiple axes designed to reflect the perceived variations in child and adolescent functioning.With the publication of Personality and Assessment, Mischel (1968) revived a long-simmering debate about whether behavior is determined mainly by situational factors or by personality characteristics that remain consistent across situations. He criticized trait and psychodynamic assumptions that global personality inferences could accurately predict behavior in specific situations. The renewed debate has since grown from theoretical questions of situational specificity, to the "cognitive economics" of clinical judgment (Mischel, 1984), and then to methodological issues of whether the aggregation of observations can demonstrate consistencies in behavior (Epstein & O'Brien, 1985).None of the protagonists claim either that there are no situational influences on behavior or that there is no cross-situational consistency in behavior (Pervin, 1985). The debate is fueled, however, by a mixture of theoretical assumptions and methodological questions about how to assess and predict particular kinds of behavior.Nowhere are questions of situational specificity more crucial than in children's behavioral and emotional problems, because assessment of such problems must span diverse situations, such as the home, school, clinic, and neighborhood. (For brevity, we use "children" to include ages from 1 'h to 19 years, a range

The aim was to determine whether ratings of 2- and 3-year-olds could yield more differentiation among their behavioral/emotional problems than the internalizing-externalizing dichotomy found in previous studies. The 99-item Child Behavior Checklist for Ages 2-3 (CBCL/2-3) was designed to extend previously developed empirically based assessment procedures to 2-and 3-year-olds. Factor analyses of the CBCL/2-3 completed by parents of 398 2- and 3-year-olds yielded six syndromes having at least eight items loading greater than or equal to .30 and designated as Social Withdrawal, Depressed, Sleep Problems, Somatic Problems, Aggressive, and Destructive. Second-order analyses showed that the first two were related to a broad-band internalizing grouping, whereas the last two were related to a broad-band externalizing grouping. Scales for the six syndromes, two broad-band groupings, and total problem score were constructed from scores obtained by 273 children in a general population sample. Mean test-retest reliability r was .87, 1-year stability r was .69, 1-year predictive r with CBCL/4-16 scales at age 4 was .63, 2-year predictive r was .55, and 3-year predictive r was .49. Children referred for mental health services scored significantly higher than nonreferred children on all scales. A lack of significant r's with the Minnesota Child Development Inventory, Bayley, and McCarthy indicate that the CBCL/2-3 taps behavioral/emotional problems independently of the developmental variance tapped by these measures.

We compared parent-reported problems and competencies for national samples of 2,600 4-16-year-olds assessed at intake into mental health services and 2,600 demographically matched nonreferred children assessed in a home interview survey. Parents responded to the ACQ Behavior Checklist, which includes 23 competence items, three competence scales, 216 problem items, eight syndrome scales, Internalizing, Externalizing, and total competence and problem scores. Most items and scales discriminated significantly (p less than .01) between referred and nonreferred samples. There were important sex and age differences in problem patterns, but regional and ethnic differences were minimal. Somewhat more problems and fewer competencies were reported for lower- than upper-socioeconomic-status children. Referral rates were similar in the most urban and rural areas, but they were significantly higher in areas of intermediate urbanization. Correlations of problem scores with those obtained 10 years earlier in a regional survey and with surveys in other countries showed considerable consistency in the rank order of prevalence rates among specific problems. Apparently owing to its more differentiated response scales, the ACQ was susceptible to respondent characteristics that reduced its discriminative power below that of the Child Behavior Checklist. Comparisons of procedures for discriminating between the normal and the clinical range supported the value of a borderline category for children who are neither clearly normal nor clearly deviant. Interview data from the survey sample yielded significantly higher ACQ problem scores for children who had fewer related adults in their homes, those who had more unrelated adults in their homes, those whose biological parents were unmarried, separated, or divorced, those whose families received public assistance, and those whose household or family members had received mental health services. Children who scored higher on Externalizing than Internalizing problems tended to have unmarried, separated, or divorced parents and to come from families receiving public assistance. However, among children whose household or family members had received mental health services, there were greater proportions of both Externalizing and Internalizing patterns than among other children.

No abstract

No abstract