A factor analysis of the Conners Teacher Rating Scale (TRS) using a large stratified random sample of 9,583 school children is summarized. Although this questionnaire is used primarily as a screening instrument for hyperactivity, previous factor analytic studies have tended to use small samples generally biased toward pathology. A revised factor structure is presented, with the aim of improving the utility of the TRS as a clinical screening instrument. The psychometric characteristics of the scale are evaluated via measures of internal consistency and random split-half analyses of the sample. Norms for composite factor scores, controlling for sex and age, are also presented. Contrary to earlier findings, a primary factor of Hyperactivity does emerge.Requests for reprints should be sent to R.

It has recently been suggested that hyperactivity and an aggressive conduct disorder cannot exist independently in children. The results of a factor analysis of the Conners Teacher Rating Scales of over 9000 children provided preliminary evidence to the contrary; a hyperactivity factor emerged as explaining the greatest proportion of the variance. Because of the large size of our data-set, it was deemed necessary to investigate the heuristic value of this finding. Using norms calculated on composite factor scores, a contingency analysis was performed to determine the proportions of children who were above a two-standard deviation criterion of deviance on all factors and combinations of factors. The use of different degrees of statistical control produced prevalence estimates comparable to those reported in the literature. These findings raise the possibility that studies reporting different prevalences of hyperactivity may, in fact, be exercising different degrees of conservatism in classification. Also, when the extent of overlap along each of our factor dimensions was examined, a group of children who appeared to be hyperactive but not conduct-disordered emerged. These findings provide evidence for an independent syndrome of hyperactivity in a sample of Canadian children.

In the present study, we examined the predictive utility of the Brockville Risk Checklist (BRC), a structured assessment tool for clinical care planning, using a semi-parametric regression technique. We examined BRC scores and the frequency and type of incidents (aggression, noncompliance, etc.) over 13 assessments for 121 psychiatric patients at a medium-secure forensic unit. Most patients were male (95%), on average 40.9 (SD = 13.0) years old, and diagnosed with a psychotic disorder (78%). Generalized estimating equation (GEE; Liang & Zeger, 1986) modeling was used in this study to determine if changes in dynamic risk scores over time predicted outcomes (presence or absence of an incident) during the approximately six-week follow-up period. Results showed that scores on the Harm to Others scale assessed at one case conference significantly predicted changes in aggressive and total incidents recorded in the subsequent case conference. The BRC shows promise as a dynamic measure of inpatient aggression, predicting verbal or physical incidents an average of six weeks later.

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