The Application of the Adult Self-Report and the Adult Behavior Checklist Form to Chinese Adults: Syndrome Structure, Inter-Informant Agreement, and Cultural Comparison

Abstract

Given the global public health burden of mental illness, there is a critical need for culturally validated psychopathology assessment tools that perform well in diverse societies. This study examines the psychometric properties of the Adult Self-Report (ASR) and Adult Behavioral Checklist (ABCL) from the Achenbach System of Empirically Based Assessments in adults in China. Chinese adults (N = 1276) and their spouses completed the ASR and ABCL, respectively. We conducted confirmatory factor analysis on 99 ASR items and 93 ABCL items. Estimators of model fit confirmed that both measures demonstrated excellent fit (e.g., root mean square error of approximation = 0.016 and 0.018, respectively). Syndrome loadings on both measures were satisfactory but generally higher on the ASR. Neither gender nor education had significant effects, but there were informant x gender effects on most problem scales. Cross-informant agreement correlations between the ASR and ABCL were medium to large. Findings from this novel sample of Chinese adults are consistent with previous validation studies supporting the dimensionality, syndrome structure, gender differences, and inter-informant agreement of the ASR and ABCL. Our findings contribute to the cross-cultural understanding of mental health assessment and offer a psychometrically sound approach to measuring adult psychopathology in Chinese populations.

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“…The primary outcomes of interest were the syndrome scales, which referred to attention problems, thought problems, internalizing problems (comprising somatic complaints, anxiety/depressive symptoms and withdrawn behavior), externalizing problems (comprising aggressive behavior, intrusive behavior, and rule-breaking behavior), and sluggish cognitive tempo. The Chinese version of the ASR has been used and validated in the Chinese general population ( 32 ).…”

Standardized instruments for assessing psychiatric, behavioral, sexual problems, and quality of life in male and female adults with disorders of sex development in Indonesia

“…22 Psychometric analysis of ABCL in a Chinese population shows the satisfactory result with factor loading were within 0.6-0.8 with moderate-to-high cross-informant and DSM-oriented scale correlation coefficient. 23 Unfortunately, no version adopted into Indonesian was available. ABCL offers a robust assessment of the adult behavioral problem with diverse subdomains, although its main disadvantage is the complicated nature of this tool.…”