Using the Child Behavior Checklist (CBCL) with transgender/gender nonconforming children and adolescents.

Rider, G. Nic; Pardo, Seth T.; Sharp, Carla; Tran, Kathy M.; Calvetti, Sam; Keo-Meier, Colton L.

doi:10.1037/cpp0000296

Cited by 9 publications

(19 citation statements)

References 19 publications

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“…Finally, following Rider et al [25], this study examined differences in trans youth's mental health scores between evaluation by GID and ABAS norms. This paper showed that in the YSR-R, the mean scores in the main and problem scales differed significantly on four out of eleven scales among trans boys and on nine scales among trans girls between the binary gender norms.…”

Section: Discussionmentioning

confidence: 99%

“…This process tends to be unclear when working with people who cannot identify with their ABAS. Most research groups used the ABAS for the evaluation [16][17][18], whereas some others mentioned uncertainty about which YSR/CBCL gender norm should be used with trans adolescents [14,16,25]. It is still unclear how to best use these instruments when working with trans and nonbinary people [25].…”

Section: Gender-related Distributions Of Psychological Distressmentioning

confidence: 99%

“…Most research groups used the ABAS for the evaluation [16][17][18], whereas some others mentioned uncertainty about which YSR/CBCL gender norm should be used with trans adolescents [14,16,25]. It is still unclear how to best use these instruments when working with trans and nonbinary people [25]. Rider et al [25] investigated the influence of the selection of the gender norm male/female of the CBCL-R on the scale scores of gender-nonconforming and trans children (n = 55) and adolescents (n = 53).…”

Section: Gender-related Distributions Of Psychological Distressmentioning

confidence: 99%

“…It is still unclear how to best use these instruments when working with trans and nonbinary people [25]. Rider et al [25] investigated the influence of the selection of the gender norm male/female of the CBCL-R on the scale scores of gender-nonconforming and trans children (n = 55) and adolescents (n = 53). Differences in somatic problems, oppositional behaviour and internalizing symptoms between the binary gender-normed scores were particularly evident.…”

Section: Gender-related Distributions Of Psychological Distressmentioning

confidence: 99%

“…Since uncertainty about the choice of gender norms when using the CBCL-R and YSR-R for young trans people had already been expressed in various studies [16,25,27], we used both female and male gender norms for each person's evaluation. This means that the raw scores of each questionnaire were compared with the values of both boys and girls from the standardization sample, which can result in different scale scores and corresponding T-values.…”

Section: Psychological Distressmentioning

confidence: 99%

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Assessment of Psychological Distress and Peer Relations among Trans Adolescents—An Examination of the Use of Gender Norms and Parent–Child Congruence of the YSR-R/CBCL-R among a Treatment-Seeking Sample

et al. 2021

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Among trans adolescents, increased psychological distress is reported in the literature. The goal of this study was to examine psychological distress, associated peer relations and parent report congruence among the treatment-seeking sample of the Gender Identity Special Consultation (GISC) for youth at the Charité Berlin. Further, differences between the instruments’ binary gender norms were investigated. Retrospectively, we analyzed clinical data derived from the GISC. By initial interviews and using the Youth Self-Report and Child Behavior Checklist, n = 50 trans adolescents aged 12–18 years (M = 15.5) were examined for psychological problems and peer relations. Congruence between self and parent report was analyzed by correlations. Half of the sample reported suicidality, self-harm and bullying. Trans adolescents showed significantly higher internalizing and total problems than the German norm population. The congruence between self and parent report proved to be moderate to high. The level of congruence and poor peer relations were identified as predictors of internalizing problems. Significant differences between the female vs. male gender norms emerged regarding mean scores and the number of clinically significant cases. Data provide valuable implications for intervention on a peer and family level. There are limitations to the suitability of questionnaires that use binary gender norms, and further research on adequate instruments and assessment is needed.

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Section: Discussionmentioning

confidence: 99%

Section: Gender-related Distributions Of Psychological Distressmentioning

confidence: 99%

Section: Gender-related Distributions Of Psychological Distressmentioning

confidence: 99%

Section: Gender-related Distributions Of Psychological Distressmentioning

confidence: 99%

Section: Psychological Distressmentioning

confidence: 99%

See 3 more Smart Citations

Assessment of Psychological Distress and Peer Relations among Trans Adolescents—An Examination of the Use of Gender Norms and Parent–Child Congruence of the YSR-R/CBCL-R among a Treatment-Seeking Sample

et al. 2021

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Introduction: Advancing the practice of pediatric psychology with transgender youth.

Chen¹,

Tishelman²,

Edwards-Leeper³

et al. 2019

Clinical Practice in Pediatric Psychology

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In our 2018 commentary (D. Chen, Edwards-Leeper, Stancin, & Tishelman, 2018), we highlighted the increasing acceptance of gender affirmative approaches as the gold standard in pediatric transgender health care (Edwards-Leeper, Leibowitz, & Sangganjanavanich, 2016; Hidalgo et al., 2013; Substance Abuse and Mental Health Services Administration, 2015), while also acknowledging the limited evidence base informing care for transgender and gender diverse (TGD) youth. This relative lack of research represents a critical gap given the growing numbers of TGD youth presenting for gender-affirming care (M. Chen, Fuqua, & Eugster, 2016;Wood et al., 2013) and the subsequent surge in need for pediatric psychologists to serve in critical roles on interdisciplinary gender health teams (D. Chen et al., 2016;Cousino, Davis, Ng, & Stancin, 2014;Tishelman et al., 2015), the number of which have grown exponentially in the last decade (Hsieh & Leininger, 2014). About 20 attendees involved in the care of TGD youth met informally at the 2019 Society of Pediatric Psychology Annual Conference in New Orleans earlier this year. We discussed the varied roles we each hold in our home institutions and how we interface with TGD youth and their families clinically and with our interdisciplinary colleagues who may be providing medical and surgical care for these youth. We also reviewed the respective models of care used, which differed despite sharing a general affirmative stance. This meeting occurred with less than 2 weeks' notice and without dedicated time scheduled at the conference, revealing substantial interest from the broader pediatric psychology community in the clinical care of TGD youth. This interest likely also stems from an understanding that most pediatric psychologists will encounter TGD youth during the course of clinical practice, whether in clinics providing specialty care to TGD youth, primary care, or other pediatric specialized services, as gender diversity Editor's Note. This is an introduction to the special issue "Advancing the Practice of Pediatric Psychology With Transgender Youth." Please see theTable of Contents here:

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Gender-inclusive clinical screeners: Using CBCLs and YSRs in a clinic-based sample of transgender/gender-diverse youth.

McAdaragh,

Parchem,

Duval

et al. 2024

Psychological Assessment

Self Cite

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This study examines differences in score profiles on the Child Behavior Checklist (CBCL) and Youth Self-Report (YSR) for transgender and gender-diverse (TGD) youth in a clinical setting. Data were collected from youth receiving services at a gender care clinic in the Midwestern United States. Inclusion criteria were youth that identify as transgender, nonbinary, or another gender-diverse identity label between the ages of 6 and 18 and received services between October 2017 and November 2021. The analytic sample (N = 177) included 51.4% transmasculine, 17.5% transfeminine, 22.6% nonbinary/gender-expansive, and 8.5% questioning youth. 88.1% of youth were White. Wilcoxon signed-rank tests compared differences in mean T scores when using male versus female scoring templates for YSR and CBCL separately. Statistically significant differences were found on the majority of scales, particularly for TGD adolescents. For example, significant differences were found on the YSR for 10 of 11 scales for transmasculine and transfeminine youth ages 11–18 and 9 of 11 scales for nonbinary/gender-expansive youth. McNemar’s test revealed significant differences in the number of clinical range scores for transmasculine YSR respondents on Anxious/Depressed, Somatic Complaints, Thought Problems, and Internalizing scales. For CBCL comparison of clinical significance, significant differences were found for Anxious/Depressed, Attention Problems, and Total Problems scales for transmasculine youth ages 12–18. Selecting a scoring template is contextually relevant; however, template selection appears to matter less when examining clinical relevance. Results suggest that clinicians using the CBCL and YSR with TGD youth have flexibility in scoring template selection.

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Using the Child Behavior Checklist (CBCL) with transgender/gender nonconforming children and adolescents.

Cited by 9 publications

References 19 publications

Assessment of Psychological Distress and Peer Relations among Trans Adolescents—An Examination of the Use of Gender Norms and Parent–Child Congruence of the YSR-R/CBCL-R among a Treatment-Seeking Sample

Assessment of Psychological Distress and Peer Relations among Trans Adolescents—An Examination of the Use of Gender Norms and Parent–Child Congruence of the YSR-R/CBCL-R among a Treatment-Seeking Sample

Introduction: Advancing the practice of pediatric psychology with transgender youth.

Gender-inclusive clinical screeners: Using CBCLs and YSRs in a clinic-based sample of transgender/gender-diverse youth.

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