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Psychometric Properties of a German Parent Rating Scale for Oppositional Defiant and Conduct Disorder (FBB-SSV) in Clinical and Community Samples

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Abstract

The Fremdbeurteilungsbogen für Störungen des Sozialverhaltens (FBB-SSV) is a commonly used DSM- and ICD-based rating scale for disruptive behaviour problems in Germany. This study examined the psychometric properties of the FBB-SSV rated by parents in both a clinical sample (N = 596) and a community sample (N = 720) of children aged 4–17 years. Results indicate that the FBB-SSV is internally consistent (α = .69–.90). Principal component analyses produced two-factor structures that are largely consistent with the distinction between oppositional defiant disorder (ODD) and conduct disorder (CD). Diagnostic accuracy was examined using receiver operating characteristic analyses, which showed that the FBB-SSV is excellent at discriminating children with ODD/CD from those in the community sample (AUC = .91). It has satisfactory diagnostic accuracy for detecting ODD/CD in the clinical sample (AUC = .76). Overall, the results show that the FBB-SSV is a reliable and valid instrument. This finding provides further support for the clinical utility of DSM- and ICD-based rating scales.

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References

  1. American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders. Text revision (DSM-IV-TR), 4th edn. American Psychiatric Association, Washington

    Book  Google Scholar 

  2. World Health Organization (1994) The ICD-10 classification of mental and behavioural disorders: diagnostic criteria for research. WHO, Geneva

    Google Scholar 

  3. American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (DSM-5), 5th edn. American Psychiatric Association, Washington

    Google Scholar 

  4. Lahey BB, Loeber R, Hart EL, Frick PJ, Applegate B, Zhang Q et al (1995) Four-year longitudinal study of conduct disorder in boys: patterns and predictors of persistence. J Abnorm Psychol 104:83–93

    Article  PubMed  Google Scholar 

  5. Offord DR, Boyle MH, Racine YA, Fleming JE, Cadman DT, Blum HM et al (1992) Outcome, prognosis, and risk in a longitudinal follow-up study. J Am Acad Child Adolesc Psychiatry 31:916–923

    Article  PubMed  Google Scholar 

  6. Angold A, Costello E, Erkanli A (1999) Comorbidity. J Child Psychol Psychiatry 40:57–97

    Article  PubMed  Google Scholar 

  7. Beauchaine TP, Hinshaw SP, Pang KL (2010) Comorbidity of attention-deficit/hyperactivity disorder and early onset conduct disorder: biological, environmental, and developmental mechanisms. Clin Psychol-Sci Pract 17:327–336

    Article  Google Scholar 

  8. Nock MK, Kazdin AE, Hiripi E, Kessler RC (2007) Lifetime prevalence, correlates, and persistence of oppositional defiant disorder: results from the national comorbidity survey replication. J Child Psychol Psychiatry 48:703–713

    Article  PubMed  Google Scholar 

  9. Odgers CL, Moffitt TE, Broadbent JM, Dickson N, Hancox RJ, Harrington H et al (2008) Female and male antisocial trajectories: from childhood origins to adult outcomes. Dev Psychopathol 20:673–716

    Article  PubMed  Google Scholar 

  10. Pajer KA (1998) What happens to “bad” girls? A review of the adult outcomes of antisocial adolescent girls. Am J Psychiatry 155:862–870

    PubMed  Google Scholar 

  11. Maughan B, Rowe R, Messer J, Goodman R, Meltzer H (2004) Conduct disorder and oppositional defiant disorder in a national sample: developmental epidemiology. J Child Psychol Psychiatry 45:609–621

    Article  PubMed  Google Scholar 

  12. Egger HL, Angold A (2006) Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology. J Child Psychol Psychiatry 43:313–337

    Article  Google Scholar 

  13. Lahey BB, Miller TL, Gordon RA, Riley AW (1999) Developmental epidemiology of the disruptive behaviour disorders. In: Quay HC, Hogan AE (eds) Handbook of disruptive behavior disorders. Kluwer Academic/Plenum Publishers, New York, pp 23–48

    Chapter  Google Scholar 

  14. Burke JD, Loeber R, Lahey BB, Rathouz PJ (2005) Developmental transitions among affective and behavioral disorders in adolescent boys. J Child Psychol Psychiatry 46:1200–1210

    Article  PubMed  Google Scholar 

  15. Burke JD, Waldman I, Lahey BB (2010) Predictive validity of childhood oppositional defiant disorder and conduct disorder: implications for DSM-V. J Abnorm Psychol 119:739–751

    Article  PubMed  Google Scholar 

  16. Rowe R, Costello EJ, Angold A, Copeland WE, Maughan B (2010) Developmental pathways in oppositional defiant disorder and conduct disorder. J Abnorm Psychol 119:726–738

    Article  PubMed Central  PubMed  Google Scholar 

  17. Rey JM, Bashir MR, Schwarz M, Richards IN, Plapp JM, Stewart GW (1988) Oppositional disorder: fact or fiction? J Am Acad Child Adolesc Psychiatry 27:157–162

    Article  PubMed  Google Scholar 

  18. Lahey BB, Waldman ID (2012) Annual research review: phenotypic and causal structure of conduct disorder in the broader context of prevalent forms of psychopathology. J Child Psychol Psychiatry 53:536–557

    Article  PubMed Central  PubMed  Google Scholar 

  19. Loeber R, Burke JD, Lahey BB, Winters A, Zera M (2000) Oppositional defiant and conduct disorder: a review of the past 10 years, part I. J Am Acad Child Adolesc Psychiatry 39:1468–1484

    Article  PubMed  Google Scholar 

  20. Rowe R, Maughan B, Pickles A, Costello EJ, Angold A (2002) The relationship between DSM-IV oppositional defiant disorder and conduct disorder: findings from the great smoky mountains study. J Child Psychol Psychiatry 43:365–373

    Article  PubMed  Google Scholar 

  21. Frick PJ, Nigg JT (2012) Current issues in the diagnosis of attention deficit hyperactivity disorder, oppositional defiant disorder, and conduct disorder. Annu Rev Clin Psychol 8:77–107

    Article  PubMed  Google Scholar 

  22. Burns GL, Walsh JA, Patterson DR, Holte CS, Sommers-Flannagan R, Parker CM (1997) Internal validity of disruptive behavior disorder symptoms: implications from parent ratings for a dimensional approach to symptom validity. J Abnorm Child Psychol 25:307–319

    Article  PubMed  Google Scholar 

  23. Hartman C, Hox J, Mellenbergh GJ, Boyle MH, Offord DR, Racine Y et al (2001) DSM-IV internal construct validity: when a taxonomy meets data. J Child Psychol Psychiatry 42:817–836

    Article  PubMed  Google Scholar 

  24. Pillow DR, Pelham WE, Hoza B, Molina BSG, Stultz CH (1998) Confirmatory factor analyses examining attention deficit hyperactivity disorder symptoms and other childhood disruptive behaviors. J Abnorm Child Psychol 26:293–309

    Article  PubMed  Google Scholar 

  25. Zuddas A, Marzocchi GM, Oosterlaan J, Cavolina P, Ancilletta B, Sergeant J (2006) Factor structure and cultural factors of disruptive behavior disorders symptoms in Italian children. Eur Psychiatry 21:410–418

    Article  PubMed  Google Scholar 

  26. Lahey BB, Rathouz PJ, van Hulle C, Urbano RC, Krueger RF, Applegate B et al (2008) Testing structural models of DSM-IV symptoms of common forms of child and adolescent psychopathology. J Abnorm Child Psychol 36:187–206

    Article  PubMed  Google Scholar 

  27. Tackett JL, Krueger RF, Iacono WG, McGue M (2005) Symptom-based subfactors of DSM-defined conduct disorder: evidence for etiologic distinctions. J Abnorm Psychol 114:483–487

    Article  PubMed Central  PubMed  Google Scholar 

  28. Tackett JL, Krueger RF, Sawyer MG, Graetz BW (2003) Subfactors of DSM–IV conduct disorder: evidence and connections with syndromes from the child behavior checklist. J Abnorm Child Psychol 31:647–654

    Article  PubMed  Google Scholar 

  29. Bezdjian S, Krueger RF, Derringer J, Malone S, McGue M, Iacono WG (2011) The structure of DSM-IV ADHD, ODD, and CD criteria in adolescent boys: a hierarchical approach. Psychiatry Res 188:411–421

    Article  PubMed Central  PubMed  Google Scholar 

  30. Frick PJ, Lahey BB, Loeber R, Stouthamer-Loeber M, Green S, Hart EL, Christ MAG (1991) Oppositional defiant disorder and conduct disorder in boys: patterns of behavioral covariation. J Clin Child Psychol 20:202–208

    Article  Google Scholar 

  31. Pelham WE, Evans SW, Gnagy EM, Greenslade KE (1992) Teacher ratings of DSM-III-R symptoms for the disruptive behavior disorders: prevalence, factor analyses, and conditional probabilities in a special education sample. School Psych Rev 21:285–299

    Google Scholar 

  32. Pelham WE, Gnagy EM, Greenslade KE, Milich R (1992) Teacher ratings of DSM-III-R symptoms for the disruptive behavior disorders. J Am Acad Child Adolesc Psychiatry 31:210–218

    Article  PubMed  Google Scholar 

  33. Quay HC (1986) Classification. In: Quay HC, Werry JS (eds) Psychopathological disorders in childhood, 3rd edn. Wiley, New York, pp 1–34

    Google Scholar 

  34. Halperlin JM, McKay KE, Newcorn JH (2002) Development, reliability, and validity of the children’s aggression scale—parent version. J Am Acad Child Adolesc Psychiatry 41:245–252

    Article  Google Scholar 

  35. Achenbach TM (1991) Manual for the child behaviour checklist 4-18 and 1991 profile. University of Vermont, Burlington

    Google Scholar 

  36. Gadow KD, Sprafkin J (1994) Child symptom inventories manual. Checkmate Plus, Stony Brook

    Google Scholar 

  37. Gadow KD, Sprafkin J (2002) Child symptom inventory-4 Screening and norms manual. Checkmate Plus, Stony Brook

    Google Scholar 

  38. Conners CK (1997) Conners rating scales-revised technical manual. Multihealth Systems, North Tonawanda

    Google Scholar 

  39. Döpfner M, Görtz-Dorten A, Lehmkuhl G, Breuer D, Goletz H (2008) Diagnostik-system für psychische störungen nach ICD-10 und DSM-IV für kinder und jugendliche-II (DISYPS-II). Huber, Bern

    Google Scholar 

  40. Gevensleben H, Holl B, Albrecht B, Schlamp D, Kratz O, Studer P et al (2010) Neurofeedback training in children with ADHD: 6-month follow-up of a randomised controlled trial. Eur Child Adolesc Psychiatry 19:715–724

    Article  PubMed Central  PubMed  Google Scholar 

  41. Huebner T, Vloet TD, Marx I, Konrad K, Fink GR, Herpertz SC, Herpertz-Dahlmann B (2008) Morphometric brain abnormalities in boys with conduct disorder. J Am Acad Child Adolesc Psychiatry 47:540–547

    Article  PubMed  Google Scholar 

  42. Kierfeld F, Döpfner M (2006) Bibliotherapie als Behandlungsmöglichkeit bei Kindern mit externalen Verhaltensstörungen [Bibliotherapy as a self-help program for parents of children with externalizing problem behavior]. Z Kinder Jugendpsychiatr Psychother 34:377–386

    Article  PubMed  Google Scholar 

  43. Kierfeld F, Ise E, Hanisch C, Görtz-Dorten A, Döpfner M (2013) Effectiveness of telephone-assisted parent-administered behavioural family intervention for preschool children with externalizing problem behaviour: a randomized controlled trial. Eur Child Adolesc Psychiatry 22:553–565

    Article  PubMed  Google Scholar 

  44. Nunnally JC, Bernstein IH (1994) Psychometric theory, 3rd edn. McGraw-Hill, New York

    Google Scholar 

  45. Henderson AR (1993) Assessing test accuracy and its clinical consequences: a primer for receiver operating characteristic curve analysis. Ann Clin Biochem 30:521–539

    Article  PubMed  Google Scholar 

  46. Youden WJ (1950) Index for rating diagnostic tests. Cancer 3:32–35

    Article  PubMed  Google Scholar 

  47. Ivanova MY, Achenbach TM, Dumenci L, Rescorla LA, Almqvist F, Weintraub S et al (2007) Testing the 8-syndrome structure of the CBCL in 30 societies. J Clin Child Adolesc Psychol 36:405–417

    Article  PubMed  Google Scholar 

  48. Myers K, Winters NC (2002) Ten-year review of rating scales. I: overview of scale functioning, psychometric properties, and selection. J Am Acad Child Adolesc Psychiatry 41:114–122

    Article  PubMed  Google Scholar 

  49. Drabick DAG, Gadow KD, Loney J (2007) Source-specific oppositional defiant disorder: comorbidity and risk factors in referred elementary schoolboys. J Am Acad Child Adolesc Psychiatry 46:92–101

    Article  PubMed  Google Scholar 

  50. Gadow KD, Sprafkin J, Salisbury H, Schneider J, Loney J (2004) Further validity evidence for the teacher version of the child symptom inventory-4. Sch Psychol Q 19:50–71

    Article  Google Scholar 

  51. Mattison RE, Gadow KD, Sprafkin J, Nolan EE, Schneider J (2003) A DSM-IV–referenced teacher rating scale for use in clinical management. J Am Acad Child Adolesc Psychiatry 42:442–449

    Article  PubMed  Google Scholar 

  52. Sprafkin J, Gadow KD, Salisbury H, Schneider J, Loney J (2002) Further evidence of reliability and validity of the child symptom inventory-4: parent checklist in clinically referred boys. J Clin Child Adolesc Psychol 31:513–524

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors wish to thank all families that participated in this study.

Conflict of interest

Anja Görtz-Dorten and Manfred Döpfner are authors of the “Diagnostik-System für Psychische Störungen im Kindes- und Jugendalter nach ICD-10 und DSM-IV (DISYPS-II)”which includes the rating scale for ODD and CD (FBB-SSV). They receive royalties from the publisher.

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Correspondence to Manfred Döpfner.

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Anja Görtz-Dorten and Elena Ise contributed equally to the manuscript and are both first authors of this article.

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Görtz-Dorten, A., Ise, E., Hautmann, C. et al. Psychometric Properties of a German Parent Rating Scale for Oppositional Defiant and Conduct Disorder (FBB-SSV) in Clinical and Community Samples. Child Psychiatry Hum Dev 45, 388–397 (2014). https://doi.org/10.1007/s10578-013-0409-3

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