CBCL Clinical Scales Discriminate ADHD Youth with Structured-Interview Derived Diagnosis of Oppositional Defiant Disorder (ODD)
Joseph Biederman1*,
Sarah W. Ball1,
Michael C. Monuteaux1,
Roselinde Kaiser1,
Stephen V. Faraone2
1 Clinical and Research Program in Pediatric Psychopharmacology, Massachusetts General Hospital, Boston
2 Department of Psychiatry and Neuroscience & Physiology, SUNY Upstate Medical University, New York
* To whom correspondence should be addressed. E-mail: jbiederman{at}partners.org.
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Abstract |
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Objective: To evaluate the association between the clinical scales of the child behavior checklist (CBCL) and the comorbid diagnosis of oppositional defiant disorder (ODD) in a large sample of youth with attention deficit hyperactivity disorder (ADHD). Method: The sample consisted of 101 girls and 106 boys ages 6 to17 with ADHD. Conditional probability analysis was used to examine the correspondence between CBCL Clinical Scales with the structured-interview derived diagnosis of ODD. Results: Conditional probability analysis showed that the CBCL Aggression Scale best predicted a structured-interview derived diagnosis of ODD in boys and girls with ADHD. Conclusion: These findings suggest that the CBCL Aggression Scale could serve as a rapid and cost-effective screening instrument to help identify cases likely to meet clinical criteria for ODD in the context of ADHD. (J. of Att. Dis. XXXX; Vol X(X) xx-xx)