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This version was published on July 1, 2008
Journal of Attention Disorders, Vol. 12, No. 1, 76-82 (2008)
DOI: 10.1177/1087054707299404

CBCL Clinical Scales Discriminate ADHD Youth With Structured-Interview Derived Diagnosis of Oppositional Defiant Disorder (ODD)

Joseph Biederman

Clinical and Research Program in Pediatric Psychopharmacology, Massachusetts General Hospital, Boston, jbiederman{at}partners.org

Sarah W. Ball

Clinical and Research Program in Pediatric Psychopharmacology, Massachusetts General Hospital, Boston

Michael C. Monuteaux

Clinical and Research Program in Pediatric Psychopharmacology, Massachusetts General Hospital, Boston

Roselinde Kaiser

Clinical and Research Program in Pediatric Psychopharmacology, Massachusetts General Hospital, Boston

Stephen V. Faraone

Departments of Psychiatry and Neuroscience & Physiology, SUNY Upstate Medical University, New York

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. 2008; 12(1) 76-82)

Key Words: ODD • CBCL • screening


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