Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-20T00:04:08.969Z Has data issue: false hasContentIssue false

Factor Study of a Psychiatric Child Rating Scale

Based on Ratings Made by Clinicians on Child and Adolescent Clinic Attenders

Published online by Cambridge University Press:  02 January 2018

G. Thorley*
Affiliation:
Department of Psychological Medicine, Hospitais for Sick Children, Great Ormond Street, London WC1

Abstract

Symptom rating sheets completed by psychiatrists over a 9-year period on 2602 intellectually normal child and adolescent clinic attenders were subjected to factor analysis (principal components). Two types of factor sets were derived, one for younger subjects (3–11 years) and another for older subjects (12–18). Both had three factors in common: conduct disturbance, relationship problems and emotionality, but differed on the fourth – developmental immaturity for the younger group, depression for the older. A factor solution was also derived for the whole clinic sample with three scales: conduct, emotionality and immaturity. Both types of factor solutions were subjected to MANOVA for age and sex effects, both of which proved to be of significant influence. Good correspondence was found between the symptom factors identified and conceptually similar clinical diagnoses.

Type
Research Article
Copyright
Copyright © 1987 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Achenbach, T. M. (1978) The classification of child psychopathology: a review and analysis of empirical efforts. Psychological Bulletin, 85, 12751301.CrossRefGoogle ScholarPubMed
Arnold, L. E. & Smeltzer, D. J. (1974) Behaviour check list factor analysis for children and adolescents. Archives of General Psychiatry, 30, 799804.CrossRefGoogle Scholar
Borgatta, E. F. & Fanshel, D. (1965) Behavioural Characteristics of Children Known to Psychiatric Out-patient Clinics. New York: Child Welfare League of America.Google Scholar
Chazan, M. & Jackson, S. (1971) Behaviour problems in the infant school. Journal of Child Psychology and Psychiatry, 12, 191210.Google ScholarPubMed
Collins, L. F., Maxwell, A. E. & Cameron, K. A. (1962) A factor analysis of some child psychiatric clinic data. Journal of Mental Sciences, 108, 275285.Google ScholarPubMed
Green, K. D., Becx, S. J., Forehand, R. & Vosk, B. (1980) Validity of teacher nominations of child behavior problems. Journal of Abnormal Child Psychology, 8, 397402.CrossRefGoogle ScholarPubMed
Hodges, K., Kune, J., Fitch, P. & McKnew, D. (1981) The child assessment schedule: a diagnostic interview for research and clinical use. Catalogue of Selected Documents in Psychology, 11, 56.Google Scholar
Jenkins, R. L. & Guckman, S. (1946) Common syndromes in child psychiatry. I. Deviant behaviour traits: II. The schizoid child. American Journal of Orthopsychiatry, 16, 244261.CrossRefGoogle Scholar
Kestenbaum, C. J. & Bird, H. R. (1978) A reliability study of the mental health assessment form for school age children. Journal of the American Academy of Child Psychiatry, 17, 338344.CrossRefGoogle ScholarPubMed
Kohlberg, L., LaCross, J. & Ricks, D. (1972) The predictability of adult mental health from childhood behaviour. In Manual of Child Psychopathology (ed. B. B. Wolman). New York: McGraw Hill.Google Scholar
Lorr, M. & Jenkins, R. (1953) Patterns of maladjustment in children. Journal of Clinical Psychology, 9, 1619.3.0.CO;2-Z>CrossRefGoogle ScholarPubMed
Miller, L. C. (1967) Dimensions of psychopathology in middle childhood. Psychological Reports, 21, 897903.CrossRefGoogle ScholarPubMed
Neuchterlein, K. H., Soli, S. D., Garmezy, N., Devine, V. T. & Schaefer, S. M. (1981) A classification system for research in childhood psychopathology: Part II. Validation research examining converging descriptions from the parents and from the child. In Progress in Experimental Personality Research, (ed. B. A. Maher) Vol. 10. New York: Academic Press.Google Scholar
Quay, H. C. (1979) Classification. In Psychopathological Disorders of Childhood (eds H. C. Quay &. J. S. Werry). New York: Wiley.Google Scholar
Reich, W., Herjanic, B., Welner, Z. & Gandhy, P. R. (1982) Development of a structured interview for children: agreement on diagnosis comparing child and parent interviews. Journal of Abnormal Child Psychology, 10, 323336.CrossRefGoogle ScholarPubMed
Robbins, L. N. (1966) Deviant Children Grown Up: A Sociological and Psychiatric Study of Sociopathic Personality. Baltimore: Williams S. Wilkins.Google Scholar
Roff, M. (1969) Some life history factors in relation to various types of adult maladjustment. In Life History Studies in Psychopathology (eds M. Roff & D. F. Ricks). Minneapolis: University of Minnesota Press.Google Scholar
Roff, M. & Sells, S. B. (1968) Juvenile delinquency in relation to peer acceptance-rejection and socio-economic status. Psychology in the Schools, 5, 318.3.0.CO;2-Q>CrossRefGoogle Scholar
Rutter, M. & Graham, P. (1968) The reliability and validity of the psychiatric assessment of the child: I. Interview with the child. British Journal of Psychiatry, 114, 563569.CrossRefGoogle ScholarPubMed
Rutter, M., Tizard, J. & Whitmore, K. (eds) (1970) Education, Health and Behaviour. London: Longman.Google Scholar
Rutter, M., Shaffer, D. & Sturge, C. (1979) A Guide to a Multiaxial Classification Scheme for Psychiatric Disorders in Childhood and Adolescence. London: Institute of Psychiatry.Google Scholar
Safer, D. J. & Allen, R. P. (1976) Hyperactive Children: Diagnosis and Management. Baltimore: Universal Park Press.Google Scholar
Shepherd, M., Oppenheim, B. & Mitchell, S. (1971) Childhood Behaviour and Mental Health. New York: Grune & Stratton.Google Scholar
Soli, S. D., Neuchterlein, K. H., Garmezy, N., Devine, V. T. S. Schaefer, S. M. (1981) A classification system for research in childhood psychopathology: Part I. An empirical approach using factor and cluster analyses and conjunctive decision rules. In Progress in Experimental Personality Research, (ed. B. A. Maher) Vol. 10. New York: Academic Press.Google Scholar
Stewart, M. A., Gath, A. & Hierowski, E. (1981) Differences between girls and boys admitted to a child psychiatry ward. Journal of Clinical Psychiatry, 42, 386388.Google ScholarPubMed
Thorley, G. (1982) The Bethlem Royal and Maudsley Hospitals' clinical data register for children and adolescents. Journal of Adolescence, 5, 179189.CrossRefGoogle ScholarPubMed
Thorley, G. (1983) Data on the Conners'teacher rating scale from a British clinic population. Journal of Behavioural Assessment, 5.CrossRefGoogle Scholar
Thorley, G. (1984) Hyperkinetic syndrome of childhood-clinical characteristics. British Journal of Psychiatry, 144, 1624.CrossRefGoogle ScholarPubMed
World Health Organization (1970) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases. Geneva: World Health Organization.Google Scholar
Zukow, P. G., Zukow, A. H. S. Bentley, P. M. (1978) Rating scales for the identification of treatment of hyperkinesis. Journal of Consulting Clinical Psychology, 45, 213222.CrossRefGoogle Scholar
Submit a response

eLetters

No eLetters have been published for this article.