practical applications of the achenbach system of

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Practical Applications of the Achenbach System of Empirically Based Assessment (ASEBA) for Ages 1.5 to 90+ Years

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Practical Applications of the Achenbach System of

Empirically Based Assessment (ASEBA) for Ages 1.5 to 90+

Years

First Half of Workshop

• ASEBA forms for ages 1.5 to 90+ years

• Competence scales

• Empirically based “bottom up” assessment

• Empirically based syndromes

First Half of Workshop (cont)

• Profile of syndrome scales

• DSM-oriented scales

• Cross-informant comparisons

• Multi-cultural applications

Forms for Ages 1.5-18

• Ages 1.5-5– Child Behavior Checklist plus Language

Development Survey (CBCL/1.5-5 & LDS)– Caregiver-Teacher Report Form (C-TRF)

• Ages 6-18– Child Behavior Checklist (CBCL/6-18)– Teacher’s Report Form (TRF)

• Ages 11-18– Youth Self-Report (YSR )

Forms for Observations

• Test Observation Form for Ages 2-18 (TOF)

• Direct Observation Form for Ages 5-14 (DOF)

• Semistructured Clinical Interview for Children and Adolescents (SCICA/6-18)

Forms for Ages 18-90+

• Ages 18-59– Adult Self-Report (ASR)– Adult Behavior Checklist (ABCL)

• Ages 60-90+– Older Adult Self-Report (OASR)– Older Adult Behavior Checklist (OABCL)

CBCL Competence Scales

• CBCL Competence Scales– Activities

• sports, hobbies, clubs, teams, jobs, chores– Social

• number of friends; relations with peers, siblings, & parents; ability to work & play alone

– School • level of performance in academic subjects; grade

retention; special services; school problems

• Total Competence– sum of competence scales

Empirically Based “Bottom-Up” Approach

• Start with data on large pools of items scored for large samples of individuals

• Derive syndromes by statistically analyzing item scores

• Norm syndrome scales on representative samples by age and gender

• Score individuals on normed profiles • Define syndromes via specific assessment

procedures

School-Age Syndrome Scales

•Anxious/Depressed

•Withdrawn/Depressed

•Somatic Complaints

•Social Problems

•Thought Problems

•Attention Problems

•Rule-Breaking Behavior

•Aggressive Behavior

“Top-Down” Approach

• Panels of experts negotiate diagnostic categories & criteria

• Categories are defined in terms of “yes” vs. “no” decision rules

• Field trials are used to evaluate criteria• Criteria are uniform across age & gender• Diagnoses are not operationally defined in

terms of specific assessment procedures

Constructing DSM-Oriented ASEBA Scales

• Experts from 20 cultures identified ASEBA items that are very consistent with particular DSM categories

• Items identified by >62% of experts as very consistent with a DSM category were assigned to the corresponding DSM-oriented scale

DSM-Oriented Scales forAges 6-18

• Affective Problems• Anxiety Problems• Somatic Problems• Attention Deficit/Hyperactivity Problems• Oppositional Defiant Problems• Conduct Problems

Multiple Informants

• Cross-informant correlations are modest• No single informant is a “gold standard”• Parallel forms obtain data from multiple

informants• Cross-informant comparisons of item &

scale scores are displayed• Cross-informant correlations are

displayed

Advantages of Multi-Informant Assessment

• Provides data from multiple perspectives• Identifies consistencies & differences in

reported problems• Identifies “outlier” informants• Targets interventions on cross-

situationally consistent & situation-specific problems

Multi-Cultural Applications

• ASEBA translations in 69 languages• >1,500 published studies report ASEBA

research in 62 countries beside the U.S.A.• Research supports high degree of

similarity in problem scores around the world

• Competence scores show greater cross-cultural variations than problem scores

CBCL Total Problem Score by Culture (Ages 6-11)

0

5

10

15

20

25

30

35

40

Culture

Australia

Belgium

China

Germany

Greece

Israel

Jamaica

Holland

PuertoRico

Sw eden

Thailand

U.S.A.

omnicultural mean

Advantages of Multi-Cultural Assessment

• Facilitates cross-cultural communication

• Encourages cross-cultural fertilization of training, research, practice

• Provides culturally sensitive assessment of immigrants and minorities

Summary: Assessment of Psychopathology Can Be

Advanced by . . .• Using data scored according to multiple

taxonomies• Using parallel assessment procedures for

multiple informants• Aggregating data from multiple

informants• Deriving syndromes from multi-cultural

data

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E-mail Scored Profiles

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The ASEBA: Eight Key Features

• Empirically based approach to deriving syndromes

• Scales for adaptive competencies• New DSM-oriented scales• Norms from national probability sample• Systematic cross-informant comparisons• Extensive research base• Multi-cultural applications• Web-Link