Article

Brief report: testing the factorial invariance of the CBCL Somatic Complaints scale as a measure of internalizing symptoms for children with and without chronic illness.

Bradley/Hasbro Children's Research Center, Brown University Medical School, The CORO Building, Suite 204, One Hoppin Street, Providence, RI 02903, USA.
Journal of Pediatric Psychology (Impact Factor: 2.91). 07/2007; 32(5):512-6. DOI: 10.1093/jpepsy/jsl051
Source: PubMed

ABSTRACT To examine the factorial invariance of the Somatic Complaints subscale of the Child Behavior Checklist as a measure of Internalizing Behavior Problems across a sample of children with and without spina bifida.
Multisample confirmatory factor analysis was used to compare mother and father report on the Somatic Complaints subscale across a sample of children with spina bifida and a matched comparison sample of able-bodied children ages 8 through 11 years (N = 68 for mother report in each group; N = 54 for father report in the spina bifida group and 53 for the able-bodied group).
Although there were no significant between-group differences in the magnitude of factor loadings, significantly more variance in scores on the Somatic Complaints scale was unrelated to Internalizing Behavior Problems for the spina bifida group, compared to the able-bodied group. There were no between-group differences when father data were analyzed, but the latent variable of Internalizing Behavior Problems explained little variance in the Somatic Complaints scale for either group.
Maternal report of Somatic Complaints on the CBCL does not appear to measure Internalizing Behavior Problems in the same manner across groups of children with and without spina bifida. This suggests that the Somatic Complaints subscale should be interpreted with caution when measuring Internalizing Behavior Problems within this population.

0 Bookmarks
 · 
65 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: The aim of this study was to investigate the effects of high-dose corticosteroids on behavior and quality of life of children with acute lymphoblastic leukemia (ALL) in maintenance therapy. Forty-three families (patient and/or parent) completed the Child Behavior Checklist (CBCL), the Pediatric Quality of Life Inventory (PedsQL) Cancer module questionnaires, a checklist of common complaints, and a descriptive intervention data questionnaire, on and off steroids, each child serving as his/her own control. Children 5 years and younger had higher CBCL scores in the somatic complaints, affective problems, internalizing, externalizing, and total problem scales, when comparing "on-steroid" to "off-steroid" periods (P<0.01). Children 6 years and above had higher CBCL scores in the externalizing, aggressive, and oppositional defiant problem scales on steroids compared with off steroids (P<0.05). Older children had larger changes on dexamethasone, compared with prednisone (P<0.05). On the PedsQL questionnaire, parents reported more pain and hurt (P<0.001), nausea (P=0.042), and procedural anxiety (P=0.013) when children were on steroids compared with off steroids. Corticosteroid treatment during ALL maintenance therapy is associated with behavior and emotional disturbances and adversely affects quality of life. Dexamethasone is associated with more significant behavioral changes in older children.
    Journal of Pediatric Hematology/Oncology 06/2012; 34(7):517-23. · 0.97 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The objective of the present investigation was to evaluate the factor structure of the Children's Depression Inventory (CDI) in adolescents with inflammatory bowel disease (IBD) to better understand the CDI's psychometric properties in a medically complicated population. An exploratory factor analysis was performed on CDI data collected from a clinical sample of 191 youth with IBD, aged 11 to 17 years. Exploratory factor analysis with quartimax rotation yielded 3 factors: mood, behavioral/motivational, and somatic complaints. Only the somatic factor (ie, fatigue, sleep, decreased appetite, and worry about aches and pain) showed a significant positive correlation with IBD severity. The CDI holds promise as a brief measure for the assessment of depressive features psychometrically independent of IBD severity and common steroid treatments as well as of nongastrointestinal specific somatic complaints in a sample of adolescents with IBD. Continued work in this area of research appears promising in honing the assessment of depressive and somatic symptoms in youths with IBD.
    Comprehensive psychiatry 06/2012; · 2.08 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: To explore possible associations between long-term antimuscarinic use and behavioral problems in children with spinal dysraphism and neurogenic bladder dysfunction. After obtaining approval from the Ethical Review Board, children with spinal dysraphism (both open and closed) were recruited from two centers. At center A, antimuscarinics were prescribed in selected patients when detrusor overactivity was diagnosed. At center U, antimuscarinic agents were prescribed from birth onwards since the early 1990s. Parents of the participants were asked to fill-out a Child Behavior's Check List (CBCL). Demographics, data on level of the lesion, type of lesions and hydrocephalus/drain (and, if applicable, number of revisions) were retrieved for each patient. Cases and controls (8 boys and 8 girls per group) were matched one-to-one. Data on 32 children were analyzed. Median age in the case group and control group was 10.6 years and 10.5 years, respectively (p=0.877). In each group, 9/16 had hydrocephalus with a drain. No significant difference in CBCL score for Total Problems was found between the two groups (median 52.0 vs. 59.5; p=0.39). No differences were found between the groups on any of the subdomains of the CBCL. In these children with spinal dysraphism, no significant differences in behavior were found between children with and without chronic use of antimuscarinics.
    The Journal of urology 06/2013; · 3.75 Impact Factor

Full-text (2 Sources)

Download
3 Downloads
Available from
Sep 24, 2014