Disruptive Behavior Disorders Rating Scale
The Disruptive Behavior Disorders Rating Scale (DBDRS) is a 45-question screening measure, completed by either parents or teachers, designed to identify symptoms of attention deficit hyperactivity disorder, oppositional defiant disorder, and conduct disorder in children and adolescents.
For each question, the respondent is asked to indicate the degree to which a statement describes the child’s behavior. Responses options include “not at all”, “just a little”, “pretty much”, and “very much”. For any question they do not know the answer to, respondents are asked to write “DK” for “don’t know”. The behavioral rating scale takes 5–10 minutes to complete, and is designed for use with children ages 5 and up. The scores of the scale have shown good reliability and validity across multiple different study samples.[1][2]
Scoring and interpretation
Three subscales are included in the Disruptive Behavior Disorders (DBD) Rating Scale: attention deficit hyperactivity disorder, oppositional defiant disorder, and conduct disorder. The respondent must choose a response of “pretty much” or “very much” in order for a symptom to be counted as significant.
Attention deficit hyperactivity disorder (ADHD)
- ADHD Inattentive Type:: At least six of nine questions must be endorsed as “pretty much” or “very much” by a parent or teacher from items 9, 18, 23, 27, 29, 34, 37, 42, and 44.
- ADHD Hyperactive-Impulsive Type:At least six of nine questions must be endorsed as “pretty much” or “very much” by a parent or teacher from items 1, 7, 12, 19, 22, 25, 30, 33, and 35.
- ADHD Combined Type: The criteria for both subtypes must be met.
Oppositional defiant disorder (ODD)
To meet criteria for ODD, at least four of eight questions must be endorsed as “pretty much” or “very much” by a parent or teacher from items 3, 13, 15, 17, 24, 26, 28, and 39.
Conduct disorder (CD)
To meet the criteria for CD, three or more items from the following categories must be endorsed by a parent or teacher as “pretty much” or “very much”:
- 6, 20, 31, 32, 36, 40, and 45: Addresses aggression to people and animals.
- 16 and 41: Addresses destruction of property.
- 4, 8, and 43: Addresses deceitfulness or theft.
- 2, 11, and 38: Addresses serious violation of rules.
See also
- Disruptive Behavior Disorders (DBD) Rating Scale
- Attention deficit hyperactivity disorder
- Oppositional defiant disorder
- AACAP practice parameter for ADHD
- AACAP practice parameter for ODD, designed for psychiatric institutions
- AACAP practice parameter for conduct disorder
References
- ^ Friedman-Weieneth, JL; Doctoroff, GL; Harvey, EA; Goldstein, LH (July 2009). "The Disruptive Behavior Rating Scale-Parent Version (DBRS-PV): Factor analytic structure and validity among young preschool children". Journal of attention disorders. 13 (1): 42–55. doi:10.1177/1087054708322991. PMID 18753403.
{{cite journal}}:|access-date=requires|url=(help) - ^ Silva, RR; Alpert, M; Pouget, E; Silva, V; Trosper, S; Reyes, K; Dummit, S (2005). "A rating scale for disruptive behavior disorders, based on the DSM-IV item pool". The Psychiatric quarterly. 76 (4): 327–39. doi:10.1007/s11126-005-4966-x. PMID 16217627.
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