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Evidence-based assessment/Instruments/Disruptive behavior disorders rating scale

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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.

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Wikipedia has more about this subject: Disruptive Behavior Disorders Rating Scale

Scoring and interpretation

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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)

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  • 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)

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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)

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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.
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