Disruptive Behavior Disorder (DBD) - Collateral Baseline

This measure appears in the following time-points: Collat_baseline.

Click the icon to view the questions asked for this measure.

Related Construct

Mental Health

Description of Measure

The Disruptive Behavior Disorder Inventory (DBD; Pelham, et al., 1992) is used to capture the presence of ADHD (attention deficit/hyperactivity disorder) in the adolescent. The parent collateral is used as the reporter of the subject's behavior because it has been found that the adolescent is not an accurate reporter of ADHD symptoms (Jensen, Rubio-Stipec, Canino, Bird, Dulcan, Schwab-Stone & Lahey, 1999). A total of 44 items are included in the inventory: 21 items address the past year (e.g., "During the past year, X often talked excessively") and 21 items address the elementary school years (e.g., "During X's elementary school years, he/she often interrupted or intruded on others"). The DBD questions investigate not only the presence of particular symptoms but the longevity of those symptoms as well. Both pieces of information are necessary in order to distinguish diagnostic subcategories (listed below).

There are 3 subtypes of ADHD:

ADHD -Combined type (criteria for A1 and A2 are met for the past six months)
ADHD - Predominantly Inattentive type (criteria for A1 is met but criteria for A2 is NOT met for the past six months)
ADHD - Predominantly Hyperactive-Impulsive type (criteria for A2 is met but criteria for A1 is NOT met for the past six months)

ADHD can only be diagnosed if the following conditions are met:

Criteria 1 = Inattentive - six or more symptoms are present for at least six months.
Criteria 2 = Hyperactive/Impulsive - six or more symptoms are present for at least six months
Some of the symptoms are present before the age of 7
There is impairment in at least 2 settings
The symptoms aren't explained by another disorder

The syntax written for the DBD addresses each of these conditions. The following computed scores are available:

Number of current inattention symptoms [C0dbdatt]
ADHD Criterion A1 - current inattention [C0adhda1c]
Number of current hyperactivity symptoms [C0dbdhyp]
ADHD Criterion A2 - current hyperactivity [C0adhda2c]
ADHD Criterion B - onset prior to age 7 [C0adhdb]
Number of settings with current symptoms [C0adhdcc]
ADHD Criterion C - current impairment in at least two settings [C0adhdc]
ADHD Current Diagnosis [C0adhd]
Number of prior inattention symptoms [C0dbeatt]
ADHD Criterion A1 - prior inattention [C0adhda1p]
Number of prior hyperactivity symptoms [C0dbehyp]
ADHD Criterion A2 - prior hyperactivity [C0adhda2p]
Number of settings with prior symptoms [C0adhdcpc]
ADHD Criterion C - prior impairment in at least two settings [C0adhdcp]
ADHD Prior diagnosis [C0adhdp]

Data Issues

There are 520 that are missing item-level DBDE scores. This occurs when the answer to "when did you first notice these symptoms" is greater than age 12. This situation is not problematic because DSM diagnostic criteria mandates that symptoms must be present before age 7 in order for the diagnosis to be obtained. In this situation (that is, the problem begins at age 12 or older), the presence of an ADHD diagnosis should be set to "no".
There are 129 cases missing items DBD19, DBD20, DBD21 and DBD22. There are 82 cases missing items DBE19, DBE20 and DBE21. We are unable to explain this missing data.
Items DBD23 and DBDE23 were added to the interview in version 01.07.

References

Pelham, W. E. Gangy, E., Greenslade, K., Milich, R. (1992). Teacher ratings of DSM-III-R symptoms for the disruptive behavior disorders. Journal of the American Academy of child and Adolescent Psychiatry, 31, 210-128.
DuPaul, G.J., Anastopoulos, A.D., Power, T.J., Reid, R., Ikeda, M.J., & McGoey, K.E. (1998). Parent ratings of attention-deficit/hyperactivity disorder symptoms: Factor Structure and Normative Data. Journal of Psychopathology and Behavioral Assessment. 20(1), 83-102.
Jensen, Peter S; Rubio-Stipec, Maritza; Canino, Glorisa; Bird, Hector R; Dulcan, Mina K; Schwab-Stone, Mary E; Lahey, Benjamin B. Parent and child contributions to diagnosis of mental disorder: Are both informants always necessary? [Journal Article] Journal of the American Academy of Child & Adolescent Psychiatry. Vol 38(12) Dec 1999, 1569-1579.