• Article journal
  • published

Toward a Dimensional Assessment of Externalizing Disorders in Children: Reliability and Validity of a Semi-Structured Parent Interview

  • Ann-Kathrin Thöne,
  • Anja Görtz-Dorten,
  • Paula Altenberger,
  • Christina Dose,
  • Nina Geldermann,
  • Christopher Hautmann,
  • Lea Teresa Jendreizik,
  • Anne-Katrin Treier,
  • Elena von Wirth,
  • Tobias Banaschewski,
  • Daniel Brandeis,
  • Sabina Millenet,
  • Sarah Hohmann,
  • Katja Becker,
  • Johanna Ketter,
  • Johannes Hebebrand,
  • Jasmin Wenning,
  • Martin Holtmann ORCID
    RUB Icon
    ,
  • Tanja Legenbauer ORCID
    RUB Icon
    ,
  • Michael Huss,
  • Marcel Romanos,
  • Thomas Jans,
  • Julia Geissler,
  • Luise Poustka,
  • Henrik Uebel-von Sandersleben,
  • Tobias Renner,
  • Ute Dürrwächter,
  • Manfred Döpfner
2020
in Frontiers in psychology, Volume 11, Article ID 1840
  • © Copyright © 2020 Thöne, Görtz-Dorten, Altenberger, Dose, Geldermann, Hautmann, Jendreizik, Treier, von Wirth, Banaschewski, Brandeis, Millenet, Hohmann, Becker, Ketter, Hebebrand, Wenning, Holtmann, Legenbauer, Huss, Romanos, Jans, Geissler, Poustka, Uebel-von Sandersleben, Renner, Dürrwächter and Döpfner.Objective: This study assesses the reliability and validity of the DSM-5-based, semi-structured Clinical Parent Interview for Externalizing Disorders in Children and Adolescents (ILF-EXTERNAL). Method: Participant data were drawn from the ongoing ESCAschool intervention study. The ILF-EXTERNAL was evaluated in a clinical sample of 474 children and adolescents (aged 6−12 years, 92 females) with symptoms of attention-deficit/hyperactivity disorder (ADHD). To obtain interrater reliability, the one-way random-effects, absolute agreement models of the intraclass correlation (ICC) for single ICC(1,1) and average measurements ICC(1,3) were computed between the interviewers and two independent raters for 45 randomly selected interviews involving ten interviewers. Overall agreement on DSM-5 diagnoses was assessed using Fleiss’ kappa. Further analyses evaluated internal consistencies, item-total correlations as well as correlations between symptom severity and the degree of functional impairment. Additionally, parents completed the German version of the Child Behavior Checklist (CBCL) and two DSM-5-based parent questionnaires for the assessment of ADHD symptoms and symptoms of disruptive behavior disorders (FBB-ADHS; FBB-SSV), which were used to evaluate convergent and divergent validity. Results: ICC coefficients demonstrated very good to excellent interrater reliability on the item and scale level of the ILF-EXTERNAL [scale level: ICC(1,1) = 0.83−0.95; ICC(1,3) = 0.94−0.98]. Overall kappa agreement on DSM-5 diagnoses was substantial to almost perfect for most disorders (0.38 ≤ κ ≤ 0.94). With some exceptions, internal consistencies (0.60 ≤ α ≤ 0.86) and item-total correlations (0.21 ≤ rit ≤ 0.71) were generally satisfactory to good. Furthermore, higher symptom severity was associated with a higher degree of functional impairment. The evaluation of convergent validity revealed positive results regarding clinical judgment and parent ratings (FBB-ADHS; FBB-SSV). Correlations between the ILF-EXTERNAL scales and the CBCL Externalizing Problems were moderate to high. Finally, the ILF-EXTERNAL scales were significantly more strongly associated with the CBCL Externalizing Problems than with the Internalizing Problems, indicating divergent validity. Conclusion: In clinically referred, school-age children, the ILF-EXTERNAL demonstrates sound psychometric properties. The ILF-EXTERNAL is a promising clinical interview and contributes to high-quality diagnostics of externalizing disorders in children and adolescents.
  • validity
  • externalizing disorders
  • reliability
  • intraclass correlation coefficient
  • ADHD
  • structured interview
  • ODD

Title and contributors

Title:

Toward a Dimensional Assessment of Externalizing Disorders in Children: Reliability and Validity of a Semi-Structured Parent Interview

Persons

  1. Holtmann, Martin
    Preferred name: Yes
    Affiliation 1: Ruhr-Universität Bochum
    ID of person record: 7923
    Role: Author
    Position in list of persons: 18
  2. Legenbauer, Tanja
    Preferred name: Yes
    Affiliation 1: Ruhr-Universität Bochum
    ID of person record: 7892
    Role: Author
    Position in list of persons: 19

Persons (external)

  1. Thöne, Ann-Kathrin
    Web of Science ID EAB-6681-2022  |  
    Scopus 57217296322  |  
    ORCID 0000-0003-2082-1757
    Role: Corresponding Author
    Position in list of persons: 1
  2. Görtz-Dorten, Anja
    Web of Science ID JGR-0361-2023  |  
    Scopus 26967744500
    Role: Author
    Position in list of persons: 2
  3. Altenberger, Paula
    Web of Science ID EMY-3637-2022  |  
    Scopus 57218455409
    Role: Author
    Position in list of persons: 3
  4. Dose, Christina
    Scopus 55443773600  |  
    Web of Science ID AAA-7892-2021  |  
    ORCID 0000-0001-5405-4934
    Role: Author
    Position in list of persons: 4
  5. Geldermann, Nina
    Web of Science ID ETV-4245-2022  |  
    Scopus 57218449136
    Role: Author
    Position in list of persons: 5
  6. Hautmann, Christopher
    Scopus 16067146700  |  
    Web of Science ID ABI-5699-2020
    Role: Author
    Position in list of persons: 6
  7. Jendreizik, Lea Teresa
    Scopus 57211541491  |  
    Web of Science ID HPH-2024-2023
    Role: Author
    Position in list of persons: 7
  8. Treier, Anne-Katrin
    ORCID 0000-0002-2520-6801  |  
    Scopus 57210883857  |  
    Web of Science ID HDZ-2025-2022
    Role: Author
    Position in list of persons: 8
  9. von Wirth, Elena
    Web of Science ID AAG-1372-2020  |  
    ORCID 0000-0003-2461-4966  |  
    Scopus 57195138208
    Role: Author
    Position in list of persons: 9
  10. Banaschewski, Tobias
    Scopus 6603935963  |  
    ORCID 0000-0003-4595-1144  |  
    Web of Science ID ABE-5985-2020
    Role: Author
    Position in list of persons: 10
  11. Brandeis, Daniel
    Scopus 56279281900  |  
    Web of Science ID CHU-0304-2022
    Role: Author
    Position in list of persons: 11
  12. Millenet, Sabina
    Web of Science ID DHG-9197-2022  |  
    Scopus 55846262000
    Role: Author
    Position in list of persons: 12
  13. Hohmann, Sarah
    ORCID 0000-0002-5175-6698  |  
    Web of Science ID GAA-2420-2022  |  
    Scopus 35798372000
    Role: Author
    Position in list of persons: 13
  14. Becker, Katja
    ORCID 0000-0003-4858-5127  |  
    Web of Science ID AAU-8708-2020  |  
    Scopus 57215769822
    Role: Author
    Position in list of persons: 14
  15. Ketter, Johanna
    Scopus 57213189699  |  
    Web of Science ID FGD-8983-2022
    Role: Author
    Position in list of persons: 15
  16. Hebebrand, Johannes
    ORCID 0000-0001-5364-6073  |  
    Scopus 21645697400  |  
    Web of Science ID DVO-5376-2022
    Role: Author
    Position in list of persons: 16
  17. Wenning, Jasmin
    Web of Science ID EDE-2388-2022  |  
    Scopus 57218454119
    Role: Author
    Position in list of persons: 17
  18. Huss, Michael
    ORCID 0000-0002-1113-8537  |  
    Scopus 55965445700  |  
    Web of Science ID DXO-3138-2022
    Role: Author
    Position in list of persons: 20
  19. Romanos, Marcel
    ORCID 0000-0001-7628-8299  |  
    Scopus 16481120400  |  
    Web of Science ID D-7695-2017
    Role: Author
    Position in list of persons: 21
  20. Jans, Thomas
    Scopus 24338301500  |  
    Web of Science ID GAC-2385-2022  |  
    ORCID 0000-0001-7086-9367
    Role: Author
    Position in list of persons: 22
  21. Geissler, Julia
    ORCID 0000-0003-1878-9647  |  
    Scopus 55229711400  |  
    Web of Science ID FZK-7450-2022
    Role: Author
    Position in list of persons: 23
  22. Poustka, Luise
    Scopus 12798596800  |  
    Web of Science ID FVR-7252-2022
    Role: Author
    Position in list of persons: 24
  23. Uebel-von Sandersleben, Henrik
    Scopus 22982364200  |  
    Web of Science ID EAW-8881-2022
    Role: Author
    Position in list of persons: 25
  24. Renner, Tobias
    Scopus 15833222900  |  
    Web of Science ID FTK-2764-2022
    Role: Author
    Position in list of persons: 26
  25. Dürrwächter, Ute
    Web of Science ID ESH-8536-2022  |  
    Scopus 6507747818
    Role: Author
    Position in list of persons: 27
  26. Döpfner, Manfred
    Scopus 7003632659  |  
    ORCID 0000-0002-7929-0463  |  
    Web of Science ID KGY-0317-2024
    Role: Author
    Position in list of persons: 28

Basic data

Type of publication

Article journal

Publication status

published

Version

Publisher's Version

Language

  • English

Publication date

2020-07-24

Number of pages

16

Peer reviewed

Yes

External IDs

Related works

Is part of

Content

Keywords

  • validity
  • externalizing disorders
  • reliability
  • intraclass correlation coefficient
  • ADHD
  • structured interview
  • ODD

Description

  • Text: © Copyright © 2020 Thöne, Görtz-Dorten, Altenberger, Dose, Geldermann, Hautmann, Jendreizik, Treier, von Wirth, Banaschewski, Brandeis, Millenet, Hohmann, Becker, Ketter, Hebebrand, Wenning, Holtmann, Legenbauer, Huss, Romanos, Jans, Geissler, Poustka, Uebel-von Sandersleben, Renner, Dürrwächter and Döpfner.Objective: This study assesses the reliability and validity of the DSM-5-based, semi-structured Clinical Parent Interview for Externalizing Disorders in Children and Adolescents (ILF-EXTERNAL). Method: Participant data were drawn from the ongoing ESCAschool intervention study. The ILF-EXTERNAL was evaluated in a clinical sample of 474 children and adolescents (aged 6−12 years, 92 females) with symptoms of attention-deficit/hyperactivity disorder (ADHD). To obtain interrater reliability, the one-way random-effects, absolute agreement models of the intraclass correlation (ICC) for single ICC(1,1) and average measurements ICC(1,3) were computed between the interviewers and two independent raters for 45 randomly selected interviews involving ten interviewers. Overall agreement on DSM-5 diagnoses was assessed using Fleiss’ kappa. Further analyses evaluated internal consistencies, item-total correlations as well as correlations between symptom severity and the degree of functional impairment. Additionally, parents completed the German version of the Child Behavior Checklist (CBCL) and two DSM-5-based parent questionnaires for the assessment of ADHD symptoms and symptoms of disruptive behavior disorders (FBB-ADHS; FBB-SSV), which were used to evaluate convergent and divergent validity. Results: ICC coefficients demonstrated very good to excellent interrater reliability on the item and scale level of the ILF-EXTERNAL [scale level: ICC(1,1) = 0.83−0.95; ICC(1,3) = 0.94−0.98]. Overall kappa agreement on DSM-5 diagnoses was substantial to almost perfect for most disorders (0.38 ≤ κ ≤ 0.94). With some exceptions, internal consistencies (0.60 ≤ α ≤ 0.86) and item-total correlations (0.21 ≤ rit ≤ 0.71) were generally satisfactory to good. Furthermore, higher symptom severity was associated with a higher degree of functional impairment. The evaluation of convergent validity revealed positive results regarding clinical judgment and parent ratings (FBB-ADHS; FBB-SSV). Correlations between the ILF-EXTERNAL scales and the CBCL Externalizing Problems were moderate to high. Finally, the ILF-EXTERNAL scales were significantly more strongly associated with the CBCL Externalizing Problems than with the Internalizing Problems, indicating divergent validity. Conclusion: In clinically referred, school-age children, the ILF-EXTERNAL demonstrates sound psychometric properties. The ILF-EXTERNAL is a promising clinical interview and contributes to high-quality diagnostics of externalizing disorders in children and adolescents.
    Language: English
    Type: abstract

Record information

Record ID

420782

Changed

2025-06-02 17:55

Created

2025-06-02 17:55

Editorial status

new

Open access type

gold open access

License

CC BY Attribution 4.0 International

Licensing

License received

Obligatory delivery

No

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