Child Behavior Checklist (CBCL)

CPP Cohort 1

The Child Behavior Checklist (CBCL)* is a caregiver-report measure of the child’s perceived competencies and problem behaviors, including internalizing and externalizing behaviors, using a 3-point Likert scale.

Descriptive Statistics:  Pre- and post-treatment assessment measure means and standard deviations for the Emotionally Reactive, Anxious/Depressed, Somatic Complaints, Withdrawn, Sleep Problems, Attention Problems, and Aggressive Behaviors t-scores of the CBCL are listed in the table below, as well as the range of possible scores and clinical significance for each syndrome scale.

Repeated Measures:  Repeated measures analyses (paired samples t-tests) were conducted to examine pre-post group mean differences on CBCL syndrome scales.  Analyses showed statistically significant improvement in all scales: emotionally reactive, anxious/depressed, somatic complaints, withdrawn, sleep problems, attention problems, and aggressive behaviors syndrome scales.

CBCL Syndrome Scales: Paired Sample t-tests

CBCL Syndrome Scale: Pre-Post Treatment Mean Scores

* p < .05, **p < .01, ***p < .001

Pre- and post-treatment assessment measure means and standard deviations for Depressive Problems, Anxiety Problems, Autism Spectrum Problems, Attention Deficit/Hyperactivity Problems, and Oppositional Defiant Problems t-scores of the CBCL are listed in the table below, as well as the range of possible scores and clinical significance for each DSM-5-Oriented scale.

CBCL DSM-5-Oriented Scales: Descriptive Statistics

Repeated measures analyses (paired samples t-tests) were conducted to examine pre-post group mean differences on CBCL DSM-5-Oriented scales.  Analyses showed statistically significant improvement in all scales: depressive problems, anxiety problems, autism spectrum problems, attention deficit / hyperactivity problems, and oppositional defiant problems DSM-5-oriented scales.

 

CBCL DSM-5-Oriented Scales: Paired Sample t-Tests

CBCL DSM-5-Oriented Scale: Pre-Post Treatment Mean Scores

*p < .05, **p < .01, **p < .001

Individual Clinically-Significant Change:

CBCL Syndrome Scales:

At pre-treatment, 10 clients had CBCL Emotionally Reactive scores at or above the clinical cut-off score of 70.  Of note, 3 clients were missing post-treatment data for the Emotionally Reactive scale.  Analysis of the clients with post-treatment data showed that the CBCL Emotionally Reactive scale for 6 of these 7 clients (86%) decreased to non-clinically significant levels by post-treatment.  At pre-treatment, 7 clients had CBCL Anxious/Depressed scores at or above the clinical cut-off score of 70.  No clients were missing post-treatment data for this scale.  Analysis showed that the CBCL Anxious/Depressed scale for 7 of these 7 clients (100%) decreased to non-clinically significant levels by post-treatment.  At pre-treatment, 4 clients had CBCL Somatic Complaints scores at or above the clinical cut-off score of 70.  Of note, 1 client was missing post-treatment data for the Somatic Complaints scale.  Analysis of the clients with post-treatment data showed that the CBCL Somatic Complaints scale for 3 of these 3 clients (100%) decreased to non-clinically significant levels by post-treatment.  At pre-treatment, 12 clients had CBCL Withdrawn scores at or above the clinical cut-off score of 70.  Of note, 3 clients were missing post-treatment data for the Withdrawn scale.  Analysis of the clients with post-treatment data showed that the CBCL Withdrawn scale for 8 of these 9 clients (89%) decreased to non-clinically significant levels by post-treatment.  At pre-treatment, 8 clients had CBCL Sleep Problems scores at or above the clinical cut-off score of 70.  Of note, 3 clients were missing post-treatment data for the Sleep Problems scale.  Analysis of the clients with post-treatment data showed that the CBCL Sleep Problems scale for 4 of these 5 clients (80%) decreased to non-clinically significant levels by post-treatment.  At pre-treatment, 9 clients had CBCL Attention Problems scores at or above the clinical cut-off score of 70.  No clients were missing post-treatment data for this scale.  Analysis showed that the CBCL Attention Problems scale for 5 of these 9 clients (56%) decreased to non-clinically significant levels by post-treatment.  At pre-treatment, 16 clients had CBCL Aggressive Behaviors scores at or above the clinical cut-off score of 70.  Of note, 2 clients were missing post-treatment data for the Aggressive Behaviors scale.  Analysis of the clients with post-treatment data showed that the CBCL Aggressive Behaviors scale for 12 of these 14 clients (86%) decreased to non-clinically significant levels by post-treatment.

CBCL DSM-5 Oriented Scales:

At pre-treatment, 14 clients had CBCL Depressive Problems scores at or above the clinical cut-off score of 70.  Of note, 4 clients were missing post-treatment data for the Depressive Problems scale.  Analysis of the clients with post-treatment data showed that the CBCL Depressive Problems scale for 9 of these 10 clients (90%) decreased to non-clinically significant levels by post-treatment.  At pre-treatment, 8 clients had CBCL Anxiety Problems scores at or above the clinical cut-off score of 70.  Of note, 1 client was missing post-treatment data for the Anxiety Problems scale.  Analysis of the clients with post-treatment data showed that the CBCL Anxiety Problems scale for 5 of these 7 clients (71%) decreased to non-clinically significant levels by post-treatment.  At pre-treatment, 15 clients had Autism Spectrum Problems scores at or above the clinical cut-off score of 70.  Of note, 7 clients were missing post-treatment data for the Autism Spectrum Problems scale.  Analysis of the clients with post-treatment data showed that the CBCL Autism Spectrum Problems scale for 7 of these 8 clients (88%) decreased to non-clinically significant levels by post-treatment.  At pre-treatment, 10 clients had CBCL Attention Deficit/Hyperactivity Problems scores at or above the clinical cut-off score of 70.  No clients were missing post-treatment data for this scale.  Analysis showed that the CBCL Attention Deficit/Hyperactivity Problems scale for 8 of these 10 clients (80%) decreased to non-clinically significant levels by post-treatment.  At pre-treatment, 18 clients had CBCL Oppositional Defiant Problems scores at or above the clinical cut-off score of 70.  Of note, 3 clients were missing post-treatment data for the Oppositional Defiant Problems scale.  Analysis of the clients with post-treatment data showed that the CBCL Oppositional Defiant Problems scale for 11 of these 15 clients (73%) decreased to non-clinically significant levels by post-treatment.

*Achenbach, T.M., & Rescorla, L.A. (2001). Manual for the ASEBA School-Age Forms & Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.  http://www.aseba.org/schoolage.html

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