TY - JOUR PY - 2002// TI - Use of different measures to identify preschoolers at-risk for emotional or behavioral disorders: impact on gender and ethnicity JO - Education and treatment of children A1 - Serna, Loretta A1 - Nielsen, Elizabeth A1 - Mattern, Nancy A1 - Forness, Steven R. SP - 415 EP - 437 VL - 25 IS - 4 N2 - Very few definitive standards exist for school diagnosis of emotional or behavioral disorders in terms of measurements for symptoms versus functional impairment, ratings obtained from parents versus teachers, or various combinations of instruments. Such issues are even more complex in preschool children since diagnoses in children below age 6 are seldom studied and standards are inaccurate at best. In this study, different measures of symptoms and functional impairment were obtained on a sample of 285 Head Start children from diverse ethnic backgrounds. These included six instruments completed by teachers and two completed by parents. Clinical cut-off scores were used to identify children who could be considered at relatively serious risk for emotional or behavioral disorders. The at risk classifications for each measure were examined singly and in combination using gender, ethnicity, and an overall measure of psychiatric impairment as outcome variables. Identification of children considered at risk ranged from a low of 1% to a high of 34%, with considerable evidence of differential effects on gender or ethnicity for some measures and combinations of measures. Implications for choosing instruments to establish eligibility for emotional or behavioral disorders in preschoolers are discussed.

Language: en

LA - en SN - 0748-8491 UR - http://dx.doi.org/ ID - ref1 ER -