J Abnorm Child Psychol
Little attention has been paid to evaluating the use of DSM-III-R with preschool children. Children (N = 510) ages 2 to 5 years who were screened at the time of a pediatric visit were selected to participate in an evaluation which included questionnaires, a semistructured interview, developmental testing, and a play observation. Following the evaluation, two clinical child psychologists independently assigned DSM-III-R diagnoses. For each diagnostic category, kappa and Y coefficients were calculated; Y coefficients are less sensitive to base rates of disorders. For overall agreement, the weighted mean kappa (.61), and mean Y (.66) were moderately high. Overall agreement that the child had at least one of the disruptive disorders was substantial (kappa = .64; Y = .65); agreement that there was at least one of the emotional disorders was moderate for kappa (.54), but substantial for Y (.70). Kappa coefficients were higher for major categories of disorder than for specific disorders; however, Y coefficients did not show a decline for specific disorders. Interrater reliability of DSM-III-R appears to be similar for preschoolers and older children
510, Adjustment Disorders, Attention, Chicago, Child, Child Behavior Disorders, Child Psychology, Child,Preschool, clinical, Comparative Study, Diagnosis, diagnostic, disorders, evaluation, Female, hospital, Human, Illinois, Male, Mood Disorders, Observation, Observer Variation, older, PPRG, Psychiatric Status Rating Scales, Psychiatry, Questionnaires, Reproducibility of Results, Support,U.S.Gov't,P.H.S.