Disruptive Behavior Disorder Rating Scale

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Disruptive Behavior Disorder Rating Scale (DBDRS)

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About Disruptive Behavior Disorder Rating Scale (DBDRS)

Scale Name

Disruptive Behavior Disorder Rating Scale (DBDRS)

Author Details

William E. Pelham, Jr., Ph.D.; Elizabeth M. Gnagy, M.A.; Kimberly M. Greenslade, M.A.; Richard Milich, Ph.D.

Translation Availability

Not Sure

Background/Description

The Disruptive Behavior Disorder Rating Scale (DBDRS) is a widely used tool for assessing symptoms of disruptive behavior disorders in children and adolescents. These disorders, including Attention-Deficit/Hyperactivity Disorder (ADHD), Oppositional Defiant Disorder (ODD), and Conduct Disorder (CD), are characterized by persistent patterns of behavior that significantly impair social, academic, or occupational functioning.

The DBDRS was originally developed by Pelham and colleagues in 1992 to provide educators and clinicians with a standardized method of rating the severity of disruptive behaviors as outlined in the Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised (DSM-III-R). The scale consists of items that correspond to the symptoms of ADHD, ODD, and CD, allowing for a comprehensive assessment of disruptive behavior.

The DBDRS is designed to be completed by teachers, parents, or caregivers who observe the child’s behavior in everyday settings. It is commonly used in both clinical and research settings to assist in the diagnosis of disruptive behavior disorders, monitor treatment progress, and identify areas where intervention may be needed.

Since its initial development, the DBDRS has undergone several revisions and updates to align with changes in diagnostic criteria and to improve its psychometric properties. Recent studies have focused on refining the scale’s factor structure and ensuring its applicability across diverse populations.

Administration, Scoring and Interpretation

  • Selection of Respondent: The DBDRS can be completed by teachers, parents, or other caregivers who are familiar with the child’s behavior in various contexts, such as at school or home.
  • Distribution of the Scale: Provide the respondent with the DBDRS questionnaire, which includes items related to ADHD, ODD, and CD symptoms. The questionnaire is typically self-administered and can be distributed in paper form or electronically.
  • Instructions: Instruct the respondent to rate the frequency of each behavior on a Likert scale, ranging from 0 (never) to 3 (very often). Emphasize the importance of honest and accurate reporting based on their observations of the child’s behavior over the past six months.
  • Completion: After the respondent completes the questionnaire, collect the responses for scoring.
  • Scoring: The DBDRS is scored by summing the ratings for each symptom category (ADHD, ODD, and CD). The total scores indicate the severity of symptoms in each disorder category.

Reliability and Validity

The Disruptive Behavior Disorder Rating Scale has been shown to have strong reliability and validity. The internal consistency of the scale is high, with Cronbach’s alpha values indicating that the items reliably measure the symptoms of disruptive behavior disorders.

The scale’s validity has been supported by numerous studies, including confirmatory factor analyses that have validated the factor structure of the DBDRS across different populations. Recent research has also demonstrated the scale’s measurement invariance, meaning that it is equally valid across various demographic groups, including different ages, genders, and cultural backgrounds.

The DBDRS is widely used in both clinical practice and research, and its reliability and validity make it a trusted tool for assessing disruptive behavior disorders in children and adolescents.

Available Versions

45-Items

Reference

Pelham, W. E., Jr., Gnagy, E. M., Greenslade, K. M., & 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(2), 210–218. https://doi.org/10.1097/00004583-199203000-00006

Fosco, W. D., Babinski, D. E., & Waschbusch, D. A. (2023). The Disruptive Behavior Rating Scale: Updated factor structure, measurement invariance, and national caregiver norms. Journal of Pediatric Psychology, 43(5), 468–478. https://doi.org/10.1093/jpepsy/jsad006

Pillow, D. R., Pelham, W. E., Hoza, B., Molina, B. S. G., & Stultz, C. H. (1998). Confirmatory factor analyses examining attention deficit hyperactivity disorder symptoms and other childhood disruptive behaviors. Journal of Abnormal Child Psychology, 26(4), 293–309. https://doi.org/10.1023/a:1022658618368

Important Link

Scale File:

Frequently Asked Questions

Q: What is the Disruptive Behavior Disorder Rating Scale (DBDRS)?
A: The DBDRS is a tool used to assess symptoms of disruptive behavior disorders such as ADHD, ODD, and CD in children and adolescents.

Q: Who developed the DBDRS?
A: The DBDRS was developed by William E. Pelham, Jr., Ph.D., Elizabeth M. Gnagy, M.A., Kimberly M. Greenslade, M.A., and Richard Milich, Ph.D.

Q: How is the DBDRS administered?
A: The DBDRS is administered as a questionnaire completed by teachers, parents, or caregivers, who rate the child’s behavior on a Likert scale.

Q: What does the DBDRS measure?
A: The DBDRS measures the frequency and severity of symptoms associated with ADHD, ODD, and CD.

Q: How reliable is the DBDRS?
A: The DBDRS has demonstrated strong reliability and validity, making it a widely used and trusted tool for assessing disruptive behavior disorders.

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