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A DSM-IV–Referenced Screening Instrument for Preschool Children: The Early Childhood Inventory-4
Abstract
Objective To examine the validity of the Early Childhood Inventory-4 (ECI-4), a parent and teacher rating scale designed to screen for DSM-IV emotional and behavioral disorders. Method The convergent, divergent, and discriminant validity and clinical utility of the ECI-4 was studied in a sample of 224 consecutive referrals (3-6-year-old children) to a child psychiatric outpatient clinic. Results The ECI-4 demonstrated adequate criterion validity for the most common disorders (attention-deficit/hyperactivity disorder, oppositional defiant disorder, pervasive developmental disorder) when compared with data-based psychiatric diagnoses and correlated well with relevant scales of the Child Behavior Checklist, Teacher's Report Form, and Inattention/Overactivity With Aggression (IOWA) Conners. Conclusion The ECI-4 appears to be a useful screening measure for certain disorders in clinically referred children, but continued research is needed to determine its value in other settings (e.g., school and community), and its validity with other measurement methodologies.
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The diagnostic criteria for ADHD (DSM-5) can be applied to preschool-aged children.
“There is evidence that the diagnostic criteria for ADHD can be applied to preschool-aged children.33–39”
From Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents (2019) · cites this paper as [38]
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“ECI ratings demonstrate good discriminant validity when compared to chart diagnoses for ADHD and correlates significantly with comparable scales from other behavior checklists (Sprafkin et al. 2002).”
BackgroundValidity of DSM-IV syndromes in preschoolers with autism spectrum disorders
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Metadata
- Authors
- SPRAFKIN, J., VOLPE, R. J., GADOW, K. D., NOLAN, E. E., & KELLY, K.
- Affiliations
- State University of New York (US)
- Corresponding author
- SPRAFKIN, JOYCE
- ORCID
- VOLPE, ROBERT J.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2002-05
- Volume
- 41
- Issue
- 5
- Pages
- 604-612
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W1975868454
- Cited by
- 128
- References
- 2
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 6 · 2023: 3 · 2022: 5 · 2021: 4 · 2020: 4 · 2019: 7 · 2018: 2 · 2017: 3 · 2016: 2 · 2015: 5 · 2014: 6 · 2013: 7 · 2012: 5
- FWCI
- 6.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Keywords
- emotional and behavioral disorders, preschool children, screening tool, DSM-IV, convergent validity, discriminant validity, attention deficit hyperactivity disorder, oppositional defiant disorder, pervasive developmental disorders
- MeSH terms
- Affective Symptoms, Ambulatory Care, Attention Deficit Disorder with Hyperactivity, Child, Child Behavior Disorders, Child, Preschool, Cross-Sectional Studies, Female, Humans, Male, Mass Screening, Personality Assessment, Psychiatric Status Rating Scales, Psychometrics, Reproducibility of Results, Incidence, Attention Deficit and Disruptive Behavior Disorders
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