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Achenbach System of instruments also have items for assessing

competencies and/or adaptive functioning.


Empirically Based Since the first ASEBA findings were published
Assessment (ASEBA) (Achenbach, 1966), ASEBA instruments have
been translated into 90 languages. Over 8,000
Thomas M. Achenbach publications by some 15,000 authors report
University of Vermont, U.S.A. research findings and practical applications in
80 societies and cultures (Bérubé & Achenbach,
The Achenbach System of Empirically Based 2013).
Assessment (ASEBA) comprises a family
of instruments for assessing the behavioral, History of the ASEBA
emotional, and social problems and adaptive
functioning of children, youths, and adults at The ASEBA originated with Thomas Achen-
ages 1 1∕2 to 90+ years. Some ASEBA forms are bach’s efforts to determine whether more
designed for completion by parents, daycare differentiated patterns of child (for brevity,
providers, teachers, youths, adults to describe “child” is used to include “adolescent”) psy-
their own functioning, and adult collaterals chopathology could be identified than were
to describe the adult who is being assessed implied by the then-prevailing psychiatric
(e.g., spouse, partner, family member, friend, diagnostic system. That system—embodied in
therapist). Other ASEBA forms are designed the first edition of the American Psychiatric
to assess specific samples of behavior, as rated Association’s (1952) Diagnostic and Statisti-
by clinical interviewers, psychological exam- cal Manual (the DSM)—provided only the
iners who administer standardized ability and following two categories for childhood dis-
achievement tests, and observers of children in orders: Adjustment Reaction of Childhood
classrooms and other group settings. Table 1 and Schizophrenic Reaction, Childhood Type.
lists the ASEBA forms, with the ages of the peo- Neither category was based on empirical find-
ple assessed and the informants who complete ings nor were explicit criteria provided for the
the forms. categories.
To determine whether more differentiated
The Nature of ASEBA Instruments patterns of child psychopathology could be
empirically identified, Achenbach (1966) con-
Each ASEBA instrument is designed to assess structed a form for rating reports of particular
a broad spectrum of problems that can be behavioral, emotional, and social problems in
rated by particular kinds of informants. Each the case records of children seen for mental
item is important in its own right for assessing health services. After rating large samples
possible needs for help with problems such of records, Achenbach performed statistical
as setting fires, suicidal behavior, physically analyses to identify patterns of co-occurring
attacking people, and distractibility. Ratings of problems. The analyses yielded considerably
particular subsets of items are also summed to more “narrow-band” syndromes of problems
yield scores for a variety of scales, as described than were implied by the two official diag-
later. To help users evaluate the degree of nostic categories. Additional analyses yielded
deviance indicated by particular scale scores, “broad-band” groupings of problems, which
norms are provided that are based on scores for Achenbach named internalizing and exter-
representative samples of people. Most ASEBA nalizing. Classification of children’s problems

The Encyclopedia of Clinical Psychology, First Edition. Edited by Robin L. Cautin and Scott O. Lilienfeld.
© 2015 John Wiley & Sons, Inc. Published 2015 by John Wiley & Sons, Inc.
DOI: 10.1002/9781118625392.wbecp150
2 ACHENBACH SYSTEM OF EMPIRICALLY BASED ASSESSMENT (ASEBA)

Table 1 ASEBA forms for ages 1 1∕2 to 90+ years.

Name of form Ages of people assessed (years) Filled out by

Child Behavior Checklist for Ages 1 1∕2 –5 Parents, surrogates


1 1∕2 –5 (CBCL/1 1∕2 –5)
Caregiver-Teacher Report Form 1 1∕2 –5 Daycare providers, preschool teachers
(C-TRF)
Child Behavior Checklist for Ages 6–18 Parents, surrogates
6–18 (CBCL/6–18)
Teacher’s Report Form (TRF) 6–18 Teachers, school counselors
Youth Self-Report (YSR) 11–18 Youths
Brief Problem Monitor (BPM) 6–18 Parents, teachers, youths
Semistructured Clinical Interview 6–18 Clinical interviewers
for Children and Adolescents
(SCICA)
Direct Observation Form (DOF) 6–11 Observers
Test Observation Form (TOF) 2–18 Psychological examiners
Adult Self-Report (ASR) 18–59 Adults
Adult Behavior Checklist (ABCL) 18–59 Adult collaterals
Older Adult Self-Report (OASR) 60–90+ Older adults
Older Adult Behavior Checklist 60–90+ Older adult collaterals
(OABCL)
To view each form, lists of available translations, and other information, visit www.aseba.org

according to the syndromes and also accord- activities, and school functioning. Achenbach
ing to the internalizing and externalizing additionally developed the Teacher’s Report
groupings showed that some of the syndromes Form (TRF) and Youth Self-Report (YSR) to
were subsumed by the internalizing grouping, obtain teacher and self-ratings of items like
some syndromes were subsumed by the exter- those rated by parents on the CBCL, plus other
nalizing grouping, and some syndromes were items that are specific to teacher or self-ratings.
not subsumed by either the internalizing or the Each problem item is rated 0 = not true,
externalizing grouping. 1 = somewhat or sometimes true, or 2 = very
true or often true.
Assessment Based on Parent, The CBCL, TRF, and YSR were revised and
Teacher, and Self-Ratings refined on the basis of ratings, comments,
and suggestions by large samples of parents,
To base assessment more directly on reports teachers, and youths who completed successive
of children’s functioning in everyday contexts, pilot editions. Achenbach’s statistical analy-
Achenbach subsequently applied empirically ses yielded syndromes and internalizing and
based assessment methodology to obtain- externalizing groupings of problems resem-
ing data directly from parents, teachers, and bling those identified in his earlier analyses of
children themselves. In collaboration with ratings of case records.
Professor of Child Psychiatry Melvin Lewis The results of the analyses of parent, teacher,
(1928–2007) of the Yale Child Study Center, and self-ratings were used to construct scales
Achenbach developed the Child Behavior for scoring syndromes, internalizing, exter-
Checklist (CBCL) on which parents report and nalizing, and total problems in order to
rate their children’s problems and also their evaluate individual children for purposes of
competencies, including social relationships, mental health services, special education,
ACHENBACH SYSTEM OF EMPIRICALLY BASED ASSESSMENT (ASEBA) 3

epidemiology, training of practitioners, and not only the ASEBA but many other forms
research. Scores for each problem scale are and interviews for which published reports
computed by summing the 0–1–2 ratings of of cross-informant correlations were found.
the items comprising the scale. Scales were The meta-analyses yielded a mean correlation
also developed for scoring the competence and of .60 between ratings by pairs of informants
adaptive functioning items. who play similar roles with respect to children,
including pairs of parents, teachers, mental
Normed Profiles for Displaying health workers, and observers. Between pairs
Scale Scores of informants who play different roles (e.g.,
parent versus teacher), the mean correlation
To help users judge whether children’s scale
was .28. And between children’s self-ratings
scores are in the normal range, are sufficiently
and ratings of the children by adults, the
deviant to warrant professional help, or are in
mean correlation was .22. Even for people who
a borderline deviant range, norms were con-
play similar roles (e.g., pairs of parents, pairs
structed on the basis of scale scores obtained
of teachers), the evidence thus showed that
by representative samples of children who were
no informant was likely to provide precisely
not referred for mental health services. Scale
the same information as another informant.
scores are displayed on profiles in relation to
Instead, because ratings by each kind of infor-
norms for the child’s gender, age group, the
mant were found to be reliable and valid, each
kind of informant who rated the child, and
kind of informant could potentially provide
(as explained later) societies relevant to the
useful but often different assessment data.
child and rater. As illustrated in Figure 1, the
profile for the syndrome scales also displays
the raw syndrome scale scores (sum of 0, 1, 2 Cross-Informant Syndromes
ratings of the items comprising the scale), the and Use of Assessment Data from
percentile of the child’s scale score in relation Multiple Informants
to the appropriate normative sample, and the To facilitate use of data from multiple infor-
standard score (T score) for the child’s scale mants, Achenbach (1991) conducted new
score. T scores comprise a standard metric statistical analyses to identify syndromal pat-
whereby each T score has the same meaning terns that are common to parent, teacher,
for all the scales of a particular type, such as and self-ratings of children’s problems. Eight
the syndrome scales. As Figure 1 shows, the syndromes were identified that had coun-
profile of syndrome scores also displays the 0, terparts in parent, teacher, and self-ratings.
1, and 2 ratings given each problem item by the
Software was then developed to score these
informant who completed the ASEBA form.
syndromes on parallel profiles for displaying
parent, teacher, and self-ratings of each child.
Reports by Different Informants For twenty-first century versions of the
The CBCL, TRF, and YSR assess children as forms, small changes were made and new
they are seen from the different perspectives ®
Windows software was developed that added
of parents, teachers, and children themselves. narrative summaries of findings for each child
To measure the typical levels of agreement (Achenbach & Rescorla, 2000, 2001). The new
between reports of children’s problems by dif- software also added bar graphs comparing a
ferent informants, Achenbach, McConaughy, child’s scores on each scale from up to eight
and Howell (1987) performed meta-analyses forms completed by parents, teachers, and
of correlations between reports by different children. As illustrated in Figure 2, each bar
informants. The informants included parents, reflects T scores for a particular scale com-
teachers, children, mental health workers, and puted from ratings by a parent, teacher, or child
observers. The rating instruments included and standardized on the basis of norms for
CBCL/6-18 - Syndrome Scale Scores for Boys 12-18
ID: 2301251405-002 Date Filled: 04/05/2001 Informant: Ralph F. Webster
Name: Wayne Webster Gender: Male Birth Date: 03/03/1986
Age: 15 Relationship: Biological Father
Clinician: Dr. Barrett Agency: CMHC
Internalizing Verified: Scanned Externalizing
100 C
95 L
90 I
N
T 85
I
S 80 C
C 75 A
O 70 L
R
65 N
E
60 O
55 R
M
≤ 50
Anxious/ Withdrawn/ Somatic Social Thought Attention Rule-Breaking Aggressive A
Depressed Depressed Complaints Problems Problems Problems Behavior Behavior L
Total score 11 8 3 8 5 15 6 19
T Score 72-C 70-C 61 69-B 66-B 76-C 62 73-C
Percentile >97 >97 87 97 95 >97 89 >97
0 14.Cries 1 5.EnjoysLittle 0 47.Nightmares 2 11.Dependent 1 9.MindOff 2 1.ActsYoung 0 2.Alcohol 1 3.Argues
1 29.Fears 1 42.PreferAlone 0 49.Constipate 0 12.Lonely 0 18.HarmSelf 0 4.FailsToFinish 2 26.NoGuilt 1 16.Mean
0 30.FearSchool 1 65.Won’tTalk 1 50.Dizzy 1 25.NotGetAlong 0 40.HearsThings 2 8.Concentrate 2 28.BreaksRules 1 19.DemAtten
0 31.FearDoBad 1 69.Secretive 2 54.Tired 1 27.Jealous 0 46.Twitch 2 10.SitStill 0 39.BadFriends 0 20.DestroyOwn
0 32.Perfect 0 75.Shy 0 56a.Aches 1 34.OutToGet 0 58.PicksSkin 2 13.Confused 0 43.LieCheat 0 21.DestroyOther
2 33.Unloved 1 102.LacksEnergy 0 56b.Headaches 2 36.Accidents 0 59.SexPartsP 1 17.Daydream 0 63.PreferOlder 1 22.DisbHome
2 35.Worthless 2 103.Sad 0 56c.Nausea 0 38.Teased 0 60.SexPartsM 2 41.Impulsive 0 67.RunAway 2 23.DisbSchool
2 45.Nervous 1 111.Withdrawn 0 56d.EyeProb 1 48.NotLiked 1 66.RepeatsActs 1 61.PoorSchool 0 72.SetsFires 2 37.Fights
0 50.Fearful 0 56e.SkinProb 0 62.Clumsy 0 70.SeesThings 2 78.Inattentive 0 73.SexProbs 0 57.Attacks
0 52.Guilty 0 56f.Stomach 0 64.PreferYoung 0 76.SleepsLess 1 80.Stares 0 81.StealsHome 2 68.Screams
2 71.SelfConsc 0 56g.Vomit 0 79.SpeechProb 1 83.StoresUp 0 82.StealsOut 2 86.Stubborn
0 91.TalkSuicide 0 84.StrangeBehv 2 90.Swears 1 87.MoodChang
2 112.Worries 1 85.StrangeIdeas 0 96.ThinksSex 1 88.Sulks
1 92.SleepWalk 0 99.Tobacco 1 89.Suspicious
0 100.SleepProblem 0 101.Truant 0 94.Teases
0 105.UsesDrugs 2 95.Temper
0 106.Vandalism 2 97.Threaten
0 104.Loud

Copyright 2001 T.M. Achenbach B = Borderline clinical range; C = Clinical range Broken lines = Borderline clinical range

Figure 1 Syndrome profile from the CBCL/6-18 completed for a 15-year-old boy (copyright 2001 T. M. Achenbach). From 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, and Families.
Cross-Informant Comparison - CBCL/TRF/YSR Syndrome Scale T Scores
ID: 2301251405 Name: Wayne Webster Gender: Male Birth Date: 03/03/1986 Comparison Date: 04/13/2001
Form Eval ID Age Informant Name Relationship Date Form Eval ID Age Informant Name Relationship Date
CBC1 001 15 Alice N. Webster Biological Mother 04/04/2001 TRF5 005 15 Carmen Hernandez Classroom Teacher {F} 04/11/2001
CBC2 002 15 Ralph F. Webster Biological Father 04/05/2001 TRF6 006 15 Charles Dwyer Classroom Teacher {M} 04/12/2001
YSR3 003 15 Self Self 04/05/2001
TRF4 004 15 George Jackson Classroom Teacher {M} 04/10/2001

Anxious/Depressed Withdrawn/Depressed Somatic Complaints


100

90

80

70

60

≤ 50
72-C 72-C 70-C 68-B 61 63 82-C 70-C 83-C 79-C 74-C 74-C 58 61 64 50 58 62
CBC1 CBC2 YSR3 TRF4 TRF5 TRF6 CBC1 CBC2 YSR3 TRF4 TRF5 TRF6 CBC1 CBC2 YSR3 TRF4 TRF5 TRF6
Social Problems Thought Problems Attention Problems
100

90

80

70

60

≤ 50
69-B 69-B 80-C 70-B 65-B 69-B 69-B 66-B 77-C 70-C 60 66-B 71-C 76-C 63 68-B 65-B 64
CBC1 CBC2 YSR3 TRF4 TRF5 TRF6 CBC1 CBC2 YSR3 TRF4 TRF5 TRF6 CBC1 CBC2 YSR3 TRF4 TRF5 TRF6

Rule-Breaking Behavior Aggressive Behavior


100
B = Borderline clinical range; C = Clinical range
90 Broken lines = Borderline clinical range
{F} = Female {M} = Male
80

70

60

≤ 50
57 62 56 63 83 53 73-C 73-C 67-B 82-C 65-B 67-B
CBC1 CBC2 YSR3 TRF4 TRF5 TRF6 CBC1 CBC2 YSR3 TRF4 TRF5 TRF6

Figure 2 Cross-informant comparisons of syndrome scores for a 15-year-old boy (copyright 2001 T. M. Achenbach). From 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, and Families.
6 ACHENBACH SYSTEM OF EMPIRICALLY BASED ASSESSMENT (ASEBA)

the child’s gender and age group, the type Like the bottom-up scales, each DSM-oriented
of informant (parent, teacher, self), and a scale is scored by summing the 0–1–2 ratings
user-selected multicultural norm group. of the items. Also like the bottom-up scales, the
In addition to slightly revised forms and new DSM-oriented scales are normed by gender,
software for ages 1 1∕2 –18 years, the twenty-first age group, type of informant, and multicultural
century ASEBA includes forms for assessing norm group. And the DSM-oriented scales are
18- to 59-year-old adults, older adults over displayed on profiles and on bar graphs for
age 59, the Test Observation Form (TOF) multiple informants, as illustrated in Figure 2
to enable psychological examiners to assess for syndrome scales.
the behavior of 2- to 18-year-olds during test
sessions, the Direct Observation Form (DOF) Multicultural Applications of the
for assessing the behavior of 6- to 11-year-olds ASEBA
in classrooms and other group settings, the
Translations of ASEBA instruments are
Semistructured Clinical Interview for Children
available in 90 languages, and some 3,000
and Adolescents (SCICA) for assessment of 6-
publications report use of ASEBA instru-
to 18-year-olds via clinical interviews, and the
ments outside the United States (Bérubé
Brief Problem Monitor (BPM) for assessing
& Achenbach, 2013). To test the degree to
changes in children’s functioning over brief
which the ASEBA syndromes fit problems
user-selected intervals (see Achenbach, 2009, reported for people in other societies, Ivanova,
for an overview of the twenty-first century Rescorla, and Achenbach, in collaboration
instruments). with international colleagues, have performed
confirmatory factor analyses of ratings of
DSM-Oriented Scales problems for samples of people from age 1 1∕2
The syndromes that have been derived from to 59 from over 50 societies (e.g., Rescorla
statistical analyses of ratings of large samples of et al., 2012). The ASEBA syndromes have
individuals embody a “bottom-up” approach been supported for all the societies analyzed
whereby sets of co-occurring problems are to date. In addition, statistical comparisons
empirically identified. The DSM, by contrast, of scale scores have shown small to medium
embodies a “top-down” approach whereby effect sizes for differences between societies but
experts formulate diagnostic categories and great similarity with respect to effects of age
criteria for judging whether problems reported and gender across societies. Large correlations
for an individual conform to a particular have been found between the mean ratings
category. To help users apply the ASEBA for each problem item in different societies,
item ratings to their diagnostic deliberations, indicating that the same items tend to receive
the twenty-first century ASEBA forms are high, medium, or low ratings from informants
in different societies.
scored on DSM-oriented scales as well as on
empirically derived scales.
The DSM-oriented scales were constructed Multicultural Norms
by having international panels of expert psy- The support for ASEBA syndromes in many
chiatrists and psychologists judge each ASEBA societies and the large cross-society correla-
problem item as being not consistent, somewhat tions between mean item ratings indicate that
consistent, or very consistent with particular the ASEBA forms can be similarly used for
DSM diagnostic categories. ASEBA prob- standardized assessment of behavioral, emo-
lem items that were rated by most experts as tional, and social problems in these societies.
being very consistent with a particular DSM To facilitate use of the ASEBA to assess peo-
diagnostic category were used to construct a ple from the various societies, multicultural
DSM-oriented scale representing that category. norms have been constructed to enable users
ACHENBACH SYSTEM OF EMPIRICALLY BASED ASSESSMENT (ASEBA) 7

to display individuals’ scale scores in relation and DSM-oriented scales, plus internalizing,
to norms for relevant societies. externalizing, and total problems scales.
As an example, consider a 14-year-old boy For family-based assessment, practitioners
living in the United States whose mother is can ask parents to complete the ASR to describe
from Brazil and whose father is from Peru. their own functioning, the ABCL to describe
If the boy is evaluated for mental health ser- their partner’s functioning, and the CBCL to
vices, his mother could complete the Brazilian describe their child’s functioning. The prac-
Portuguese CBCL/6–18 and his father could titioner can then compare the profiles scored
complete the Latino Spanish CBCL/6–18. If from the ASR, ABCL, and CBCL in order
the boy has an American teacher, the teacher to identify scales on which parent and child
could complete the English-language TRF. The scores may be similarly elevated. For example,
boy could be given the choice of completing if a child and parent both have elevated scores
the YSR in English, Brazilian Portuguese, or on the attention problems syndrome and/or
Latino Spanish. The scale scores from the the DSM-oriented attention deficit hyper-
CBCL completed by the boy’s mother can be activity problems scale, this finding would
displayed on a profile like that in Figure 1 in suggest that both the child and parent may
relation to norms appropriate for Brazil. The need help with attention problems. Elevations
scale scores from the CBCL completed by the on different scales may convey other messages.
boy’s father can be displayed in relation to For example, if a child obtains elevated scores
norms appropriate for Peru. The scale scores on the anxious/depressed syndrome and/or
from the TRF completed by the boy’s teacher the DSM-oriented depressive problems or
can be displayed in relation to norms appropri- anxiety problems scale but a parent obtains
ate for the United States. And the scale scores an elevated score on the aggressive behavior
from the boy’s YSR can be displayed in relation scale, this pattern may suggest that the parent’s
to norms appropriate for the United States, aggressive behavior contributes to the child’s
Brazil, and Peru. The user can thus see whether depression and/or anxiety. Moreover, differ-
any scales are clinically deviant according to ences between parents’ ASR scores and scores
any or all sets of relevant norms. The user can from the ABCL completed by their partner
also view bar graphs of scale scores from all can reveal important differences between how
raters (like the graphs in Figure 2) to quickly parents see themselves versus how they are
identify consistencies and discrepancies among seen by others.
informants in reporting high, medium, or low If practitioners deem it appropriate, they can
levels of problems, standardized for the boy’s show parents their ASR and ABCL profiles to
gender, age range, the type of informant, and document the areas in which they versus their
the multicultural norm group. partner report problems. If parents’ problem
levels are high and/or adaptive functioning lev-
Family-Based Assessment els are low in particular areas, practitioners can
discuss with parents their possible needs for
Parents are usually involved in referrals and help in those areas. Parents can also be shown
evaluations of children for mental health profiles scored from the CBCLs that they com-
services. Because children’s functioning is pleted, plus profiles scored from the TRF and
intertwined with their parents’ functioning, YSR (with the consent of those who completed
comprehensive evaluations of children should the forms). Practitioners can then point out
include evaluations of parents’ functioning. relations between the parents’ scale scores and
With appropriate developmental differences, their child’s scale scores, as well as similarities
the ASEBA instruments for children and adults and differences between how their child is seen
are similar in format, have many analogous by different informants. To facilitate compar-
items, and have several parallel syndromes isons between scores obtained from parent
8 ACHENBACH SYSTEM OF EMPIRICALLY BASED ASSESSMENT (ASEBA)

and child ratings, ASEBA software produces Burlington, VT: University of Vermont,
bar graphs like those in Figure 2 that display Department of Psychiatry.
ASR and ABCL scale scores side-by-side with Achenbach, T. M. (2009). The Achenbach System of
CBCL, TRF, and YSR scale scores. Empirically Based Assessment (ASEBA):
Development, findings, theory, and applications.
Burlington, VT: University of Vermont, Research
Future Directions Center for Children, Youth, and Families.
The ASEBA continues to develop on the basis Achenbach, T. M., McConaughy, S. H., & Howell,
of new research, technological innovations, C. T. (1987). Child/adolescent behavioral and
emotional problems: Implications of
and practitioners’ experience. Because the
cross-informant correlations for situational
ASEBA is designed for easy use in diverse
specificity. Psychological Bulletin, 101, 213–232.
kinds of research, practice, and training, it will doi:10.1037/0033-2909.101.2.213
develop in as many directions as thousands Achenbach, T. M., & Rescorla, L. A. (2000). Manual
of users take it. The ASEBA team is contin- for the ASEBA preschool forms & profiles.
uing to develop applications to family-based Burlington, VT: University of Vermont, Research
assessment in order to help practitioners Center for Children, Youth, and Families.
take account of family characteristics and to Achenbach, T. M., & Rescorla, L. A. (2001). Manual
improve understanding and communication for the ASEBA school-age forms & profiles.
among family members. With international Burlington, VT: University of Vermont, Research
colleagues, the ASEBA team is continuing Center for Children, Youth, and Families.
American Psychiatric Association. (1952).
to extend multicultural research, norms, and
Diagnostic and statistical manual of mental
applications to more and more societies. After
disorders. Washington, DC: Author.
the fifth edition of the DSM was finalized, Bérubé, R.L., & Achenbach, T. M. (2013).
ASEBA researchers collaborated with experts Bibliography of published studies using the
from many societies to identify ASEBA items Achenbach System of Empirically Based
that are very consistent with criteria for DSM-5 Assessment (ASEBA). Burlington, VT: University
diagnostic categories. DSM-5 versions of the of Vermont, Research Center for Children,
ASEBA DSM-oriented scales were then con- Youth, and Families.
structed, normed, and incorporated in the Rescorla, L. A., Ivanova, M. A., Achenbach, T. M.,
ASEBA software. Begovac, I., Chahed, M., Drugli, M. B., … Zhang,
E. Y. (2012). International epidemiology of child
SEE ALSO: Achenbach, Thomas M. (b. 1940); and adolescent psychopathology: 2. Integration
Cross-Cultural Issues in Assessment and applications of dimensional findings from 44
societies. Journal of the American Academy of
References Child and Adolescent Psychiatry, 12, 1273–1283.
Achenbach, T. M. (1966). The classification of
children’s psychiatric symptoms: A factor-
Further Reading
analytic study. Psychological Monographs: Achenbach, T. M., & Rescorla, L. A. (2007).
General and Applied, 80, 1–37. doi:10.1037/ Multicultural understanding of child and
h0093906 adolescent psychopathology: Implications for
Achenbach, T. M. (1991). Integrative guide for the mental health assessment. New York: Guilford
1991 CBCL/4-18, YSR, and TRF Profiles. Press.

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