The Achenbach Child Behavior Checklist
The Achenbach Child Behavior Checklist
The
Achenbach Child Behavior Checklist evaluates a variety of childhood problems. Photo Credit child image by Cora Reed from <a
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Validity
The CBCL and its variants are widely used around the world for clinical and research purposes and have been
translated into over 75 languages. They have been used in over 6,000 professional publications and are
considered to be valid and reliable indicators of childrens behavioral and emotional functioning. One of the
useful features of the CBCL questionnaires and their scoring system is they allow for the comparison of ratings
by different observers, such as mother, father, teacher and child.
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Internalizing Behavior
Just under one-third of the CBCL questions evaluate internalizing behavior: behaviors where children direct
emotions and feelings inward. Three kinds of internalizing behaviors measured by the CBCL include somatic
complaints, anxious/depressed behavior and withdrawn behavior. Somatic problems include tired, aches, nausea,
vomiting, headaches, dizziness and complaints about skin, stomach or eye problems. Children with significant
medical issues, including for example, lung disease, tend to score high on the internalizing subscale and
particularly on the somatic problems subscale of the CBCL, reports PsychosomaticMedicine.org. Withdrawn
behaviors are addressed by questions regarding social withdrawal, shyness, staring, sulking and sadness.
Problems with anxiety/depression are identified by questions regarding crying, fear, loneliness, nervousness,
worthlessness, suspiciousness, guilt, fear and worries. Children who obtain clinically high scores on the
anxious/depressed scale are likely to have depression or anxiety disorders, notes the Archives of Disease in
Childhood.
Externalizing Behavior
Some children tend to direct emotional problems outward into aggressive or delinquent behavior. These are
considered externalizing behaviors. Delinquent externalizing behaviors assessed by the CBCL include cheating,
lying, setting fires, swearing, truancy, stealing and vandalism. The CBCL assesses several types of aggressive
behaviors, including bragging, arguing, screaming, showing off, attention-seeking, teasing, being demanding,
threatening behavior and displaying a temper. Children who obtain high scores on the externalizing behavior
subscale of the CBCL tend to be diagnosed with conduct disorder or oppositional defiant disorder as defined in
the American Psychiatric Associations Diagnostic and Statistical Manual of Mental Disorders, or DSM-IV.
Limits
Although considered useful as a screening and research tool, the CBCL does not substitute for a proper
diagnosis by a trained clinician.