Psychiatric Quarterly, Vol. 76, No. 4, Winter 2005 (
ARATING SCALE FOR DISRUPTIVE
BEHAVIOR DISORDERS, BASED
ON THE DSM-IV ITEM POOL
Raul R. Silva, M.D., Murray Alpert, Ph.D.,
Enrique Pouget, Victoria Silva, Sarah Trosper, B.A.,
Kimberly Reyes, B.S., and Steven Dummit, M.D.
DSM IV includes three clusters of items that are used to establish diagnoses
for the Disruptive Behavior Disorders: Attention Deﬁcit, Conduct, and Opposi-
tional Deﬁant. In this report, we examine the feasibility of using the items in
each cluster to form a rating scale. We studied eighty-four consecutive school-
aged referrals to an inner-city child and adolescent Psychiatry clinic. Case di-
agnosis was established with a clinician’s KID-SCID assessment. Parents and
teachers rated the 41 DSM items on four-point scales, and completed the Con-
ners’ Rating Scales, in English or Spanish. In this paper we report psycho-
metrics of the new scale, the Rating Scale for Disruptive Behavior Disorders
(RS-DBD), along with the agreement among parents and teachers, and con-
currence between the new scales and the relevant Conners’ scales. While, the
Raul R. Silva, M.D., is Deputy Director, Division of Child and Adolescent Psychiatry,
New York University School of Medicine.
Murray Alpert, Ph.D., Enrique Pouget, Sarah Trosper, B.A., and Kimberly Reyes, B.S.,
are afﬁliated with the Department of Psychiatry, New York University School of Medicine.
Victoria Silva, is afﬁliated with College of Arts & Sciences, New York University.
Steven Dummit, M.D., is afﬁliated with New York Medical College.
Address correspondence to Raul Silva, M.D., Division of Child and Adolescent Psychia-
try, NYU School of Medicine, 27th and 1st Avenue NB21S6, New York, NY 10016; e-mail:
2005 Springer Science+Business Media, Inc.