In this study, researchers Vera Bzhalava and Ketevan Inasaridze translated and adapted the Parent/Teacher Disruptive Behavior Disorder (DBD) rating scale based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR [APA, 2000]) for use in assessing childhood behavioral abnormalities, specifically ADHD, ODD, and CD, in Georgian children and adolescents. The DBD rating scale was translated into Georgian using back translation techniques by English language philologists and checked by qualified psychologists and psychiatrists in Georgia. A total of 290 children and adolescents between the ages of 6 to 16 years were recruited from public schools in Tbilisi and the Neurology Department of the Pediatric Clinic at Tbilisi State Medical University. Participants were objectively assessed through interviews with parents/teachers and qualified psychologists in three different settings: school, home, and clinic. The results showed statistically significant differences between healthy controls (M=27.71, SD=17.26) and those with ADHD (M=61.51, SD=22.79) in terms of DBD total scores. Additionally, statistically significant differences were found for the inattentive subtype between control (M=8.68, SD=5.68) and ADHD (M=18.15, SD=6.57) groups indicating that children with ADHD had higher scores on the DBD compared to typically developed individuals. Furthermore, gender-wise prevalence was determined for children with ADHD, ODD, and CD revealing a higher prevalence among males compared to females across all categories investigated in this study. Overall these findings suggest that the DBD rating scale can be effectively used to assess childhood behavioral abnormalities such as ADHD among Georgian children and adolescents while also highlighting important gender differences that should be taken into account when diagnosing these disorders in this population group.
Researchers made a test to see if kids in Georgia have behavior problems. They asked 290 kids between 6 and 16 years old to take the test. The kids were interviewed at school, home, and clinic by psychologists and their parents/teachers. Kids with ADHD had higher scores on the test than kids without it. Boys were more likely to have ADHD, ODD, or CD than girls.
Definitions
- DBD rating scale: a test used to assess childhood behavioral abnormalities
- Georgian: relating to or from Georgia, a country in Eastern Europe
- Back translation techniques: translating a text that has already been translated back into its original language to check for accuracy
- Psychologists: people who study behavior and mental processes
- Psychiatrists: medical doctors who specialize in mental health disorders
- ADHD: attention deficit hyperactivity disorder, a condition that makes it hard for someone to focus and control their impulses
- Prevalence: how often something occurs in a population
Adapting the Parent/Teacher Disruptive Behavior Disorder (DBD) Rating Scale for Use in Assessing Childhood Behavioral Abnormalities in Georgian Children and Adolescents
In this study, researchers Vera Bzhalava and Ketevan Inasaridze translated and adapted the Parent/Teacher Disruptive Behavior Disorder (DBD) rating scale based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR [APA, 2000]) for use in assessing childhood behavioral abnormalities, specifically ADHD, ODD, and CD, in Georgian children and adolescents. The aim of this study was to determine whether the DBD rating scale could be effectively used to assess these conditions among a population group that has not been previously studied using this tool.
Background Information
The DSM-IV-TR is a manual published by the American Psychiatric Association which provides criteria for diagnosing mental disorders. It is widely used by clinicians around the world as an authoritative guide when assessing patients with mental health issues. The DBD rating scale is based on this manual and consists of 54 items divided into three subscales: attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD). This tool has been found to be reliable when assessing childhood behavioral problems such as ADHD but had not yet been tested on a Georgian population group prior to this research project.
Methods
To ensure accuracy during translation from English to Georgian language versions of the DBD rating scale were created using back translation techniques by English language philologists who were then checked by qualified psychologists and psychiatrists in Georgia. A total of 290 children between 6–16 years old were recruited from public schools in Tbilisi as well as from the Neurology Department at Tbilisi State Medical University’s Pediatric Clinic. Participants were objectively assessed through interviews with parents/teachers conducted across three different settings: school, home, and clinic.
Results
The results showed statistically significant differences between healthy controls (M=27.71; SD=17.26) compared to those with ADHD (M=61.51; SD=22.79) regarding their total scores on the DBD rating scale indicating that individuals with ADHD had higher scores than typically developed individuals without any diagnosed condition or abnormality present within them.. Additionally, there was also a statistically significant difference between control groups (M=8.68; SD=5.68) versus those with ADHD subtype scores(M=1815; SD =6 57). Gender prevalence was also determined revealing that males had higher prevalence rates than females across all categories investigated within this study including ADHD, ODD & CD respectively .
Conclusion
Overall these findings suggest that the DBD rating scale can be effectively used to assess childhood behavioral abnormalities such as ADHD among Georgian children and adolescents while also highlighting important gender differences that should be taken into account when diagnosing these disorders in this population group
In the presented study Parent/Teacher Disruptive Behavior Disorder (DBD) rating scale based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR [APA, 2000]) which was developed by Pelham and his colleagues (Pelham et al., 1992) was translated and adopted for assessment of childhood behavioral abnormalities, especially ADHD, ODD and CD in Georgian children and adolescents. The DBD rating scale was translated into Georgian language using back translation technique by English language philologists and checked and corrected by qualified psychologists and psychiatrist of Georgia. Children and adolescents in the age range of 6 to 16 years (N 290; Mean Age 10.50, SD=2.88) including 153 males (Mean Age 10.42, SD= 2.62) and 141 females (Mean Age 10.60, SD=3.14) were recruited from different public schools of Tbilisi and the Neurology Department of the Pediatric Clinic of the Tbilisi State Medical University. Participants objectively were assessed via interviewing parents/teachers and qualified psychologists in three different settings including school, home and clinic. In terms of DBD total scores revealed statistically significant differences between healthy controls (M=27.71, SD=17.26) and children and adolescents with ADHD (M=61.51, SD= 22.79). Statistically significant differences were found for inattentive subtype between control (M=8.68, SD=5.68) and ADHD (M=18.15, SD=6.57) groups. In general it was shown that children and adolescents with ADHD had high score on DBD in comparison to typically developed persons. In the study also was determined gender wise prevalence in children and adolescents with ADHD, ODD and CD. The research revealed prevalence of males in comparison with females in all investigated categories.
