Display options
Cite
Tyrer P, Nagar J, Evans R, et al. The Problem Behaviour Checklist: short scale to assess challenging behaviours. BJPsych Open. 2016;2(1):45-49doi: 10.1192/bjpo.bp.115.002360.
Tyrer, P., Nagar, J., Evans, R., Oliver, P., Bassett, P., Liedtka, N., & Tarabi, A. (2016). The Problem Behaviour Checklist: short scale to assess challenging behaviours. BJPsych open, 2(1), 45-49. https://doi.org/10.1192/bjpo.bp.115.002360
Tyrer, Peter, et al. "The Problem Behaviour Checklist: short scale to assess challenging behaviours." BJPsych open vol. 2,1 (2016): 45-49. doi: https://doi.org/10.1192/bjpo.bp.115.002360
Tyrer P, Nagar J, Evans R, Oliver P, Bassett P, Liedtka N, Tarabi A. The Problem Behaviour Checklist: short scale to assess challenging behaviours. BJPsych Open. 2016 Feb 05;2(1):45-49. doi: 10.1192/bjpo.bp.115.002360. eCollection 2016 Jan. PMID: 27703753; PMCID: PMC4995567.
Copy Download .nbib Format: NLM
Share it on

BJPsych Open. 2016 Feb 05;2(1):45-49. doi: 10.1192/bjpo.bp.115.002360. eCollection 2016 Jan.

The Problem Behaviour Checklist: short scale to assess challenging behaviours.

BJPsych open

Peter Tyrer, Jessica Nagar, Rosie Evans, Patricia Oliver, Paul Bassett, Natalie Liedtka, Aris Tarabi

Affiliations

  1. , FMedSci, Centre for Mental Health, Imperial College London, London, UK.
  2. , MSc, CRF Health, Hammersmith, London, UK.
  3. , MSc, Harris Manchester College, University of Oxford, Oxford, UK.
  4. , PhD, Centre for Mental Health, Imperial College London, London, UK.
  5. , MSc, FRSS, independent statistical consultant, UK.
  6. , BSc, Western Psychiatric Institute, University of Pittsburg Medical Center, Pittsburg, California, USA.
  7. , MSc, Centre for Mental Health, Imperial College London, London, UK.

PMID: 27703753 PMCID: PMC4995567 DOI: 10.1192/bjpo.bp.115.002360

Abstract

BACKGROUND: Challenging behaviour, especially in intellectual disability, covers a wide range that is in need of further evaluation.

AIMS: To develop a short but comprehensive instrument for all aspects of challenging behaviour.

METHOD: In the first part of a two-stage enquiry, a 28-item scale was constructed to examine the components of challenging behaviour. Following a simple factor analysis this was developed further to create a new short scale, the Problem Behaviour Checklist (PBCL). The scale was subsequently used in a randomised controlled trial and tested for interrater reliability. Scores were also compared with a standard scale, the Modified Overt Aggression Scale (MOAS).

RESULTS: Seven identified factors - personal violence, violence against property, self-harm, sexually inappropriate, contrary, demanding and disappearing behaviour - were scored on a 5-point scale. A subsequent factor analysis with the second population showed demanding, violent and contrary behaviour to account for most of the variance. Interrater reliability using weighted kappa showed good agreement (0.91; 95% CI 0.83-0.99). Good agreement was also shown with scores on the MOAS and a score of 1 on the PBCL showed high sensitivity (97%) and specificity (85%) for a threshold MOASscore of 4.

CONCLUSIONS: The PBCL appears to be a suitable and practical scale for assessing all aspects of challenging behaviour.

DECLARATION OF INTEREST: None.

COPYRIGHT AND USAGE: © 2016 The Royal College of Psychiatrists. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.

References

  1. J Intellect Disabil Res. 2011 Jul;55(7):636-49 - PubMed
  2. J Intellect Disabil Res. 2006 Apr;50(Pt 4):295-304 - PubMed
  3. Health Soc Care Community. 2005 Jul;13(4):297-306 - PubMed
  4. Res Dev Disabil. 2014 Oct;35(10):2329-40 - PubMed
  5. J Intellect Disabil Res. 2009 Mar;53(3):243-54 - PubMed
  6. J Neuropsychiatry Clin Neurosci. 1991 Spring;3(2):S52-6 - PubMed
  7. J Intellect Disabil Res. 2014 Nov;58(11):1083-9 - PubMed
  8. Am J Ment Defic. 1985 Mar;89(5):485-91 - PubMed
  9. Biometrics. 1977 Mar;33(1):159-74 - PubMed
  10. Lancet. 2008 Jan 5;371(9606):57-63 - PubMed
  11. Br J Psychiatry. 2007 Jan;190:27-35 - PubMed

Publication Types

Grant support