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1/15

Project on Human Development inChicago Neighborhoods (PHDCN):

ICPSR 13582

Child Behavior Checklist, Wave 1,

1994-1997

Felton J. Earls

Harvard Medical School

Jeanne Brooks-Gunn

Scientific Director. Columbia University. Teacher's

College. Center for the Study of Children and

Families

Stephen W. Raudenbush

Scientific Director. University of Michigan. School

of Education and Survey Research Center

Robert J. Sampson

Scientific Director. Harvard University. Department

of Sociology

Instrumentsfor ICPSR 13582

P.O. Box 1248National Institute of Justice

Ann Arbor, Michigan 48106Data Resources Program

www.icpsr.umich.edu

U.S. Department of Justice

Office of Justice Programs

National Institute of Justice


2/15


3/15

Child Behavior Checklist

Instrument for Cohort 3


4/15

Child Behavior Checklist: Ages 2-3

mL

COPY

2

,

I

am going

to

read

a

list

of items that

describes

children and

youth.

~~

Hand PC

ResDonse

Card 1

please say 2 if the

or

each

item

that describes ***** ppw

o

item

is

-

r

-

f *****.

Say 1

i the

item is

-

r

-

rue;

of *****.

If the item is of ***** say ''0 . Please answer all items as well

as

you can, ven if some do not

seem to

apply

to

*****.

. .

0

=

Not he

as far as you

know)

1

= Somewhat or Sometimes

T m e

2=Very h71eorOfien Ihre

CL3

J

0

1

2

1. Aches or pains (without

medical

cause)

Pe

0

1 2

2. Actstooyoung

forage

e433

0 1 2 3.

A h i d t o t r y n e w t h i n g s

e43 0 1

2

4. Avoids looking others intheeye

e6 0 1 2

cC3

6 1 2

6 .

Ca n't sit still or restless

5 .

Can't concentrate,

can't

pay attention

for

long

ed. init. ed. date

C

? 1

2

7.

Can't

stand having

things out

of place


5/15

C 8 1

2

8. Can'tstandwaiting; wantseverythingnow

9 0 1 2

9.

Chews on hings that aren't edible

10. Clings to adults

or

too dependent

n

~ ' 0

1 2

C/3

f /

0

1

2

11. Constantly

seeks

help

@A A 0 1

2

a 3 0

1

2

13. Cries a lot

14 1 2

C43

f3

0

1

2 15.

Defiant

1- /37/61

2

16. Demandsmustbemetimmedkitely

Cay? 1 2 17,Destroyshis/herownthings

A?

0

1 2 18. Destroys

things

belonging

to

hisher

family

or other children

&3r?9 1

2 19.

Diarrhea or loose bowels when not sick

C&A8

1

2 20.

Disobedient

3J i 1

2

21. Disturbed by

any

change in routine

Cn J b 1 2

22.

Doesn't want tosleepalone

CA 3 0 1 2

23.

Doesn't answer when people

t lk to

himmer

@,W 0

1 2

24.

Doesn't

cat

well

12.

Constipated, doesn't move bowels

14. Cruel

toanimals

. 5

0 1

2 25 Doesn't get along with other children

el3

0

1 2

26.

Doesn't know how

to

have

fun,acts

like a little adult

C.AC;t

1 2

27.

Doesn't

seem to feel guilty

after misbehaving

C&&: 1

2

28. Doesn't want to go out of home

CE5pZ.Q 0 1

2

29.EasilyfrUsmted

~ E J0 0 1 2

C/3 1' 0

1 2

C& ,,& 0

1

2

Ck3

3

0

1 2

33. Feelingsareeasily hurt

t 3 9 0

1 2

C& 3 5 1

2

35.

Gets

inmany fights

@-A 6 0

1

2

36.

ets

into everything

30.

Easilyjealous

31. Eats

or drinks

things

that are not food

-

don't include sweets

32.

Fears certain animals, situations,

or places

34.

ets hurt a lot, accident-prone

2


6/15

C3? 1 2

C&&f

1 2

37. Gets too upset when separated from parents

38. Has trouble getting to sleep

a 9

1 2

0340 1 2

39.

Headaches (without medical cause)

40. Hits others

G3Y

1

2

0 3 9 . 1 2

~ 3 1 2 43.

LOO^

unhappy without good reason

41. Holds his her breath

42.

Hurts

animals or people w ithout meaning to

d

2

~ . ~ n g r y m o o d s

0 3

/5-

0 1 2

e53446 0 1

2

46. Nervous movements

or

twitchmg

C&Y? 1 2

CA&& 1 2

C&.1/ 1 2

0 3 3 7

0

1 2 50.Overtire-d

C.4

5-y

0

1 2 51.

Overweight

C~35.3 1

2 52.

Painful bowel movements

Ck3

3

0

1

2 53.

Physically

attacks

people

C23

59 0 1 2

54.

Picks nose,

skin

or other parts

of

body

w3

55

0

1

2

55.

Plays with

own

sex

parts

too

much

CR56

1

2

56. Poorly coordinated or clumsy

-7

1 2 57. Problems with eyes without medical cause

cd5 1

2

58. Punishment doesnt change hish er behavior

C/352 1 2 59. Quickly shifts from one activity to another

CdSO 1

2

60.Rashes or other skin problems (without medical cause)

c/36/ 1

2

61.Refusestoeat

c436h 1

2 62. Refuses to play active games

0363 1 2 63. Repeatedly rocks head or body

0369

1 2 64.

Resists going

to

bed

at

night

Chgj5-

1

2

65. Resists toilet trahkg

45.

Nausea, feels sick (without medical cause)

47. Nervous,

ighstrung, or tense

48.

Nightmares

49. Overeating


7/15

cA66

0 2 66.Screams a lot

c&6g 1

2

CA68

1 2

&3

9

0 1

2

c&

7D

0 1 2

?/

0

1

2

G A

0 1

2

C&?3

0

1

2

73. Shyortimid

C b 7-y

0 1 2

C 3

?5

0 1

2

C 3?6

0 1

2 76. Speech problem

m27

0

1 2

CB?&

0 1

2

c/3?9

1 2

(3380

1

2

0 3 8 4 1 2

WdA 1 2

C4383 1 2

CnB4

1

2

W B 5 1 2

C45.46 1 2

CAB9 0

1 2 87.Toofearfuoranxious

C&& 1 2

C/E, P 1 2

C& 0 1 2 90.

Unhappy

sad,

or depressed

@

0

1 2

CA

Q 1 2

a 3 o 1 2

a@

1

2

67.

Seems

unresponsive to affection

68. Self-conscious or easily embarrassed

69.

SelfEh or wont share

70.

Shows little affection toward people

71. Shows little interest in thrngs around himmer

72.

Shows

too

little fear of getting hurt

74. Sleeps

less th n

most chddren during day and/or night

75. Smears or plays with bowel movements

77. Stares nto space or seems preoccupied

78.

Stomach

aches or cramps (without medical

cause)

79.

Stores up

things

heishe doesnt

need

80.

Strange behavior

81. Stubborn, sullen, or irritable

82. Sudden

changes

in mood or feelings

83. Sulksalot

84.

Talksorcriesout insleep

85. Temper tantrums or hot temper

86. Too on erned with

neatness

or cleanliness

88. Uncooperative

89. Underactive, slow moving, or

lacks

energy

91.

Unusually loud

92.Upset by new people or situations

93.

Vomiting,

hrowing up (without medical cause)

.Wakesupoftenatnight


8/15

5

CZ5

- 0 1

2

c 3

6 0 1

2

95.

Wanders away

from

home

96.

Wants a

lot

of attention

0 3 9 F

0

1

2 97. whining

98.

Withdrawn, doesn t get

involved

with others

u39P 1 2 99.

worrying

0 3

8

1

2

Please

tell

me

any

problems

your

child

has that

were not

asked

about before.

3

C ' B f i A 0 1 2 100A.

G ~ Joo 3 0 1 2

100B.

e~ o

1 2 1 0 0 ~


9/15

Child Behavior Checklist

Instrument for Cohorts 6-15


10/15

Child Behavio r Checklist: Ages 4-18

ate:

mm dd yy

n

Subject

ID:

s /s/W

Interviewer ID:

ime Started:

I am going to read a l is t of i tems th at describe children an d youth.

I

Ha n d PC Response Ca rd

1

1

For each item th at describes now or within the past 6 mon

t

hs please say 2 if th e

item is very tr ue o r often tr ue of

.

Say

1

if th e item is Somewhat or sometimes tru e

of . If the item is not tr u e of

,

say 0 . Please answ er all items

as

well

as

you

can, even if some

do

not seem to app ly to .

= Not Tru e

1=

Somewhat Tru e

2 = Ve ry T r u e

CC

o

1

2

C C A 1 2 2 Allergy

C C

1 2

3 . Arguesalot

c c 4

0

1 2

4. Asthma

cc

5 1

2

cc

1

2 6.Bowel movements outside toilet

1.

~ c t soo young for h i h e r age

5 Behaves like opposite sex

ed. intl ed. date


11/15

CC?O 1 2

CCP

0

1 2

cc9

0

1 2

C C s r 0 1 2

n ccr/ 0 1 2

CCf4 0 1 2

cc1'3 0 1 2

CCf 0 1 2

ccr5 0 1 2

C1 6 0

1 2

ccr? 0 1 2

ec 1

2

CCf O 1 2

cc;wo 1 2

Ji 0 1 2

cczz 0 1

2

7.

Bragging, boasting

8.

Can t concentrate, can t pay attention for long

9. Can t get hidher mind

off

certain thoughts; obsessions

10 Can t sit still, restless, or hyperactive

11. Clings to adults or too dependent

12. Complains of loneliness

13. Confused or seems to be in a fog

14. Cries a lot

15. Cruel to animals

16. Cruelty, bullying, or meanness to others

17 Day-dreams or gets lost in his/her thoughts

18. Deliberately harms self or attempts suicide

19. Demands a lot of attention

20. Destroys his/her own things

2 1. Destroys things belonging to his/her family or others

22. Disobedient at home

23. Disobedient at school

24. Doesn t

eat

well

25. Doesn t get

dong

with other kids

26. Doesn t seem to feel guilty after misbehaving

27. Easily

jealous

28.

Eats

or

drinks

things that are not food- don t include sweets

29.

Fears

certain

animals,

situations, or places, other

th n

school

30. Fears going to school

3

1.

Fears he/she might

think

or do something bad

32.

Feels he/she

has

to be perfect

33.

Feels

or complains that no one loves himmer

34. Feels others are out to get him/her

2

i 9


12/15

3

a 3 5 1

2

0

1

2

0 1 2

0

1

2

38,

Gets teased a lot

0 1

2 39. Hangs around with others who get

in

trouble

0

1 2 40. Hears sounds or voices

that

aren t there

0 1

2

4

1.

Impulsive or acts without thinking

0 1

2

42.

Would rather be alone than with others

0

1 2

43. Lying or cheating

0

1

2

44. Bites fingernails

0

1

2

45. N ervous, highstrung, or tense

0

1

2 46. Nervous movements

or

twitching

0

1 2 47.

Nightmares

0 1 2 48. Not liked by other kids

0

1 2

49. Constipated, doesn t m ove bowels

0

1 2 50. Too earful or anxious

0

1 2

51. Feels

dizzy

0

1 2 52.

Feels too guilty

0 1

2

53.

Overeating

0

1 2

54. Overtired

35. Feels w orthless or m ferior

36. Gets hurt a

lot,

accident-prone

37.

Gets in many

fights

IJ

CC

55

2

55. Overweight

56. Physical problems without known medical cause:

cc 56a 0 1

2

CC 3-66

0

1 2

ccLT6c

1 2

CC

564

0

1

2

CC

5-6e 1

2

CC

69

o 1

2

C C 5 5 0

2 g.Vomiting, throwing up

a. Aches

or

pains (not headaches)

b. Headaches

c. Nausea, feels sick

d. Problems with eyes

e. Rashes or other

skin

problems

f. Stomach aches or cramps


13/15

4

CCS64

o 1 2

cc5z 0 1 2

0 1 2

0 1 2

0 1 2

0 1 2

9

0 1 2

0 1 2

0 1 2

0 1 2

0 1 2

0 1 2

0 1 2

0 1 2

0 1 2

0 1 2

0 1 2

0 1 2

0 1 2

0 1 2

0 1 2

1 2

0 1 2

0 1 2

0 1 2

0 1 2

0 1 2

I

cc83

0 1 2

h. Other physical problems without known medical cause

57. Physically

attacks

people

58.

Picks

nose, s h r other

parts

of

body

59.

Plays with own sex parts

in

public

60. Plays with own sex

parts

too much

61. Poor school work

62. Poorly coordinated or clumsy

63. Prefers being with older kids

64 Prefers being with younger kids

65. Refuses to

t lk

66. Repeats certain acts over and over; compulsions

67. Runs away from home

68. Screams a lot

69.

Secretive, keeps things to self

70. Sees things that aren t there

71. Self-conscious or easily embarrassed

32. Sets fires.

73. Sexual problems

74. Showingoff or clowning

75.

Shy or timid

76.Sleeps

less

th nmost

kids

77. Sleeps more than

most kids during day

and/or night

78.

Smearsor plays with bowel movements

79.

Speech problem

80. Stares blankly

81.

Steals

at home

82. Steals outside the home

83 Stores up things he/she doesn t need


14/15

cc

0 1

2

1 2

84. Strange behavior

85. Strange ideas

0 1

2 86. Stubborn, sullen, or irritable

I -

O

1

2 87. Sudden changes

in

mood

or

feelings

I -

1

O 2

88. Sulks a lot

0 1 2

89. Suspicious

0 1 2 90 Swearing or obscene language

I

g .

1 2

91. Talks about killing self

1

2

1 2

92. Talks or walks in sleep

93. Talks too much

0 2

94. Teases a lot

0 1 2

95.

Temper tantrums or hot temper

1 2

96

Thinks

about sex too much

0 2 97. Threatens people

2

98. Thumb-sucking

1 2

99. Too concerned with neatness or cleanliness

0 1 2 100

Trouble sleeping

1 2

101 Truancy, skips school

1 2 102

Underactive, slow moving, or

lacks

energy

0

2

103 Unhappy, sad or depressed

0 2 104 Unusually loud

1

2

105. Uses alcohol or

drugs for

nonmedical purposes

1

2 106 Vandalism

2

107

Wets self during theday

0

1

2

108

Wets the bed

1

2

109

whining

2

110 Wishes to be

of

opposite sex

1 2 111. Withdrawn, doesnt get involved

with

others

cc7z4 0 1

2

112 Worries


15/15

Please tell me any problems your child has that were not asked about before.

END

OF

INTERVIEW

RECORD

TIME:

c c H 0 1 2 113A.

0

2

113B.

0 2

113C.

6

Documents

credibilidad de testimonio