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Table · dataset · 2026

<p>Sample characteristics.</p>

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<div> <p>Objective</p><p>Reliable and valid diagnostic interviews for preschool-age children are needed to identify children with externalizing behavior problems requiring treatment and thus prevent adverse outcomes.

Description

This study evaluated the psychometric properties of the semi-structured <i>Clinical Parent Interview for Externalizing Disorders</i> (ILF-EXTERNAL).</p> <p>Methods</p><p>Data were collected from 211 children (3;0−6;11 years, 62% boys) who were screened for participation in a multicenter study on evidence-based stepped care treatments for preschool children with externalizing symptoms (ESCApreschool).

The factor structure, interrater reliability, internal consistency, convergent validity, and divergent validity of the ILF-EXTERNAL were examined from a multi-rater perspective (clinicians, parents, preschool teachers).</p> <p>Results</p><p>A first-order factor model with four correlated factors showed acceptable model fit and allowed for straightforward interpretability. Interrater reliability estimates were fair or moderate to good [intraclass correlation coefficients(1,1) = .52−.74].

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Categorical diagnostic agreement was moderate (κ = .44−.52). The ILF-EXTERNAL scales exhibited acceptable to good internal consistencies (α ≥ .69, ω ≥ .72), except for the <i>ADHD Functional Impairment</i> scale (α = .65, ω = .68). Correlations between the ILF-EXTERNAL scale scores and the <i>Externalizing Problems</i> scale of the <i>Child Behavior Checklist</i> (CBCL/1½−5) ranged from .38 to .56, whereas correlations with the <i>Internalizing Problems</i> scale ranged from .09 to .37.

Except for one subscale, all ILF-EXTERNAL subscales correlated more strongly with the <i>Externalizing Problems</i> scale than with the <i>Internalizing Problems</i> scale, providing support for convergent and divergent validity. Cross-informant correlations between clinician and parent ratings were higher (<i>r</i> = .46−.65) than between clinician and preschool teacher ratings (<i>r</i> = .05−.33).</p> <p>Conclusion</p><p>The ILF-EXTERNAL shows sound psychometric properties in clinically referred preschool children with ADHD and/or ODD.</p></div>

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