U.S.

Department of Justice
Office of Justice Programs
National Institute of Justice

ICPSR 13582

Project on Human Development in

Chicago Neighborhoods (PHDCN):
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

Instruments for ICPSR 13582

National Institute of Justice

Data Resources Program

P.O. Box 1248

Ann Arbor, Michigan 48106
www.icpsr.umich.edu

Child Behavior Checklist

Instrument for Cohort 3

Child Behavior Checklist: Ages 2-3

$,$

m
L
D COPY 2

--

--

I am going to read a list of items that describes children and youth.

~~

Hand PC ResDonse Card 1

..

For each item that describes ***** ppw -ro

please say "2" if the
item is
or
of *****. Say "1" if the item is
or
of ***** say ''0". Please answer all items as well
true; of *****. If the item is
as you can, even 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
Pe

e433

0 12

0 12

1. Aches or pains (without medical cause)

2. Actstooyoung forage

0 1 2 3. Ahidtotrynewthings

e43 4 0 1 2 4. Avoids looking others intheeye

e 65 0 1 2 5. Can't concentrate, can't pay attention for long
cC3 6 0 1 2 6. Can't sit still or restless
ed. init. ed. date

C4 ?'

0 12

7. Can't stand having things out of place

C&8 0 1 2

8. Can'tstandwaiting; wantseverythingnow

Cn ~ ' 00 1 2

10. Clings to adults or too dependent

9 0 1 2 9. Chews on things that aren't edible

C/3 f /

0 1 2

11. Constantly seeks help

@A/A 0 1 2 12. Constipated, doesn't move bowels

a r3 0
-14
-0
C43 f3-

1 2

13. Cries a lot

1 2

14. Cruel toanimals

0 1 2

15. Defiant

Cay?
-0

1 2

C&A8

-0

1 2

20. Disobedient

&3Ji

1 2

21. Disturbed by any change in routine

1 2

22. Doesn't want tosleepalone

1-"/37
0/6
1 2

16. Demandsmustbemetimmedkitely

17,Destroyshis/herownthings

A? 0 1 2 18. Destroys things belonging to hisher family or other children

&3r?9
-0 1 2 19. Diarrhea or loose bowels when not sick

-0
CnJb 0

CA 23 0 1 2 23. Doesn't answer when people talk to himmer

@,W

0 1 2

R.5 0

-0

el3 A%

C&&:$
-0

1 2

1 2

C.AC;t 0 1 2

1 2

24. Doesn't cat well

25. Doesn't get along with other children

26. Doesn't know how to have fun, acts like a little adult
27. Doesn't seem to feel guilty after misbehaving
28. Doesn't want to go out of home

CE5pZ.Q 0 1 2

29.EasilyfrUsmted

~ E3J0 0 1 2

30. Easilyjealous
31. Eats or drinks things that are not food - don't include sweets

-0 1 2
C&a,,& 0 1 2

C/351'

33 0
t2339 0

Ck3

1 2

12

C& 3 5 0 1 2
@-A

36

0 12

32. Fears certain animals, situations, or places

33. Feelingsareeasily hurt

34. Gets hurt a lot, accident-prone

35. Gets inmany fights

36. Gets into everything

-0 1 2
C&&f
-0 1 2
C3?

37. Gets too upset when separated from parents

38. Has trouble getting to sleep

03
40 0 1 2
G3Y/
-0 1 2

41. Holds hisher breath

& ~ 3o

43. LOO^ unhappy without good reason

a 3 9 0 1 2 39. Headaches (without medical cause)

0 3 9 . 0 12

*d

1 2
1 2

0 3 4/5- 0 1 2

e53446

0 1 2

C&Y?

1 2

-0
CA&&
-0

40. Hits others

42. Hurts animals or people without meaning to

~.~ngrymoods
45. Nausea, feels sick (without medical cause)

46. Nervous movements or twitchmg

47. Nervous, highstrung, or tense

1 2

48. Nightmares

C&.1/$ 0 1 2

49. Overeating

C.4 5-y 0 1 2

51. Overweight

0 3 3 7 0 1 2 50.Overtire-d

C~35.30 1 2 52. Painful bowel movements

Ck3 53 0 1 2

53. Physically attacks people

C23 59

54. Picks nose, skin, or other parts of body

0 1 2

w3 55 0 1 2

3-7 0 1 2
cd5&
-0 1 2
CR56 0 1 2

C/3 52 0 1 2

c/36/
-0 1 2
c436h
-0 1 2
0363 0 1 2
0369
-0 1 2

CdSO 0 1 2

Chgj5- 0 1 2

55. Plays with own sex parts too much

56. Poorly coordinated or clumsy

57. Problems with eyes without medical cause

58. Punishment doesnt change hisher behavior
59. Quickly shifts from one activity to another

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

61.Refusestoeat

62. Refuses to play active games

63. Repeatedly rocks head or body

64. Resists going to bed at night

65. Resists toilet trahkg

cA66 0 1
c&6g
-0 1

2
2

66. Screams a lot

67.Seems unresponsive to affection

CA68 0 1 2 68. Self-conscious or easily embarrassed

&3 69 0 1 2

c& 7D
?/

0 1 2

0 12

G&7A 0
C&?3

12

0 1 2

C b -7-y 0 1 2

C/3 ?5 0 1 2
C/3?6

0 1 2

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

73. Shyortimid

74. Sleeps less than most chddren during day and/or night

75. Smears or plays with bowel movements

76. Speech problem

m27 0 1 2 77. Stares into space or seems preoccupied

CB?& 0 1 2 78. Stomach aches or cramps (without medical cause)
c/3?9 0 1 2 79. Stores up things heishe doesnt need

(3380
-0 1 2
0384 0 1 2

80. Strange behavior

C4383
-0

83. Sulksalot

WdA
-0 1 2

WB5- 0
C45.46 0

1 2

CnB4 0 1 2
1 2

12

CAB9 0 1 2

81. Stubborn, sullen, or irritable

82. Sudden changes in mood or feelings

84. Talksorcriesoutinsleep

85. Temper tantrums or hot temper

86. Too concerned with neatness or cleanliness

87.Toofearfuoranxious

C&&
-0 1 2 88. Uncooperative
C/E,&P0 1 2 89. Underactive, slow moving, or lacks energy

C&

0 1 2

90.Unhappy sad, or depressed

& @ 0 1 2 91. Unusually loud

CA Q& 0 1 2 92. Upset by new people or situations

a 93 o 1 2
a@
-0 1 2

93. Vomiting, throwing up (without medical cause)

%.Wakesupoftenatnight

CZ5
4%- 0 1 2

c/3 96 0 1 2

95. Wanders away from home

96. Wants a lot of attention

0 3 9 F 0 1 2 97. whining
03 98 0 1 2 98. Withdrawn, doesn't get involved with others
u39P
-0 1 2 99. worrying

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 ~i/oo/3
J
0 1 2 100B.

e~

1 2 100~.

Child Behavior Checklist

Instrument for Cohorts 6-15

Child Behavior Checklist: Ages 4-18

Date:
Subject ID:

--mm dd yy

s&/s/W

Interviewer ID:

ITime Started:

I am going to read a list of items that describe children and youth.

Hand PC Response Card 1

For each item that describes ***** now or within the past 6 mon t hs, please say "2" if the
item is very true or often true of *****. Say "1" if the item is Somewhat or sometimes true
of *****. If the item is not true of *****, say "0". Please answer all items as well as you
can, even if some do not seem to apply to *****.

CC f o

o
CC3 o
CCA

cc4

cc 5

cc 6

0 = Not True
1 = Somewhat True
2 = Very True

1 2

1. ~ c t too
s young for h i h e r age

1 2 2. Allergy
1 2

3. Arguesalot

0 1 2 4. Asthma
0 1 2

5 . Behaves like opposite sex

0 12

6. Bowel movements outside toilet

ed. intl. ed. date

CC?O

1 2

CCP 0 1 2

8. Can't concentrate, can't pay attention for long

cc9

9. Can't get hidher mind off certain thoughts; obsessions

0 1 2

CCsr.0 1 2
n

7. Bragging, boasting

ccr/

0 1 2

CCf4 0 1 2

7
cc1'3 0 1 2
CCf.

ccr5

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

0 1 2

14. Cries a lot

0 1 2

15. Cruel to animals

C1'6 0 1 2 16. Cruelty, bullying, or meanness to others

ccr?

0 1 2

ec& o

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

1 2

18. Deliberately harms self or attempts suicide

CCf'O

1 2

19. Demands a lot of attention

1 2

20. Destroys his/her own things

cc;wo

C C Ji 0 1 2

cczz

0 1 2

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 than 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

a 3 5 0 1 2 35. Feels worthless or mferior

0 1 2

36. Gets hurt a lot, accident-prone

0 1 2

37. Gets in many fights

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

I
J0 1 2
0 1 2

0 1 2
0 1 2

42. Would rather be alone than with others

43. Lying or cheating
44. Bites fingernails

0 1 2

45. Nervous, 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 move bowels

0 1 2

50. Too fearful or anxious

0 1 2

51. Feels dizzy

0 1 2

52. Feels too guilty

0 1 2

53. Overeating

0 12

54. Overtired

CC 550 1

cc 56a

4 1. Impulsive or acts without thinking

0 1 2

C C 3-66 0 1 2

ccLT6c
-0

1 2

CC 564 0 1 2

CC 5-6e 0 1 2
CC 569 o 1 2
CC550 1 2

55. Overweight
56. Physical problems without known medical cause:

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
g.Vomiting, throwing up

*I

CCS64 o 1 2

cc5z

0 1 2

-0 1 2

-0

h. Other physical problems without known medical cause

57. Physically attacks people

58. Picks nose, s h , or other parts of body

1 2

59. Plays with own sex parts in public

0 1 2

60. Plays with own sex parts too much

-0 1 2
9
0 1 2
-0 1 2
-0 1 2
-0 1 2

61. Poor school work

-0

67. Runs away from home

0 1 2
1 2

63. Prefers being with older kids

64.Prefers being with younger kids

65. Refuses to talk

66. Repeats certain acts over and over; compulsions

0 1 2

68. Screams a lot

0 1 2

69. Secretive, keeps things to self

-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

cc83

62. Poorly coordinated or clumsy

0 1 2

70. Sees things that aren't there

71. Self-conscious or easily embarrassed
32. Sets fires.

73. Sexual problems

74. Showing off or clowning
75. Shy or timid

76. Sleeps less than most kids

77. Sleeps more than most kids during day and/or night

78. Smears or 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

cc&

0 1 2

-0

I -

I1 --

1 2

84. Strange behavior

85. Strange ideas

0 1 2

86. Stubborn, sullen, or irritable

O 1 2

87. Sudden changes in mood or feelings

O 1 2
0 1 2

0 1 2
I,
d/ -0 1 2
g--.

-0
-0

90.Swearing or obscene language

91. Talks about killing self

92. Talks or walks in sleep

12

93. Talks too much

0 1 2
12

0 1 2

-0
-0

89. Suspicious

1 2

0 1 2

-0

88. Sulks a lot

1 2
1 2

94. Teases a lot

95. Temper tantrums or hot temper

96. Thinks about sex too much
97. Threatens people
98. Thumb-sucking

99. Too concerned with neatness or cleanliness

0 1 2 100. Trouble sleeping

-0
-0

1 2 101. Truancy, skips school

1 2 102. Underactive, slow moving, or lacks energy

0 1 2 103. Unhappy, sad, or depressed

0 1 2 104. Unusually loud

-0
-0
-0

1 2 105. Uses alcohol or drugs for nonmedical purposes

1 2 106. Vandalism

1 2 107. Wets self during theday

0 1 2 108. Wets the bed

-0
-0
-0

cc7z4 0

1 2 109. whining

1 2 110. Wishes to be of opposite sex

1 2 111. Withdrawn, doesnt get involved with others

1 2 112. Worries

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

cc H3

0 1 2 113A.

0 1 2 113B.

0 1 2 113C.

END OF INTERVIEW
RECORD TIME:

...