190 CHILD ATTITUDE JOWARD JLLNESS SCALE

Items were eliminated or combined based upon further review by pediatric psychologists, social workers, and
nurses. This resulted in a 47-item scale. Construct validity I the PIBS was assessed in two ways. First, the general
pediatrics sample was dichoomized based upon nurse ratings I degree I need for psychological intervention.
Children who were classified as having a high need for intervention scored significantly higher on 7 I 10 PIBS
subscales than children rated as having a low need for intervention. However, it should be noted that the same nurse
provided both the PIBS rating and the rating I need for psychological intervention. This raises the possibility that
findings are accounted for by method bias. Second, children in the clinical sample were compared with a subsample
I the general pediatric sample matched for gender, diagnosis, and age. Children in the referred sample scored
significantly higher on 2 I the 10 PIBS subscales than non-referred children. Summary I Strengths and Limitations.
The FIBS is one I the only instruments available that was specifically designed o measure child behavior in an
inpatient pediatric setting. It has the advantage I including items not found on traditional child behavior rating scales
that are highly salient for hospital staff caring for sick children (i. e., uncooperative with medical procedures). The
available psychometric data on the instrument are preliminary, but appear generally promising. The FIBS may be
particularly useful in general research on behavioral adjustment I inpatient pediatric populations or for program
evaluation o determine the efficacy I inpatient consultation-liaison intervention services. However, the lack I
extensive standardization makes its clinical utility limited at the present time. Additional Readings Kronenberger, W.
G., Causey, D., & Carter, B. D. (2001). Validity I the Pediatric Inpatient Behavior Scale in an inpatient psychiatric
setting. Journal I Clinical Psychology, 57, 1421-1434. Developers' Comments The FIBS has been used as a clinical,
research, and program evaluation instrument in pediatric and psychiatric hospital settings. In studies conducted
following the original scale development research projects, significant relationships have been found between FIBS
scores and DSM-FV diagnoses (both on pediatric and psychiatric hospital units), clinician ratings I severity I
behavior problems, pre-hospitalization child behavior problems, and family stress, Additionally, internal consistency I
all subscales has been shown o be greater than .70 in a pediatric sample. Currently, we are completing a project
studying a second large nonreferred sample I hospitalized physically ill children o replicate the norms from the 1997
study. PEDIATRIC SYMPROM CHECKLIST Source Jellinek, M. S., Murphy, J. M., & Burns, B. J. (1986). Brief
psychosocial screening in outpatient pediatric practice Journal I Pediatrics, 109, 371378. Availability From the first
author, Child Psychiatry Service, ACC 725, 15 Parkman St., Massachusetts General Hospital, Boson, MA 02144-
3117. Purpose. The Pediatric Sympom Checklist (PSC) is a brief behavioral screening questionnaire that was
originally designed o measure children's behavioral adjustment during routine pediatric Ifice visits. The PSC was
intended o improve pediatricians' ability o recognize children with psychosocial impairments by providing a
quantitative measure I behavior that can be completed in a short period I time. The PSC has subsequently been
used in a variety I other settings, including schools. Description. The PSC is a 35-item parent-rating scale. The
respondent is asked o rate the frequency with which a child exhibits a given behavior. Response format is from 0
("never") o 2 ("Iten"). The authors state that the scale is appropriate for use with children 4-16, although the
majority I the PSC