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Table 4 Area Under the Curve and Classification Accuracy for the DBIS-N, ECBI, and KSADS-PL using two emic assessments as criteria

From: Validation of a cross-cultural instrument for child behavior problems: the Disruptive Behavior International Scale – Nepal version

Local Construct (Criterion)

DBIS-N

ECBI

K-SADS-PL

AUC (95% CI)

Classification Accuracy

AUC (95% CI)

Classification Accuracy

AUC (95% CI)

Classification Accuracy

Vignette-based behavior problem*

0.83 (0.78–0.88)

76.0%

0.83 (0.78–0.88)

75.2%

0.49 (0.42–0.56)

54.3%

Badmaash (naughty/ disobedient)**

0.85 (0.77–0.93)

90.0%

0.85 (0.78–0.91)

88.8%

0.49 (0.38–0.60)

88.1%**

  1. Abbreviations: DBIS-N Disruptive Behavior International Scale-Nepal, ECBI Eyberg Child Behavior Inventory, K-SADS-PL Kiddie SADS Present and Lifetime, AUC Area Under the Curve
  2. *Children nominated by their parents as having locally defined behavior problems based on vignette description and affirmation of need for support. ** Children identified by their parents as being “definitely” badmaash (translation: naughty/disobedient) and meeting locally defined criteria for functional impairment (i.e. CFIS > 9)
  3. **Highest classification accuracy was at the maximum score, which yielded 0% sensitivity, and 100% specificity