Three related studies evaluated the consistency of ratings collected by using the Child Behavior Rating Form across different activities, settings, days, and sources on a child psychiatric unit. Children were observed by unit staff nurses (day, evening shifts), classroom teachers (reading, math), and research assistants, who observed children in individual settings (breakfast, lunch, free play). Based on repeated measures, analyses of variance (ANOVAs), and Pearson correlations, the factors were found to possess differential reliability and stability across settings, time, and sources. Overall, most consistency was found for the Hyperactivity/Inattention factor and two social competence factors, followed next by the Antisocial Behavior/Defiance and Negative Self-Image/Self-Injury factors. The findings highlight specific dimensions that may facilitate an accurate assessment of child dysfunction in different contexts and treatment outcome during hospitalization.
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