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 P.O. Box 1248

Data Resources Program Ann Arbor, Michigan 48106
www.icpsr.umich.edu
Child Behavior Checklist

Instrument for Cohort 3

 Child Behavior Checklist: Ages 2-3

$,$
mL
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
true; of *****. If the item is of ***** say ''0". Please answer all items as well
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 0 12 1. Aches or pains (without medical cause)

Pe 0 12 2. Actstooyoung forage
e433 0 1 2 3. Ahidtotrynewthings
e43 4 0 1 2 4. Avoids looking others intheeye
e 6-5 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

 2
-
C&8 0 1 2 8. Can'tstandwaiting; wantseverythingnow
9 0 1 2 9. Chews on things that aren't edible
Cn ~ ' 00 1 2 10. Clings to adults or too dependent
C/3 f / 0 1 2 11. Constantly seeks help
@A-
/A 0 1 2 12. Constipated, doesn't move bowels
a r3 0 1 2 13. Cries a lot
-0
-14 1 2 14. Cruel toanimals
C43 f3- 0 1 2 15. Defiant
-
1-"/37 1 2
0/6 16. Demandsmustbemetimmedkitely
-0
Cay? 1 2 17,Destroyshis/herownthings
A? 0 1 2 18. Destroys things belonging to hisher family or other children
-0 1 2 19. Diarrhea or loose bowels when not sick
&3r?9
-0
C&A8 1 2 20. Disobedient
-0
&3Ji 1 2 21. Disturbed by any change in routine
C-
nJb 0 1 2 22. Doesn't want tosleepalone
CA 23 0 1 2 23. Doesn't answer when people talk to himmer
@,W 0 1 2 24. Doesn't cat well
-
R.5 0 1 2 25. Doesn't get along with other children
-0
el3 A% 1 2 26. Doesn't know how to have fun, acts like a little adult
-
C.AC;t 0 1 2 27. Doesn't seem to feel guilty after misbehaving
-0
C&&:$ 1 2 28. Doesn't want to go out of home
CE5pZ.Q 0 1 2 29.EasilyfrUsmted
~ E3J0 0 1 2
7 30. Easilyjealous
-0 1 2
C/351' 31. Eats or drinks things that are not food - don't include sweets
C&-
a,,& 0 1 2 32. Fears certain animals, situations, or places
Ck3-
33 0 1 2 33. Feelingsareeasily hurt
t23-
39 0 12 34. Gets hurt a lot, accident-prone
C& 3 5 0 1 2 35. Gets inmany fights
@-A 36 0 12 36. Gets into everything
 -0 1 2
C3? 37. Gets too upset when separated from parents
-0 1 2
C&&f 38. Has trouble getting to sleep
-
a 3 9 0 1 2 39. Headaches (without medical cause)
-
0340 0 1 2 40. Hits others
-0 1 2
G3Y/ 41. Holds hisher breath
-
0 3 9 . 0 12 42. Hurts animals or people without meaning to
& ~ 3o 1 2 43. LOO^ unhappy without good reason
*d
o 1 2 ~.~ngrymoods
-
0 3 4/5- 0 1 2 45. Nausea, feels sick (without medical cause)
e53446 0 1 2 46. Nervous movements or twitchmg
-0
C&Y? 1 2 47. Nervous, highstrung, or tense
-0
CA&& 1 2 48. Nightmares
-
C&.1/$ 0 1 2 49. Overeating
0 3 3 7 0 1 2 50.Overtire-d
C.4 5-y 0 1 2 51. Overweight
C~35.30 1 2 52. Painful bowel movements
-
Ck3 53 0 1 2 53. Physically attacks people
C23 59 0 1 2 54. Picks nose, skin, or other parts of body
w3 55 0 1 2 55. Plays with own sex parts too much
-
CR56 0 1 2 56. Poorly coordinated or clumsy
-3-7 0 1 2 57. Problems with eyes without medical cause
-0 1 2
cd5& 58. Punishment doesnt change hisher behavior
C/3 52 0 1 2 59. Quickly shifts from one activity to another
-
CdSO 0 1 2 60.Rashes or other skin problems (without medical cause)
-0 1 2
c/36/ 61.Refusestoeat
-0 1 2
c436h 62. Refuses to play active games
0-
363 0 1 2 63. Repeatedly rocks head or body
-0 1 2
0369 64. Resists going to bed at night
-
Chgj5- 0 1 2 65. Resists toilet trahkg
cA66 0 1 2 66. Screams a lot
-0 1
c&6g 2 67.Seems unresponsive to affection
-
CA68 0 1 2 68. Self-conscious or easily embarrassed
-
&3 69 0 1 2 69. SelfEh or wont share
c& 7D 0 1 2 70. Shows little affection toward people
?/ 0 12 71. Shows little interest in thrngs around himmer
G&-
7A 0 12 72. Shows too little fear of getting hurt
C&?3 0 1 2 73. Shyortimid
C b -7-y 0 1 2 74. Sleeps less than most chddren during day and/or night
C/3 ?5 0 1 2 75. Smears or plays with bowel movements
C/3?6 0 1 2 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
-0 1 2
(3380 80. Strange behavior
0-
384 0 1 2 81. Stubborn, sullen, or irritable
-0 1 2
WdA 82. Sudden changes in mood or feelings
-0
C4383 1 2 83. Sulksalot
-
CnB4 0 1 2 84. Talksorcriesoutinsleep
W- B5- 0 1 2 85. Temper tantrums or hot temper
C4-
5.46 0 12 86. Too concerned with neatness or cleanliness
CAB9 0 1 2 87.Toofearfuoranxious
-0 1 2 88. Uncooperative
C&&
-
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 93. Vomiting, throwing up (without medical cause)
-0 1 2
a@ %.Wakesupoftenatnight
 5

-
CZ5 4%- 0 1 2 95. Wanders away from home
-
c/3 96 0 1 2 96. Wants a lot of attention
0 3 9 F 0 1 2 97. whining
0- 3 98 0 1 2 98. Withdrawn, doesn't get involved with others
-0 1 2 99. worrying
u39P

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~ o 1 2 100~.
 Child Behavior Checklist

Instrument for Cohorts 6-15

 1

Child Behavior Checklist: Ages 4-18

Date: ---
mm dd yy

Subject ID: s&/s/W

n
Interviewer ID:

ITime Started: 1

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

I Hand PC Response Card 1 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 *****.

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

CC f o 1 2 1. ~ c t too
s young for h i h e r age
CCA o 1 2 2. Allergy
CC3 o 1 2 3. Arguesalot
cc4 0 1 2 4. Asthma
cc 5 0 1 2 5 . Behaves like opposite sex
cc 6 0 12 6. Bowel movements outside toilet

ed. intl. ed. date

 CC?O 1 2 7. Bragging, boasting
CCP 0 1 2 8. Can't concentrate, can't pay attention for long
cc9 0 1 2 9. Can't get hidher mind off certain thoughts; obsessions
CCsr.0 1 2 10 Can't sit still, restless, or hyperactive
n ccr/ 0 1 2 11. Clings to adults or too dependent
CCf4 0 1 2 12. Complains of loneliness
7
cc1'3 0 1 2 13. Confused or seems to be in a fog
CCf. 0 1 2 14. Cries a lot
ccr5 0 1 2 15. Cruel to animals
C1'6 0 1 2 16. Cruelty, bullying, or meanness to others
ccr? 0 1 2 17. Day-dreams or gets lost in his/her thoughts
ec& o 1 2 18. Deliberately harms self or attempts suicide
CCf'O 1 2 19. Demands a lot of attention
cc;wo 1 2 20. Destroys his/her own things
C C Ji 0 1 2 2 1. Destroys things belonging to his/her family or others
cczz 0 1 2 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
 3

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

IJ0 1 2 4 1. Impulsive or acts without thinking

0 1 2 42. Would rather be alone than with others
0 1 2 43. Lying or cheating
0 1 2 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 2 55. Overweight
56. Physical problems without known medical cause:
cc 56a 0 1 2 a. Aches or pains (not headaches)
C C 3-66 0 1 2 b. Headaches
-0
ccLT6c 1 2 c. Nausea, feels sick
CC 564 0 1 2 d. Problems with eyes
CC 5-6e 0 1 2 e. Rashes or other skin problems
CC 569 o 1 2 f. Stomach aches or cramps
CC550 1 2 g.Vomiting, throwing up
 4

*I
CCS64 o 1 2 h. Other physical problems without known medical cause

cc5z 0 1 2 57. Physically attacks people

-0 1 2 58. Picks nose, s h , or other parts of body

-0 1 2 59. Plays with own sex parts in public
0 1 2 60. Plays with own sex parts too much
-0 1 2 61. Poor school work
-
9 0 1 2 62. Poorly coordinated or clumsy
-0 1 2 63. Prefers being with older kids
-0 1 2 64.Prefers being with younger kids
-0 1 2 65. Refuses to talk
0 1 2 66. Repeats certain acts over and over; compulsions
-0 1 2 67. Runs away from home
0 1 2 68. Screams a lot
0 1 2 69. Secretive, keeps things to self
-0 1 2 70. Sees things that aren't there
0 1 2 71. Self-conscious or easily embarrassed
-0 1 2 32. Sets fires.
-0 1 2 73. Sexual problems
-0 1 2 74. Showing off or clowning
-0 1 2 75. Shy or timid
-0 1 2 76. Sleeps less than most kids
-0 1 2 77. Sleeps more than most kids during day and/or night
-0 1 2 78. Smears or plays with bowel movements
-0 1 2 79. Speech problem
-0 1 2 80. Stares blankly
-0 1 2 81. Steals at home
-0 1 2 82. Steals outside the home
cc83 0 1 2 83, Stores up things he/she doesn't need
 cc& 0 1 2 84. Strange behavior
-0 1 2 85. Strange ideas

I - 0 1 2 86. Stubborn, sullen, or irritable

I1 -- O 1 2

O 1 2
87. Sudden changes in mood or feelings
88. Sulks a lot
0 1 2 89. Suspicious

I, 0 1 2
g--.
d/ -0 1 2
90.Swearing or obscene language
91. Talks about killing self
-0 1 2 92. Talks or walks in sleep
-0 12 93. Talks too much
0 1 2 94. Teases a lot
0 1 2 95. Temper tantrums or hot temper
-0 12 96. Thinks about sex too much
0 1 2 97. Threatens people
-0 1 2 98. Thumb-sucking
-0 1 2 99. Too concerned with neatness or cleanliness
0 1 2 100. Trouble sleeping
-0 1 2 101. Truancy, skips school
-0 1 2 102. Underactive, slow moving, or lacks energy
0 1 2 103. Unhappy, sad, or depressed
0 1 2 104. Unusually loud
-0 1 2 105. Uses alcohol or drugs for nonmedical purposes
-0 1 2 106. Vandalism
-0 1 2 107. Wets self during theday
0 1 2 108. Wets the bed
-0 1 2 109. whining
-0 1 2 110. Wishes to be of opposite sex
-0 1 2 111. Withdrawn, doesnt get involved with others
cc7z4 0 1 2 112. Worries
 6

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:

...