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Brief Report: An Evaluation of the Social Communication Questionnaire as a Screening Tool for Autism Spectrum Disorder in Young People Referred to Child & Adolescent Mental Health Services

  • Matthew J. HollocksEmail author
  • Roland Casson
  • Clare White
  • Jess Dobson
  • Peter Beazley
  • Ayla Humphrey
Brief Report
  • 52 Downloads

Abstract

The SCQ is a widely used screening measure for the assessment of autism spectrum disorder (ASD). However, its sensitivity and specificity when used with older children in the context of community Child & Adolescent Mental Health services is unclear. Seventy-seven (Mean age = 12.8 years) young people with suspected ASD were screened using parent- and teacher-reported SCQ’s before completing a comprehensive diagnostic assessment. Of the 77 young people included, 44 (57%) met criteria for an ASD diagnosis. Our results indicated that regardless of informant, SCQ scores did not significantly predict the outcome of the diagnostic assessment. Based on the published cut-off score for the SCQ, Receiver Operating Characteristic curve analyses revealed a lower than expected sensitivity and specificity. This suggests that the SCQ is not an effective screening tool when used in the context of community Child & Adolescent Mental Health services.

Keywords

Adolescent Autism spectrum disorder Assessment Mental health services Questionnaires Sensitivity 

Notes

Acknowledgments

The authors would like to thank all clinical staff within the Cambridgeshire & Peterborough NHS foundation trust, Child and Adolescent Mental Health Service who took the time to record the data used in this study.

Author Contributions

MJH conceived of the study, participated in its design and coordination, performed the statistical analysis and drafted the manuscript; RC participated in the design of the study and interpretation of the data; CW participated in the design of the study and interpretation of the data; JD participated in the coordination of the study and data collection; PB participated in the interpretation of the data and manuscript preparation; AH participated in the coordination of the study and interpretation of the data. All authors read and approved the final manuscript.

Compliance with Ethical Standards

Conflict of interest

All authors declared that they have no conflicts of interest.

References

  1. Allen, C. W., Silove, N., Williams, K., & Hutchins, P. (2007). Validity of the social communication questionnaire in assessing risk of autism in preschool children with developmental problems. Journal of Autism and Developmental Disorders, 37(7), 1272–1278.CrossRefGoogle Scholar
  2. Berument, S. K., Rutter, M., Lord, C., Pickles, A., & Bailey, A. (1999). Autism screening questionnaire: diagnostic validity. British Journal of Psychiatry, 175(5), 444–451.CrossRefGoogle Scholar
  3. Bishop, D. V. M. (1998). Development of the children’s communication checklist (CCC): a method for assessing qualitative aspects of communicative impairment in children. Journal of Child Psychology and Psychiatry and Allied Disciplines, 39(6), 879–891.CrossRefGoogle Scholar
  4. Boyko, E. J. (1994). Ruling out or ruling in disease with the most sensitive or specific diagnostic test: short cut or wrong turn? Medical Decision Making, 14(2), 175–179.CrossRefGoogle Scholar
  5. Charman, T., Baird, G., Simonoff, E., Loucas, T., Chandler, S., Meldrum, D., … Pickles, A. W. (2007). Efficacy of three screening instruments in the identification of autistic-spectrum disorders service. The British Journal of Psychiatry, 39, 554–559.CrossRefGoogle Scholar
  6. Chesnut, S. R., Wei, T., Barnard-Brak, L., & Richman, D. M. (2016). A meta-analysis of the social communication questionnaire: screening for autism spectrum disorder. Autism, 21(8), 920–928.CrossRefGoogle Scholar
  7. Constantino, J. N., & Gruber, C. P. (2012). Social responsiveness scale, 2nd edition. Torrance, CA: Western Psychological Services.Google Scholar
  8. Corsello, C., Hus, V., Pickles, A., Risi, S., Cook, E. H., Leventhal, B. L., & Lord, C. (2007). Between a ROC and a hard place: decision making and making decisions about using the SCQ. Journal of Child Psychology and Psychiatry and Allied Disciplines, 48(9), 932–940.CrossRefGoogle Scholar
  9. Goodman, R. (1997). The strengths and difficulties questionnaire: a research note. Journal of Child Psychology and Psychiatry, 38(5), 581–586.CrossRefGoogle Scholar
  10. Hanley, A. J., & McNeil, J. B. (1982). The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology, 143, 29–36.CrossRefGoogle Scholar
  11. Hus, V., & Lord, C. (2014). The autism diagnostic observation schedule, module 4: revised algorithm and standardized severity scores. Journal of Autism and Developmental Disorders, 44(8), 1996–2012.CrossRefGoogle Scholar
  12. Lord, C., Risi, S., DiLavore, P. S., Shulman, C., Thurm, A., & Pickles, A. (2006). Autism From 2 to 9 Years of Age. Archives of General Psychiatry, 63(6), 694.CrossRefGoogle Scholar
  13. Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., … Rutter, M. (2000). The autism diagnostic observation schedule-generic: a standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205–223.CrossRefGoogle Scholar
  14. Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685.CrossRefGoogle Scholar
  15. Mandell, D. S., Novak, M. M., & Zubritsky, C. D. (2005). Factors associated with age of diagnosis among children with autism spectrum disorders. Pediatrics, 116(6), 1480–1486.CrossRefGoogle Scholar
  16. Rutter, M., Bailey, A., & Lord, C. (2003). The social communication questionnaire. Los Angeles: Western Psychological Services.Google Scholar
  17. Salazar, F., Baird, G., Chandler, S., Tseng, E., O’sullivan, T., Howlin, P., … Simonoff, E. (2015). Co-occurring psychiatric disorders in preschool and elementary school-aged children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(8), 2283–2294.CrossRefGoogle Scholar
  18. Schanding, G. T., Nowell, K. P., & Goin-Kochel, R. P. (2012). Utility of the social communication questionnaire-current and social responsiveness scale as teacher-report screening tools for autism spectrum disorders. Journal of Autism and Developmental Disorders, 42(8), 1705–1716.CrossRefGoogle Scholar
  19. Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 921–929.CrossRefGoogle Scholar
  20. Snow, A. V. L. L. (2008). Sensitivity and specificity of the modified checklist for Autism in toddlers and the social communication questionnaire in preschoolers suspected of having pervasive developmental disorders. Autism, 12(6), 627–644.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Clinical PsychologyUniversity of East AngliaNorwichUK
  2. 2.Child Development CentreHillingdon Hospital, Central and North West London NHS Foundation TrustLondonUK
  3. 3.Cambridgeshire and Peterborough NHS Foundation TrustCambridgeUK
  4. 4.Department of PsychiatryUniversity of CambridgeCambridgeUK

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