Abstract
To test the Child Behavior Checklist’s (CBCL/1½–5) ability to screen for autism spectrum disorders (ASD), we studied Korean preschoolers: 46 with ASD, 111 with developmental delay (DD), 71 with other psychiatric disorders (OPD), and 228 non-referred (NR). The ASD group scored significantly higher than the other groups on the Withdrawn and DSM-Pervasive Developmental Problems (DSM-PDP) scales as well as attaining higher scores (p < .001) on seven items reflecting ASD. With a T ≥ 65 cutpoint on the DSM-PDP scale, sensitivity was 80 % for identifying ASD relative to the other three groups, but specificity varied across groups: NR = 87 %, OPD = 55 %, DD = 60 %, replicating in a non-Western sample results from previous studies. Results suggested that the CBCL/1½–5 performs best in Level 1 screening, namely differentiating children with ASD from children in the general population.
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References
Achenbach, T. M. (1991). Manual for Child Behavior checklist/4-18 and 1991 Profile. Burlington, VT: University of Vermont. Department of Psychiatry.
Achenbach, T. M., & Rescorla, L. (2000). Manual for the ASEBA Preschool Forms & Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, and Families.
Achenbach, T. M., & Rescorla, L. A. (2001). Manual for ASEBA school-age forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth and Families.
Achenbach, T. M., & Rescorla, L. A. (2010). Multicultural supplement for the ASEBA preschool forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Baird, G., Charman, T., Baron-Cohen, S., Cox, A., Swettenham, J., Wheelwright, S., et al. (2000). A screening instrument for autism at 18 months of age: A 6-year follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry, 39(6), 694–702.
Baron-Cohen, S., Allen, J., & Gillberg, C. (1992). Can autism be detected at 18 months? The needle, the haystack, and the CHAT. The British Journal of Psychiatry, 161(6), 839–843.
Barton, M. L., Dumont-Mathieu, T., & Fein, D. (2012). Screening young children for autism spectrum disorders in primary practice. Journal of Autism and Developmental Disorders, 42(6), 1165–1174.
Berument, S. K., Rutter, M., Lord, C., Pickles, A., & Bailey, A. (1999). Autism screening questionnaire: Diagnostic validity. The British Journal of Psychiatry, 175, 444–451.
Biederman, J., Carter, R. P., Fried, R., Wozniak, J., Micco, J. A., Henin, A., et al. (2010). Child Behavior Checklist clinical scales discriminate referred youth with autism spectrum disorder: a preliminary study. Journal of Developmental and Behavioral Pediatrics, 31, 485–490.
Bölte, S., Dickhut, H., & Poustka, F. (1999). Patterns of parent-reported problems indicative in autism. Psychopathology, 32, 93–97.
Cicchetti, D. V. (2001). Methodological commentary the precision of reliability and validity estimates re-visited: Distinguishing between clinical and statistical significance of sample size requirements. Journal of Clinical and Experimental Neuropsychology, 23, 695–700.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York: Academic Press.
Constantino, J. N., & Gruber, C. P. (2005). The Social Responsiveness Scale Manual. Los Angeles: Western Psychological Services.
de Bruin, E. I., Ferdinand, R. F., Meester, S., de Nijs, P. F., & Verheij, F. (2007). High rates of psychiatric co-morbidity in PDD-NOS. Journal of Autism and Developmental Disorders, 37, 877–886.
Duarte, C. S., Bordin, I. A. S., De Oliviera, A., & Bird, H. (2003). The CBCL and the identification of children with autism and related conditions in Brazil: Pilot findings. Journal of Autism and Developmental Disorders, 33, 703–707.
Ehlers, S., Gillberg, C., & Wing, L. (1999). A screening questionnaire for Asperger syndrome and other high-functioning autism spectrum disorders in school age children. Journal of Autism and Developmental Disorders, 29(2), 129–141.
Georgiades, S., Szatmari, P., Duku, E., Zwaigenbaum, L., Bryson, S., Roberts, W., et al. (2011). Phenotypic overlap between core diagnostic features and emotional/behavioral problems in preschool children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 41(10), 1321–1329.
Gilliam, J. E. (1995). Gilliam Autism Rating Scale. Austin, TX: Pro-Ed.
Gilliam, J. E. (2002). Gilliam Autism Rating Scale (2nd ed.). Austin, TX: Pro-Ed.
Gray, K. M., & Tonge, B. J. (2005). Screening for autism in infants and preschool children with developmental delay. Australian and New Zealand Journal of Psychiatry, 39(5), 378–386.
Kim, Y. S, Leventhal, B. L, Koh, Y. J, Fombonne, E, Lask, E., Lim, E. C., et al. (2011). Prevalence of autism spectrum disorders in a total population sample. American Journal of Psychiatry 00:1–9.
Lee, J., Kim, Y. A., & Oh, K. J. (2009). Discriminant validity and clinical utility of the Korean version of the Child Behavior Checklist for Ages 1.5-5. The Korean Journal of Clinical Psychology, 28, 171–186.
Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., et al. (2006). Comorbid psychiatric disorders in children with autism: Interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36, 849–861.
Lord, C., & Rutter, M. (2012). Autism diagnostic observation schedule (2nd ed.). Los Angeles, CA: Western Psychological Services.
Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2002). Autism Diagnostic Observation Schedule. Los Angeles, CA: Western Psychological Services.
Mullen, E. (1995). Mullen scales of early learning (AGS ed.). Circle Pines, MN: American Guidance Systems.
Muratori, F., Narzisi, A., Tancredi, R., Cosenza, A., Calugi, A., & Saviozzi, I. (2011). The CBCL/1.5-5 in a sample of children with autism spectrum disorders. Epidemiology and Psychiatric Sciences, 20, 329–338.
Myers, C.L., Gross, A.D., & McReynolds, B.M. (2013). Broadband behavior rating scales as screeners for autism? Journal of Autism and Developmental Disorders, 44(6), 1403–1413.
Myles, B. S., Bock, S. J., & Simpson, R. L. (2001). Asperger Syndrome Diagnostic Scale (ASDS). Austin: ProEd.
Norris, M., & Lecavalier, L. (2010). Screening accuracy of Level 2 autism spectrum disorder rating scales: A review of selected instruments. Autism, 14(4), 263–284.
Oh, K. J., & Kim, Y. A. (2009). Manual for Child Behavior Checklist 1.5-5. Seoul: Huno Consulting.
Ooi, Y. P., Rescorla, L. A., Ang, R. P., Woo, B., & Fung, D. S. S. (2010). Identification of autism spectrum disorders using the Child Behavior Checklist in Singapore. Journal of Autism and Developmental Disorders, 41, 1147–1156.
Pandolfi, V., Magyar, C. I., & Dill, C. A. (2009). Confirmatory factor analysis of the Child Behavior Checklist 1.5–5 in a sample of children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 986–995.
Rescorla, L. (1988). Cluster analytic identification of autistic preschoolers. Journal of Autism and Developmental Disorders, 18, 475–492.
Robins, D. L. (2008). Screening for autism spectrum disorders in primary care settings. Autism, 12(5), 537–556.
Robins, D. L., Fein, D., Barton, M., & Green, J. (2001). The modified checklist for autism in toddlers: A study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31, 131–144.
Rutter, M., Le Couteur, A., & Lord, C. (2003). ADI-R: The autism diagnostic interview-revised. Los Angeles, CA: Western Psychological Services.
Siegel, B. (2004). Pervasive developmental disorders screening test-II (PDDST). San Antonio, TX: Harcourt Assessment.
Sikora, D. M., Hall, T. A., Hartley, S. L., Gerrard-Morris, A. E., & Cagle, S. (2008). Does parent report of behavior differ across ADOS-G classifications: Analyses of scores from the CBCL and GARS. Journal of Autism and Developmental Disorders, 38, 440–448.
So, P., Greaves-Lord, K., Van der Ende, J., Verhulst, F. C., Rescorla, L., & de Nijs, P. F. (2013). Using the Child Behavior Checklist and the Teacher’s Report Form for identification of children with autism spectrum disorders. Autism, 17, 595–607.
South, M., Williams, B. J., McMahon, W. M., Owley, T., Filipek, P. A., & Shernoff, E. (2002). Utility of the Gilliam Autism Rating Scale in research and clinical populations. Journal of Autism and Developmental Disorders, 32(6), 593–599.
Acknowledgments
Some findings from this research were presented as a talk entitled Sensitivity and Specificity of the Korean CBCL/1.5-5 presented by Young Ah Kim at the 19th World Congress of IACAPAP, Beijing, June, 2010.
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Rescorla, L., Kim, Y.A. & Oh, K.J. Screening for ASD with the Korean CBCL/1½–5. J Autism Dev Disord 45, 4039–4050 (2015). https://doi.org/10.1007/s10803-014-2255-y
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DOI: https://doi.org/10.1007/s10803-014-2255-y