Skip to main content
Log in

Adaptive Behavior Functioning in Children with Autism

  • Original Article
  • Published:
The Indian Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Objective

To investigate the relationship between intellectual functioning, symptom severity, and adaptive behavior functioning of children with autism spectrum disorders (ASD).

Methods

Retrospective case records (1999 to 2013) of 523 children [Mean age 4.79y (SD 2.37)] maintained by the Pediatric Psychology Unit at the Department of Pediatrics of a tertiary care teaching hospital in North India were examined. The adaptive behavior functioning was measured by the Indian adaptation of the Vineland Social Maturity Scale. Symptom severity was assessed using the Childhood Autism Rating Scale (CARS).

Results

The mean Social Quotient (SQ) of the sample was 62.40 (SD = 20.41). Nearly two-third (63.3%) of the ASD had SQs less than 70 and only 15% of the ASD children had SQs above 85. Adaptive behavior scores in the lower functioning ASD children were significantly higher than their Intelligence Quotient (IQ) scores while for the high functioning ASD group, the SQs were significantly lower than their IQs. Multiple regression analysis revealed that IQ, age of the child, CARS score, and education of the mother accounted for 62.5% of the variance in the SQ of children with ASD (F = 198.01, P 0.000).

Conclusions

Adaptive behavior measures must constitute a crucial component of not only diagnostic assessment of ASD children but also as an important goal of treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington DC: American Psychiatric Association; 1994.

    Google Scholar 

  2. Giangreco MF, Broer SM. Questionable utilization of paraprofessionals in inclusive schools: are we addressing symptoms or causes? Focus Autism Other Dev Disabil. 2005;20:10–26.

    Article  Google Scholar 

  3. Engstrom I, Ekstrom L, Emilsson B. Psychosocial functioning in a group of Swedish adults with Asperger syndrome or high functioning autism. Autism. 2003;7:99–110.

    CAS  PubMed  Google Scholar 

  4. Eaves LC, Ho H. Young adult outcome of autism spectrum disorders. J Autism Dev Disord. 2008;38:739–47.

    Article  PubMed  Google Scholar 

  5. Howlin P, Savage S, Moss P, Tempier A, Rutter M. Cognitive and language skills in adults with autism: a 40-year follow-up. J Child Psychol Psychiatry. 2014;55:49–58.

    Article  PubMed  Google Scholar 

  6. Farley MA, McMahon WM, Fombonne E, Jenson WR, Miller J, Gardner M. Outcome for adults diagnosed in childhood with autism and average or near-average cognitive abilities. Autism Res. 2009;2:109–18.

    Article  PubMed  Google Scholar 

  7. Carpentieri S, Morgan SB. Adaptive and intellectual functioning in autistic and nonautistic retarded children. J Autism Dev Disord. 1996;26:611–20.

    Article  CAS  PubMed  Google Scholar 

  8. Bolte S, Poustka F. The relation between general cognitive level and adaptive behavior domains in individuals with autism with and without co-morbid mental retardation. Child Psychiatry Hum Dev. 2002;33:165–72.

    Article  PubMed  Google Scholar 

  9. Fenton G, D’Ardia C, Valente D, Vecchio DI, Farbrizi A, Bernabei P. Vineland adaptive behavior profiles in children with autism and moderate to severe developmental delay. Autism. 2003;7:269–87.

    Article  PubMed  Google Scholar 

  10. Kenworthy L, Case MB, Harms AM, Martin A, Wallace GL. Adaptive behavior ratings correlate with symptomatology and IQ among adolescents with high-functioning autism spectrum disorders. J Autism Dev Disord. 2010;40:416–23.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Kanne SM, Gerber AJ, Quirmbach LM, Sparrow SS, Cicchetti DV, Saulnier CA. The role of adaptive behavior in autism spectrum disorders: implications for functional outcome. J Autism Dev Disord. 2011;41:1007–18.

    Article  PubMed  Google Scholar 

  12. Bishop LS, Luyster R, Richler J, Lord C. Diagnostic assessment. In: Chawarska K, Klin A, Volkmar FR, editors. Autism spectrum disorders in infants and toddlers. New York: Guilford Press; 2008. p. 50–75.

    Google Scholar 

  13. Tomanik SS, Pearson DA, Loveland KA, Lane DM, Shaw JB. Improving the reliability of autism diagnoses: examining the utility of adaptive behavior. J Autism Dev Disord. 2007;37:921–8.

    Article  PubMed  Google Scholar 

  14. Malin AJ. The Indian adaptation of the Vineland Social Maturity Scale. Lucknow: Indian Psychological Corporation; 1971.

    Google Scholar 

  15. Sparrow S, Balla D, Cicchetti D. Vineland Adaptive Behavior Scales Interview ed.—survey form. Circle Pines: American Guidance Service; 1984.

    Google Scholar 

  16. Raggio DJ, Massingale TW. Comparison of the Vineland Social Maturity Scale, the Vineland Adaptive Behavior Scales—survey form, and the Bayley Scales of Infant Development with infants evaluated for developmental delay. Percept Mot Skills. 1993;77:931–7.

    Article  CAS  PubMed  Google Scholar 

  17. Britton WH, Eaves RC. Relationship between the Vineland Adaptive Behavior Scales-Classroom Edition and the Vineland Social Maturity Scales. Am J Ment Defic. 1986;91:105–7.

    CAS  PubMed  Google Scholar 

  18. Alpern B, Boll T, Shearer M. Developmental Profile II. Los Angeles: Western Psychological Services; 1986.

    Google Scholar 

  19. Alpern GD. Developmental Profile 3—Manual. Los Angeles: Western Psychological Services; 2007.

    Google Scholar 

  20. Malin AJ. Intelligence scale for Indian children (MISIC): Indian adaptation of Wechsler’s Intelligence Scale for Children. Lucknow: Indian Psychological Corporation; 1969.

    Google Scholar 

  21. Perry A, Flanagan HE, Dunn Geier J, Freeman NL. Brief report: the Vineland Adaptive Behavior Scales in young children with autism spectrum disorders at different cognitive levels. J Autism Dev Disord. 2009;39:1066–78.

    Article  PubMed  Google Scholar 

  22. Klin A, Saulnier CA, Sparrow S, Cicchetti DV, Volkmar FR, Lord C. Social and communication abilities and disabilities in higher functioning individuals with autism spectrum disorders: The Vineland and the ADOS. J Autism Dev Disord. 2007;37:748–59.

    Article  PubMed  Google Scholar 

  23. Schopler E, Reichler R, Rochen Renner B. The Childhood Autism Rating Scale. Los Angeles: Western Psychological Services; 1988.

    Google Scholar 

  24. Saulnier CA, Klin A. Brief report: social and communication abilities and disabilities in higher functioning individuals with autism and Asperger syndrome. J Autism Dev Disord. 2007;37:788–93.

    Article  PubMed  Google Scholar 

  25. Sparrow SS, Cicchetti D, Balla DA. Vineland Adaptive Behavior Scales—2nd ed. Minneapolis: NCS Pearson Inc; 2005.

    Google Scholar 

  26. Schatz J, Hamdan-Allen G. Effects of age and IQ on adaptive behavior domains for children with autism. J Autism Dev Disord. 1995;25:51–60.

    Article  CAS  PubMed  Google Scholar 

  27. Liss M, Harel B, Fein D, Allen D, Dunn M, Feinstein C, et al. Predictors and correlates of adaptive functioning in children with developmental disorders. J Autism Dev Disord. 2001;31:219–30.

    Article  CAS  PubMed  Google Scholar 

  28. De Bildt A, Kraijer D, Sytema S, Minderaa R. The psychometric properties of the Vineland Adaptive Behavior Scales in children and adolescents with mental retardation. J Autism Dev Disord. 2005;35:53–62.

    Article  PubMed  Google Scholar 

  29. Ray-Subramanian CE, Huai N, Weismer SE. Brief report: adaptive behavior and cognitive skills for toddlers on the autism spectrum. J Autism Dev Disord. 2011;41:679–84.

    Article  PubMed Central  PubMed  Google Scholar 

  30. Walker SP, Wachs TD, Grantham-McGregor S, Black MM, Nelson CA, Huffman SL, et al. Inequality in early childhood: risk and protective factors for early child development. Lancet. 2011;378:1325–38.

    Article  PubMed  Google Scholar 

Download references

Contributions

PM: Collected the data, collated and analyzed it, and wrote the manuscript. PS: Helped in writing the manuscript. Both the authors jointly made the diagnosis. PM will act as guarantor for this paper.

Conflict of Interest

None.

Source of Funding

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Prahbhjot Malhi.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Malhi, P., Singhi, P. Adaptive Behavior Functioning in Children with Autism. Indian J Pediatr 82, 677–681 (2015). https://doi.org/10.1007/s12098-015-1692-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12098-015-1692-8

Keywords

Navigation