Autistic Behavior Checklist (ABC) and Its Applications

  • Antonio Bravo Oro
  • María Elena Navarro-Calvillo
  • Carmen Esmer


Numerous autism rating scales have been developed during the past 25 years to be applied as a diagnostic tool, to evaluate the severity of symptoms, to monitor interventions, or to assess outcomes. The test usually evaluates the mental higher functions, to have a better understanding of the individualities of each kid and to give more options to treat in concordance with its needs and skills. The aim of this chapter was to analyze the Autism Behavior Checklist (ABC) as a tool for Autism Spectrum Disorder (ASD). The ABC is a list of 57 questions about a child’s behavior, designed to be answered independently by a parent, teacher, or caregiver; a trained professional scores and analyzes the results. The items are easy to apply with a high prediction about the disorder; thus its main utility is to assure the autism diagnosis since many other neurodevelopment problems such as learning or lenguaje disorders; and obsessive-compulsive disorders or attention deficit hyperactivity disorders, among others, need to be discarded. Many of the autistic symptoms can only be measured through the report of parents about conduct in different areas and situations after that it is possible to identify the developmental areas that must be evaluated deeper. The ABC has questions grouped into five subscales: S ensory, Relating, Body and Object Use, Language, and Social and Self-Help skills. The items are mostly scored from 1 to 4 according to the impairment degree. Our unpublished experience in 30 patients with autism, Asperger, mental retardation, and obsessive disorders demonstrates its simple use, scoring, and low cost. We found that other scales, like ADI-R or CHAT, require more guidance to the parents to obtain trustily responses in specific difficult items. The ABC has more than 30 years in use, and it is still considered one of the most useful tools to the rapid evaluation of autism in early childhood.


Autism Spectrum Disorder Autism Spectrum Disorder Autistic Child Asperger Syndrome Autism Spectrum Disorder Diagnosis 
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  1. Albores L, Hernández L, Díaz JA, Cortés B. Dificultades en la evaluación y diagnóstico del autismo: una discusión. Salud Ment. 2008;31:37–44.Google Scholar
  2. Azarias D, Reux F, Fernandes F. Social-communicative adaptation and autism behavior checklist: associations in the evolution of institutionalized adolescents with autism. Rev Soc Bras Fonoaudiol. 2011;16:323–9.CrossRefGoogle Scholar
  3. Baird G, Cass H, Slonims V. Diagnosis of autism. BMJ. 2003;327:488–93.PubMedCrossRefGoogle Scholar
  4. Baron-Cohen S, Wheelwright S, Cox A, Baird G, Charman T, Swettenham J, Drew A, Doehring P. Early identification of autism by the Checklist for Autism in Toddlers (CHAT). J R Soc Med. 2000;93:521–5.PubMedGoogle Scholar
  5. Bauman ML. Medical comorbidities in autism: challenges to diagnosis and treatment. Neurotherapeutics. 2010;7:320–7.PubMedCrossRefGoogle Scholar
  6. Bravo A, Vázquez J, Cuello CA, Calderón RF, Hernández AM, Esmer C. Manifestaciones iniciales de los trastornos del espectro autista. Experiencia en 393 casos atendidos en un centro neurológico infantil. Neurología. 2012; 27:414–20.Google Scholar
  7. de Bildt A, Sytema S, Ketelaars C, Kraijer D, Mulder E, Volkmar F, et al. Interrelationship between Autism Diagnostic Observation Schedule-Generic (ADOS-G), Autism Diagnostic Interview-Revised (ADI-R), and the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) classification in children and adolescents with mental retardation. J Autism Dev Disord. 2004;34:129–37.PubMedCrossRefGoogle Scholar
  8. Eaves RC, Campbell HA, Chambers D. Criterion-related and construct validity of the pervasive developmental disorders rating scale and the autism behavior Checklist. Psychol Schools. 2000;37:311–21.CrossRefGoogle Scholar
  9. Etchepareborda MC. Perfiles neurocognitivos del espectro autista. Rev Neurol Clin. 2001;2:175–92.Google Scholar
  10. Filipek PA, Accardo PJ, Baranek GT, Cook Jr EH, Dawson G, Gordon B, Gravel JS, Johnson CP, Kallen RJ, Levy SE, Minshew NJ, Ozonoff S, Prizant BM, Rapin I, Rogers SJ, Stone WL, Teplin S, Tuchman RF, Volkmar FR. The screening and diagnosis of autistic spectrum disorders. J Autism Dev Disord. 1999;29:439–84.PubMedCrossRefGoogle Scholar
  11. Miranda-Linné FM, Melin L. A factor analytic study of the Autism Behavior Checklist. J Autism Dev Disord. 2002;32:181–8.PubMedCrossRefGoogle Scholar
  12. Juneja M, Sharma S, Mukherjee SB. Sensitivity of the autism behavior checklist in Indian autistic children. J Dev Behav Pediatr. 2010;31:48–9.PubMedCrossRefGoogle Scholar
  13. Krug DA, Arick JR, Almond P. Behavior checklist for identifying severely handicapped individuals with high levels of autistic behavior. J Child Psychol Psychiatry. 1980;21:2219.CrossRefGoogle Scholar
  14. Krug D, Arick J, Almond P. Autism behavior checklist – ABC. In: Krug DA, Arick J, Almond P, editors. Autism Screening Instrument for Educational Planning- ASIEP-2. Austin: PRO-ED; 1993.Google Scholar
  15. Lemon JM, Gargaro B, Enticott PG, Rinehart NJ. Executive functioning in autism spectrum disorders: a gender comparison of response inhibition. J Autism Dev Disord. 2011;41:352–6.PubMedCrossRefGoogle Scholar
  16. Losh M, Adolphs R, Poe MD, Couture S, Penn D, Baranek GT, Piven J. Neuropsychological profile of autism and the broad autism phenotype. Arch Gen Psychiatry. 2009;66:518–26.PubMedCrossRefGoogle Scholar
  17. Luria AR, Majovski LV. Basic approaches used in American and Soviet clinical neuropsychology. Am Psychol. 1977;32:959–68.PubMedCrossRefGoogle Scholar
  18. Marteleto MRF, Pedromônico MRM, Perissinoto J. ASIEP-2: Instrumento de triagem para planejamento educacional. In: 32° Reunião Anual de Psicologia. Resumos. Florianópolis; 2002.Google Scholar
  19. Rellini E, Tortolani D, Trillo S, Carbone S, Montecchi F. Childhood Autism Rating Scale (CARS) and Autism Behavior Checklist (ABC) correspondence and conflicts with DSM-IV criteria in diagnosis of autism. J Autism Dev Disord. 2004;34:703–8.PubMedCrossRefGoogle Scholar
  20. Santos TH, Barbosa MR, Pimentel AG, Lacerda CA, Balestro JI, Amato CA, Fernandes FD. Comparing the use of the Childhood Autism Rating Scale and the Autism Behavior Checklist protocols to identify and characterize autistic individuals. J Soc Bras Fonoaudiol. 2012;24(1):104–6.PubMedCrossRefGoogle Scholar
  21. Stone WL, MacLean Jr WE, Hogan KL. Autism and mental retardation. In: Roberts MC, editor. Handbook of pediatric psychology. New York: The Guilford Press; 1995.Google Scholar
  22. Sturmey P, Matson JL, Sevin JA. Brief report: analysis of the internal consistency of three autism scales. J Autism Dev Disord. 1992;22:321–8.PubMedCrossRefGoogle Scholar
  23. Volkmar FR, Cicchetti DV, Dykens E, Sparrow SS, Leckman JF, Cohen DJ. An evaluation of the autism behavior checklist. J Autism Dev Disord. 1988;18:81–97.PubMedCrossRefGoogle Scholar
  24. Volkmar FR, Lord C, Bailey A, Schultz R, Klin A. (2004). Autism and pervasive developmental disorders. J Child Psychol Psychiatry. 2004;45:135–70.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Antonio Bravo Oro
    • 1
  • María Elena Navarro-Calvillo
    • 2
  • Carmen Esmer
    • 3
  1. 1.Departamento de NeuropediatríaHospital Central Dr. Ignacio Morones PrietoSan Luís PotosíMexico
  2. 2.Department of PostgradoUniversidad Autónoma de San Luís PotosíSan Luís PotosíMexico
  3. 3.Department of NeurogeneticsHospital Central Dr. Ignacio Morones PrietoSan Luís PotosíMexico

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