Relações entre a Autistic Behavior Checklist (ABC) e o perfil funcional da comunicação no espectro autístico

Abstract

Backgroud: language and communication disorders are proposed as one of the three fundamental criteria for the description or diagnosis of pervasive developmental disorders (PDD), along with social disabilities and a narrow focus of interest. This way, the determination of simple procedures that can be used by health and education professionals to identify the persons that need specialized services is essential. The Autistic Behavior Checklist (ABC) is being used in several studies because it allows simple application and may be based on filmed behavior samples, interviews with parents or therapists. Its' results, on the other side, had been tested for a few decades and been shown reliable. Aim: the general aim of this study is to verify the possibility that the assessment of the relation between communicative profile and the ABC score contributes to the diagnostic process of persons with disorders of the autistic spectrum. Method: subjects were 117 children and adolescents with ages between 2 and 16 years attending language therapy. Results: were statistically analyzed and indicated that there are negative correlations between the ABC scores and communicative interaction and complexity. The small amount of correlations between language sub-scale and the other data suggest that there is a dissociation of the description provided by the ABC and the criteria proposed by the DSM-IV and the ICD-10 to the diagnosis of autism. Conclusion: the search for objective criteria to determine subgroups of the autistic spectrum remains a challenge. Key Words: Child; Language; Autistic Disorder. ResumoTema: as alterações de comunicação e linguagem têm sido propostas como um dos três elementos fundamentais para a caracterização e o diagnóstico dos distúrbios globais do desenvolvimento (DGD). A Autistic Behavior Checklist (ABC) tem sido utilizada em diversas pesquisas, pois possibilita uma aplicação simples, que pode ser realizada a partir de amostras filmadas de comportamento, entrevistas com pais ou terapeutas, e pode ser utilizada por profissionais das áreas da saúde e da educação. Objetivo: a proposta deste estudo envolve a verificação das correlações entre o perfil funcional da comunicação e as diferentes pontuações na ABC. O objetivo geral desta pesquisa é identificar a possibilidade de contribuição da avaliação fonoaudiológica de crianças e adolescentes incluídos no espectro autístico a partir da verificação de relações entre seu desempenho comunicativo e a pontuação obtida na ABC. Método: foram sujeitos desta pesquisa 117 crianças e adolescentes, entre 2 e 16 anos de idade, já atendidos ou em atendimento no Laboratório de Investigação Fonoaudiológica em Distúrbios Psiquiátricos da Infância do Curso de Fonoaudiologia da Faculdade de Medicina da USP. Resultados: indicaram a existência de correlações negativas entre a pontuação na ABC e a interatividade e complexidade da comunicação. As poucas correlações entre a sub-escala de linguagem e os outros dados sugerem a dissociação entre a descrição propiciada pela ABC e os...

Comparing the results of DAADD and ABC of children included in Autism Spectrum Disorders

“…For several authors (1,2) , speech language and audiology therapeutic intervention has been emphasized as a manner of From observing and diagnosing these children, the need to use screening instruments for behavioral issues is necessary, because they can make observation and behavioral records stricter (4)(5)(6)(7)(8)(9) . After associating both instruments (ABC and DAADD), we observed that, for G2 and G3, the higher the probability in the ABC for the diagnosis of autism spectrum, the higher the number of diagnoses in the autism spectrum in the DAADD, which indicates that the difficulty found in the ABC for diagnosis is not found in the DAADD.…”

“…From these behavioral aspects, it was possible to classify its severity and elaborate several measuring instruments or evaluation scales (4,5) . The concept of autism spectrum disorders (ASD) has been proposed to include the different global developmental disorders into an articulated perspective, which involves the complex interrelationship between the several clinical pictures (6) . This does not rule out the need to conduct differential diagnosis between these pictures, as suggested by some authors.…”

“…Facing such a complex situation, by observing and diagnosing these children, it is possible to observe the need to use screening instruments for behavioral issues, which would lead to more rigid observation and behavioral records (4)(5)(6)(7)(8)(9) . The Autism Behavior Checklist (ABC) (10) is a scale used for nonadaptive behaviors created to screen and indicate the probability of a diagnosis of autism.…”

Intervenção fonoaudiologica baseada na perspectiva comportamental em transtorno global do desenvolvimento (tgd): relato de caso

“…The child The language alterations are systematically found in the different pictures which compose the said spectrum, being noticed huge qualitative and quantitative variety in the range of communicative behavior in such population 2 . Language always represents a fundamental aspect being connected to the prognosis of these cases 4,5 .…”

Literatura científica brasileira sobre transtornos do espectro autista

“…Instruments developed in a different culture should therefore be translated into and adapted for the population in which they will be used 92 . According to our review, few of the published articles fell into this category, which is considered essential for scientific research: only nine articles and nine dissertations tested the psychometric properties of screening instruments such as the ASQ, CARS, and ABC [94][95][96][97][98][99][100][101] . According to a PubMed search, over 70 foreign studies published during the review period tested the validity, reliability, specificity, and sensitivity of ASD assessment instruments.…”