Comparação dos instrumentos Childhood Autism Rating Scale e Autism Behavior Checklist na identificação e caracterização de indivíduos com distúrbios do espectro autístico

Abstract

The Childhood Autism Rating Scale may not effectively diagnose autistic children, while the Autism Behavior Checklist may result in over- diagnose, including within the autism spectrum children with other disorders. Therefore, the associated use of both protocols is recommended.

A interferência do status de linguagem expressiva na pontuação do Autism Behavior Checklist em autistas verbais e não verbais

“…It is known that the initial study with the ABC focused on a single cutoff score for identifying risk for autism and did not take into consideration that the behavioral profiles may differ by age, symptoms, and severity level (2,4,7) . Non-verbal children, for example, may not receive points on various items of expressive language (e.g., inappropriate use of pronouns, monotone speech without rhythm, rare use of "I" or "yes," use of 0-5 words daily, constantly repeating words or sounds and phrases and questions spoken by others, use of more than 15 and less than 30 sentences daily to communicate).…”

“…Autism Spectrum disorder is characterized by severe and persistent impairment of social interaction and verbal and non-verbal communication as well as a restricted repertoire of activities and interests (1,2) . Several tools are used to identify and characterize behavioral manifestations of this condition.…”

“…Although the ABC is widely referred to in the literature and used in clinical practice, some studies have pointed to interference of items featuring verbal production in the degree of severity observed in the final result (2)(3)(4)(5)(6)(7)(8)(9) . Because the language area is composed of 13 items, 7 of which feature verbal disabilities affecting syntactic, semantic, and pragmatic aspects (inappropriate use of pronouns; monotone speech without rhythm, rarely uses "I" or "yes," uses between 0 and 5 daily words, constantly repeats words or sounds, repeats questions and statements spoken by other people, uses more than 15 and less than 30 sentences to communicate daily), the overall result would suffer interference, since verbal autistic children use more punctuation than non-verbal children.…”

E agora Dr.? O pediatra diante do diagnóstico do Transtorno do Espectro Autista

“…Desse modo, os instrumentos podem falhar quanto à concordância, mas, quanto mais severo for o quadro do TEA, mais há convergência entre eles. Sendo assim, é importante que os dois instrumentos sejam utilizados de forma complementar como auxiliares no diagnóstico do transtorno citado (Santos et al, 2012).…”

Identificação das variações do espectro do autismo

“…mais interessante para diagnosticar e classificar um indivíduo de acordo com a patologia do que a opção de uso de apenas um dos instrumentos como também mostra outro estudo( Santos et al, 2012) que confirma que instrumentos de avaliação são mais eficazes se usados de forma complementar.No G3, poucas diferenças significativas foram encontradas. Comparando as áreas que envolvem o domínio Sensorial, há diferença para o diagnóstico de SA e TID-SOE; mais uma vez a justificativa pode ser em decorrência das características atuais.…”