Identification of Autism Spectrum Disorders Using the Child Behavior Checklist in Singapore

Abstract

We tested the ability of the 2001 CBCL syndromes to discriminate among 86 children with Autism Spectrum Disorder (ASD), 117 children with Attention Deficit Hyperactivity Disorder-Inattentive type, 426 children with Attention Deficit Hyperactivity Disorder-Hyperactive-Impulsive or Combined type, 200 clinically referred children who did not receive a diagnosis, and 436 typically-developing children in a community sample. The Withdrawn/Depressed, Social Problems, and Thought Problems syndromes significantly discriminated the ASD group from the four other groups. An ASD scale, constructed from nine CBCL items, demonstrated moderate to high sensitivity (68 to 78%) and specificity (73 to 92%). Consistent with previous research, findings from this study provide strong support for the CBCL as a screening tool for ASD.

Integrating Autism-Related Symptoms into the Dimensional Internalizing and Externalizing Model of Psychopathology. The TRAILS Study

“…The main reason for this choice was that we aimed at integrating ASD in a structure of internalizing and externalizing psychopathology, not so much into the full CBCL structure. Although these scales have been found correlated with an autism-related measure (Social Responsiveness Scale; e.g., Reiersen and Todorov 2013) and specific items from the SP and TP scales have been found to be predictive of Autism Spectrum Disorders (e.g., Ooi, Rescorla, Ang, Woo, and Fung 2011;So et al 2013), we believe these scales are measures of different domains (see . Social Problems appears to tap into a wide area of contextual problems (e.g., being teased) which are prevalent in children with both internalizing, externalizing and neurodevelopment problems.…”

Autism Spectrum Disorder Symptoms and Comorbidity in Emerging Adults

“…These children presented with a distinct pattern of elevations in comparisons to the control groups, suggesting that the CBCL may be a useful screener for ASD. The CBCL also has been useful for discriminating between children with ASD, Attention Deficit/ Hyperactivity Disorder (ADHD), and no diagnosis using the withdrawal/depressed, social problems, and thought problems subscales [21].…”

“…Taken together, a great deal of evidence lends itself to promoting the CBCL and CBCL 1-5 as effective screeners in distinguishing between ASD and other diagnostic presentations (e.g., [14,18,[21][22][23]25]); however, given the myriad of comorbid problems associated with ASD, including but not limited to ADHD, anxiety, depression, feeding concerns, and sleep issues [25], it is essential that the effectiveness of measures at differentiating between individuals with ASD alone and those with ASD and comorbid symptoms also is evaluated. In light of this, researchers found the CBCL 1-5 to be effective at distinguishing between children with ASD with an emotional and behavioral disorder (EBD) and children with ASD without comorbid EBD [26].…”

Identificação de transtornos do espectro de autismo com Child Behavior Checklist (CBCL): Evidências de sensibilidade

“…Sendo a noção de retraimento uma escala presente no CBCL/ 1.5-5, que se destacou como uma variável preditora para detecção de TEA tanto neste estudo como em outros já citados na literatura (SIKORA et al,2008;OOI et al, 2010;MURATORI et al, 2011), é digno de nota que uma tendência estatística pôde ser associada a uma tendência psíquica, à luz da psicanálise. Dessa forma, essa pesquisa apresentou como alicerces psíquicos (psicanalíticos) podem se expressar estatisticamente em um estudo de sensibilidade e em manifestações no comportamento de crianças autistas.…”

“…Vários estudos sugerem que o CBCL pode atingir este objetivo, como os realizados por Duarte et al (2003), Albores-Gallo et al (2008), Sikora et al (2008), Ooi et al (2010), Muratori et al (2011). Duarte et al (2003) TEA (MACHADO, 2013, CAMPANA, 2013 Muratori et al (2011), o CBCL pode servir a este objetivo de rastreamento.…”