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Related Concept Videos

Autism Spectrum Disorder01:19

Autism Spectrum Disorder

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Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
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Use of a Video Scoring Anchor for Rapid Serial Assessment of Social Communication in Toddlers
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Screening for ASD with the Korean CBCL/1½-5.

Leslie Rescorla1, Young Ah Kim2, Kyung Ja Oh3

  • 1Bryn Mawr College, 101N. Merion Avenue, Bryn Mawr, PA, 19010, USA. lrescorl@brynmawr.edu.

Journal of Autism and Developmental Disorders
|September 21, 2014
PubMed
Summary

The Child Behavior Checklist (CBCL/1½-5) effectively screens for autism spectrum disorder (ASD) in preschoolers. It showed high sensitivity in identifying ASD compared to other developmental and psychiatric conditions.

Keywords:
ASDAsian preschoolersChild Behavior Checklist/1½–5Screening

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Area of Science:

  • Child Psychology
  • Developmental Pediatrics
  • Psychometric Evaluation

Background:

  • The Child Behavior Checklist for ages 1½–5 (CBCL/1½-5) is a widely used behavioral screening tool.
  • Its utility in screening for autism spectrum disorders (ASD) requires validation in diverse populations.

Purpose of the Study:

  • To evaluate the effectiveness of the CBCL/1½-5 as a screening tool for autism spectrum disorders (ASD) in Korean preschoolers.
  • To assess the performance of specific CBCL/1½-5 scales and items in differentiating ASD from other developmental and psychiatric conditions.

Main Methods:

  • A cross-sectional study involving 456 Korean preschoolers, including groups with ASD, developmental delay (DD), other psychiatric disorders (OPD), and non-referred (NR) children.
  • Analysis of CBCL/1½-5 scores, focusing on the Withdrawn and DSM-Pervasive Developmental Problems (DSM-PDP) scales and specific ASD-related items.

Main Results:

  • Children with ASD exhibited significantly higher scores on the Withdrawn and DSM-PDP scales compared to other groups.
  • A T ≥ 65 cutpoint on the DSM-PDP scale achieved 80% sensitivity for identifying ASD.
  • Specificity varied across comparison groups: 87% for NR, 55% for OPD, and 60% for DD.

Conclusions:

  • The CBCL/1½-5 demonstrates good performance in Level 1 screening for ASD, particularly in differentiating ASD from the general population.
  • Findings support the CBCL/1½-5's utility as an initial screening instrument for ASD in non-Western populations.
  • Further research may refine cutpoints to improve specificity in clinical populations.