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Analysis of Social Communication Questionnaire (SCQ) Screening for Children Less Than Age 4

Alison R Marvin1,2, Daniel J Marvin1, Paul H Lipkin1,2,3

  • 1Department of Medical Informatics, Kennedy Krieger Institute, 3825 Greenspring Avenue, Baltimore, MD 21209 USA.

Current Developmental Disorders Reports
|December 1, 2017
PubMed

Insights

The Social Communication Questionnaire (SCQ) shows poor accuracy for Autism Spectrum Disorder (ASD) in young children. The SCQ Lifetime version is recommended for children aged 30-48 months, but further validation is needed.

Area of Science:

  • Developmental Pediatrics
  • Child Psychology
  • Neurodevelopmental Disorders

Background:

  • Autism Spectrum Disorder (ASD) screening is crucial for early intervention.
  • The M-CHAT-R/F is limited to children aged 18-30 months.
  • There is a need for reliable ASD screeners for children younger than 4 years.

Purpose of the Study:

  • To evaluate the literature on the use of the Social Communication Questionnaire (SCQ) in children under 4 years old.
  • To assess the SCQ's utility as an Autism Spectrum Disorder (ASD) screener in younger populations.
  • To determine the optimal version and application of the SCQ for early ASD detection.

Main Methods:

  • Systematic review of recent studies on the SCQ in children under 4 years.
  • Analysis of studies with large, diverse samples including typically developing children.
  • Comparison of the SCQ Lifetime and Current versions' validity and reliability.

Main Results:

  • Recent studies utilized large samples and included typically developing children.
  • Internal validity of the SCQ has undergone increased scrutiny.
  • The sensitivity-specificity balance for distinguishing ASD from other developmental disorders is poor with the SCQ.

Conclusions:

  • The SCQ Lifetime version is more appropriate than the Current version for screening younger children.
  • The SCQ demonstrates a better sensitivity-specificity balance in a general population compared to clinical samples.
  • Further research is needed to validate the SCQ for screening children aged 30-48 months for ASD.
Abstract

Keywords:
Area under ROC curve analysisAutism spectrum disorder (ASD)Early childhood screeningPsychometric propertiesSensitivity and specificitySocial communication questionnaire (SCQ)

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