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Psychiatry Investig. 2018 Jan;15(1):54-61. doi: 10.4306/pi.2018.15.1.54. Epub 2018 Jan 16.

Reliability and Validity of a New Comprehensive Tool for Assessing Challenging Behaviors in Autism Spectrum Disorder.

Author information

1
Department of Public Health Medical Services, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
2
Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National College of Medicine, Seoul, Republic of Korea.
3
Department of Education, Inha University, Incheon, Republic of Korea.
4
Department of Education, Dongguk University, Seoul, Republic of Korea.
5
Department of Psychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
6
Department of Psychiatry, Pusan National University Hospital, Busan, Republic of Korea.
7
Department of Psychiatry, Seoul St. Mary's Hospital, Seoul, Republic of Korea.
8
Seoultop Psychiatric Clinic, Seoul, Republic of Korea.

Abstract

Objective:

The purpose of this study was to examine the validity and reliability of the Korean Comprehensive Scale for the Assessment of Challenging Behavior in Developmental Disorders (K-CSCB).

Methods:

In total, the parents of 189 patients with autism spectrum disorder (ASD) and 168 controls completed the K-CSCB, the Behavior Problems Inventory (BPI) and Child Behavior Checklist (CBCL). The reliability and validity of the K-CSCB was investigated.

Results:

The K-CSCB was found to be a reliable instrument (Cronbach's α=0.97). There was a significant difference between the ASD and control groups in all subscale scores. Scores on the K-CSCB subscales were significantly correlated with those on the BPI and CBCL. The diagnostic validity was 97.7%, and the cut-off score with the highest sensitivity and specificity was 12.5 points.

Conclusion:

The K-CSCB is the first tool in Korean to assess problematic behavior in individuals with ASD, and this study shows that it is a valid and reliable instrument. We expect the K-CSCB to be widely used in clinical and research settings.

KEYWORDS:

Child and adolescent psychiatry; Neurodevelopmental disorder; Psychometrics

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