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J Autism Dev Disord. 2019 Feb 9. doi: 10.1007/s10803-019-03895-4. [Epub ahead of print]

ASD Screening with the Child Behavior Checklist/1.5-5 in the Study to Explore Early Development.

Author information

1
Center for Autism Research, Roberts Research Center, Children's Hospital of Philadelphia, 2716 South Street, Room 4361, Philadelphia, PA, 19146, USA. levys@email.chop.edu.
2
University of Pennsylvania, Philadelphia, PA, USA. levys@email.chop.edu.
3
Bryn Mawr College, Bryn Mawr, PA, USA.
4
University of Pennsylvania, Philadelphia, PA, USA.
5
Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO, USA.
6
Center for Autism Research, Roberts Research Center, Children's Hospital of Philadelphia, 2716 South Street, Room 4361, Philadelphia, PA, 19146, USA.
7
Thomas Jefferson University, Philadelphia, PA, USA.
8
Centers for Disease Control and Prevention, Atlanta, GA, USA.
9
Temple University, Philadelphia, PA, USA.

Abstract

We analyzed CBCL/1½-5 Pervasive Developmental Problems (DSM-PDP) scores in 3- to 5-year-olds from the Study to Explore Early Development (SEED), a multi-site case control study, with the objective to discriminate children with ASD (N = 656) from children with Developmental Delay (DD) (N = 646), children with Developmental Delay (DD) plus ASD features (DD-AF) (N = 284), and population controls (POP) (N = 827). ASD diagnosis was confirmed with the ADOS and ADI-R. With a cut-point of T ≥ 65, sensitivity was 80% for ASD, with specificity varying across groups: POP (0.93), DD-noAF (0.85), and DD-AF (0.50). One-way ANOVA yielded a large group effect (η2 = 0.50). Our results support the CBCL/1½-5's as a time-efficient ASD screener for identifying preschoolers needing further evaluation.

KEYWORDS:

Autism spectrum disorder (ASD); Child Behavior Checklist (CBCL); Developmental delay (DD)

PMID:
30739222
DOI:
10.1007/s10803-019-03895-4

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