Screening for ASD with the Korean CBCL/1½-5

J Autism Dev Disord. 2015 Dec;45(12):4039-50. doi: 10.1007/s10803-014-2255-y.

Abstract

To test the Child Behavior Checklist's (CBCL/1½-5) ability to screen for autism spectrum disorders (ASD), we studied Korean preschoolers: 46 with ASD, 111 with developmental delay (DD), 71 with other psychiatric disorders (OPD), and 228 non-referred (NR). The ASD group scored significantly higher than the other groups on the Withdrawn and DSM-Pervasive Developmental Problems (DSM-PDP) scales as well as attaining higher scores (p < .001) on seven items reflecting ASD. With a T ≥ 65 cutpoint on the DSM-PDP scale, sensitivity was 80 % for identifying ASD relative to the other three groups, but specificity varied across groups: NR = 87 %, OPD = 55 %, DD = 60 %, replicating in a non-Western sample results from previous studies. Results suggested that the CBCL/1½-5 performs best in Level 1 screening, namely differentiating children with ASD from children in the general population.

Keywords: ASD; Asian preschoolers; Child Behavior Checklist/1½–5; Screening.

MeSH terms

  • Autism Spectrum Disorder / diagnosis*
  • Autism Spectrum Disorder / epidemiology*
  • Autism Spectrum Disorder / psychology
  • Checklist / methods
  • Checklist / standards*
  • Child Development Disorders, Pervasive / diagnosis
  • Child Development Disorders, Pervasive / epidemiology
  • Child Development Disorders, Pervasive / psychology
  • Child, Preschool
  • Developmental Disabilities / diagnosis
  • Developmental Disabilities / epidemiology
  • Developmental Disabilities / psychology
  • Diagnosis, Differential
  • Female
  • Humans
  • Infant
  • Male
  • Mass Screening / methods
  • Mass Screening / standards*
  • Republic of Korea / epidemiology