ASD Screening with the Child Behavior Checklist/1.5-5 in the Study to Explore Early Development
Authors: Levy, Susan E.; Rescorla, Leslie A.; Chittams, Jesse L.; Kral, Tanja J.; Moody, Eric J.; Pandey, Juhi; Pinto-Martin, Jennifer A.; Pomykacz, Alison T.; Ramirez, AnnJosette; Reyes, Nuri; Rosenberg, Cordelia Robinson; Schieve, Laura; Thompson, Aleda; Young, Lisa; Zhang, Jing; Wiggins, Lisa
Source: JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 49 (6):2348-2357; 10.1007/s10803-019-03895-4 JUN 2019
Publication Type: Journal Article
Abstract: We analyzed CBCL/11/2-5 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 T65, 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 ((2)=0.50). Our results support the CBCL/11/2-5's as a time-efficient ASD screener for identifying preschoolers needing further evaluation.