Title: 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

Published In J Autism Dev Disord, (2019 Jun)

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.

PubMed ID: 30739222

MeSH Terms: Autism Spectrum Disorder/diagnosis*; Autism Spectrum Disorder/psychology*; Case-Control Studies; Checklist/methods*; Child; Child Behavior/psychology*; Child, Preschool; Developmental Disabilities/diagnosis; Developmental Disabilities/psychology; Female; Humans; Male; Mass Screening/methods*