The Development and Validation of a Subscale for the School-Age Child Behavior CheckList to Screen for Autism Spectrum Disorder

Julia E. Offermans, Esther I. de Bruin, Aurelie M. C. Lange, Christel M. Middeldorp, Laura W. Wesseldijk, Dorret I. Boomsma, Gwen C. Dieleman, Susan M. Bögels, Francisca J. A. van Steensel

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Abstract

The first aim of this study was to construct/validate a subscale—with cut-offs considering gender/age differences—for the school-age Child Behavior CheckList (CBCL) to screen for Autism Spectrum Disorder (ASD) applying both data-driven (N = 1666) and clinician-expert (N = 15) approaches. Further, we compared these to previously established CBCL ASD profiles/subscales and DSM-oriented subscales. The second aim was to cross-validate results in two truly independent samples (N = 2445 and 886). Despite relatively low discriminative power of all subscales in the cross-validation samples, results indicated that the data-driven subscale had the best potential to screen for ASD and a similar screening potential as the DSM-oriented subscales. Given beneficial implications for pediatric/clinical practice, we encourage colleagues to continue the validation of this CBCL ASD subscale.
Original languageEnglish
Pages (from-to)1034-1052
Number of pages19
JournalJournal of Autism and Developmental Disorders
Volume53
Issue number3
Early online date15 Feb 2022
DOIs
Publication statusPublished - Mar 2023

Keywords

  • Achenbach System of empirically based Assessment (ASEBA)
  • Autism spectrum disorder (ASD)
  • Child Behavior CheckList (CBCL)
  • Children and adolescents
  • Screening

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