ERIC Number: EJ1466093
Record Type: Journal
Publication Date: 2025-Apr
Pages: 8
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1362-3613
EISSN: EISSN-1461-7005
Available Date: 0000-00-00
Validating the Child Behavior Checklist 1.5-5 as a Screening Tool for Autism Spectrum Disorder
Norton Kitanishi1; Daniela Bordini1; Marcos V. V. Ribeiro1; Cristiane Silvestre Paula1,2; Helena Brentani3; Joana Portelese3; Pamela J. Surkan4; Silvia S. Martins5; Jair de Jesus Mari1; Paola Matiko Martins Okuda1; Sheila C. Caetano1
Autism: The International Journal of Research and Practice, v29 n4 p1072-1079 2025
Early identification of autism spectrum disorder through cost-effective screening is crucial in low- and middle-income countries. The Child Behavior Checklist 1.5-5, using the Autism Spectrum Problems and Withdrawn Syndrome subscales, has potential as a level 1 autism spectrum disorder screening tool, though its construct validity in low- and middle-income countries remains underexplored. We aimed to validate the Child Behavior Checklist 1.5-5 for autism spectrum disorder screening in a representative sample of 1292 Brazilian children aged 3-5 years and 70 autism spectrum disorder children aged 1-5 years. Confirmatory factor analysis evaluated model fit indices and correlation strength between Child Behavior Checklist items and autism spectrum disorder diagnoses. Receiver operating characteristic curves assessed the optimal cutoff score. The Autism Spectrum Problems model demonstrated good fit and reliability (comparative fit index = 0.96, root mean square error of approximation = 0.037, [omega] = 0.869), as did the Withdrawn Syndrome model (comparative fit index = 0.974, root mean square error of approximation = 0.034, [omega] = 0.776), with one item per model showing low factor loadings. A cutoff score of 6 on the Autism Spectrum Problems yielded 82.5% sensitivity and 83.4% specificity, while a cutoff of 4 on the Withdrawn scale resulted in 87.9% sensitivity and 82.2% specificity. The Child Behavior Checklist 1.5-5 Autism Spectrum Problems and Withdrawn scales are reliable level 1 autism spectrum disorder screeners for Brazilian children, with good internal consistency and construct validity.
Descriptors: Autism Spectrum Disorders, Disability Identification, Screening Tests, Test Validity, Young Children, Foreign Countries, Check Lists, Test Reliability
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: Brazil
Identifiers - Assessments and Surveys: Child Behavior Checklist; Autism Diagnostic Observation Schedule
Grant or Contract Numbers: N/A
Author Affiliations: 1Universidade Federal de São Paulo, Brazil; 2Mackenzie Presbyterian University, Brazil; 3University of São Paulo, Brazil; 4Johns Hopkins Bloomberg School of Public Health, USA; 5Columbia University, USA