ERIC Number: EJ1460635
Record Type: Journal
Publication Date: 2025-Jan
Pages: 8
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0162-3257
EISSN: EISSN-1573-3432
Available Date: 2023-12-08
Comparison of the Clancy Autism Behavior Scale and Autism Behavior Checklist for Screening Autism Spectrum Disorder
Kunyi Lan1; X. X. Wang1; Yan'e Lu1; Anyi Zhang2; Meixiang Jia3; Lin Lu3,4; Y. B. Wei5; J. J. Liu1
Journal of Autism and Developmental Disorders, v55 n1 p158-165 2025
Purpose: To make early detection of individuals with autism spectrum disorder (ASD), caregiver-report instruments remain an efficient and adaptable option for the preliminary assessment. This study aimed to compare the psychometric properties of the Clancy Autism Behavior Scale (CABS) and Autism Behavior Checklist (ABC) as screening tools for ASD by caregivers. Methods: The data were collected from 154 pairs of children and their parents, who sought medical attention for suspected autism at Peking University Sixth Hospital. The sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, negative likelihood ratio, Youden index, and area under the receiver operating characteristics curves (AUC) of the CABS and ABC were calculated and compared using recommended cut-off values from initial papers. The optimal cut-off values for CABS and ABC were determined according to the maximum Youden index. Results: The ABC performed better than the CABS in screening autistic persons. Specifically, the ABC demonstrated higher sensitivity than the CABS in identifying children with ASD, while the CABS exhibited superior specificity compared to the ABC. According to the maximum Youden index, the optimal cut-off value was determined to be 13 for CABS and 62 for ABC. Conclusion: The ABC exhibits higher sensitivity and overall performance in screening individuals with ASD compared to the CABS. The ABC is more suitable as a screening tool for caregivers in both domestic and clinical settings, while the CABS may be utilized when evaluation time or medical resources are limited due to its shorter completion time and fewer items.
Descriptors: Foreign Countries, Autism Spectrum Disorders, Disability Identification, Psychometrics, Screening Tests, Children, Test Validity
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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: China
Grant or Contract Numbers: N/A
Author Affiliations: 1Peking University, School of Nursing, Beijing, China; 2Capital Medical University, National Centre for Children’s Health, Department of Psychiatry, Beijing Children’s Hospital, Beijing, China; 3National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), Beijing, China; 4Peking University, Peking-Tsinghua Center for Life Sciences and International Data Group, McGovern Institute for Brain Research, Beijing, China; 5Peking University, Beijing Key Laboratory of Drug Dependence Research, National Institute on Drug Dependence, Beijing, China