level, autism severity, Parent-Infant Relationship Global Assessment Scale (PIRGAS) score and Aberrant Behavior Checklist (ABC) total score in correlassion analyses; only ABC total score was found to be significantly correlated with CSHQ total score in regression analyses. items more characteristic of the disorder are scored with 4, whereas less characteristic items score 1. Being born under low socioeconomic conditions adds even more complexity to these children. children with autism, and suggested a cutoff score of 54. tal retardation were compared using the ABC together with, 100% of the children with autistic disorder and 95% of the, In general, only approximately 50% of children with autism, are identified when the cutoff point proposed by the authors of, the ABC is used, whereas the discriminative capacity of the, questionnaire increases significantly when the cutoff point is, Based on the questions arising from these studies, the, present article proposes to examine the concurrent and, This study involved mothers of children previously diagnosed, with autism, from two institutions of the city of São P, work exclusively with programs of behavioral and educational, intervention for autism: the Friends of Autism Association and, the Speech Disorders Outpatient Clinic of the Universidade. The ABC scale has been adapted for use in the Brazilian social and cultural context. Results The Developmental Behavior Checklist–Autism Screening Algorithm (DBC-ASA) 1 consists of 29 items from the 96-item Developmental Behavior Checklist (DBC). Methods: sensorial; 2) relating; 3) body and object use; 4) language; and 5) social self-help. behavior. Resumo: Os critérios que subsidiaram o diagnóstico do autismo passaram por diversas mudanças ao longo dos anos, acompanhando os pressupostos conceituais hegemônicos no período. The suggested cutoff point, At cutoff point 67/68, we observed that the instrument, presented low sensitivity (57.89%) and high specificity, (94.73%) in identifying children with autistic disorder in the, population. Compreender a evolução dos critérios diagnósticos tende a promover o desenvolvimento da clínica, potencializando a antecipação do diagnóstico e as intervenções necessárias para um melhor prognóstico. School completed the check lists. (2008). Using the total score, the ABC accurately discriminated 91% of the children, with 87% of the autistic and 96% of the nonautistic group correctly classified. adolescents with mental retardation. Access scientific knowledge from anywhere. Background After these changes, in the questionnaire, we considered the ABC translated and, adapted to Brazilian culture. evaluation of these groups of children be systematized. The ROC curve cutoff s, was 49, and the sensitivity was 92.1%, higher than the 57.89% found when a cutoff score of 68 was used. The second, questionnaire was a modified version of the ABC and included, the list of behavioral symptoms frequently presented by, individuals with autism. score for the LDG children was significantly higher than that, for the TSG children (p < 0.001) and lower than that for the. XXX . In addition, many individuals with autism experience other associated concerns and co-occurring ... Autism itself does not cause challenging behaviors obtida pela curva ROC, a sensibilidade da escala aumentou (92,1%) e a especificidade se manteve alta (92,6%). The present findings showed that morphological features are significantly increased in patients with autism. This study investigated the effectiveness of three instruments to discriminate autistic from trainable mentally retarded children. 1997;27(3):245-64. construct validity of the pervasive developmental disorders rating. In: 7° Congresso P. Brasileira de Neurologia e Psiquiatria Infantil; 2004. Pearson's r was used to determine test-retest reliability, and Cronbach's alpha coefficient was used to explore the internal consistency of Q-CHAT. Investigation of the psychometric properties of the instrument for Brazil determined, for a cut-off score of 47, a sensitivity of 92.1% and specificity of 92.6%, ... ,其 患病率约为 1%~2% [2][3][4] 。孤独症谱系障碍(autism spectrum disorder, ASD)是儿童早期最常见的神经 发育障碍性疾病,主要表现为社交沟通障碍、狭隘 兴趣和刻板行为及感觉异常 [5] 。ID 和 ASD 常同时 存在,二者共患率在 10%~60% 之间 [6][7] 。由于 ID 与 ASD 存在很多重叠的临床特征,尤其在社交沟 通、想象力和重复刻板行为方面多见 [8] ,故在 ID 人群中,ASD 的诊断常容易遗漏。与单纯 ID 人群 相比,合并 ASD 的 ID 人群,其临床表型更重,早 期发现并给予有效干预可改善患儿的预后 [9] 。 因此, 了解 ID 人群的 ASD 样症状的发生情况及其重要。 目前我国适用于 6~18 岁人群 ASD 样症状评 估的量表主要有社交反应量表(Social Responsive Scale, SRS) [10] 、孤独症行为量表(Autism Behavior Checklist, ABC), ... For the children with ASD, symptoms of ASD were assessed with the Childhood Autism Rating Scale (CARS) [16], Autism Behavior Checklist (ABC), ... Severity is measured on a 1 to 4 scale, with higher scores indicating higher severity. Social communication The whole range of communicative skills may be affected i.e. Second, correlations between pairs of the three scales were calculated. Data also showed the more years children spent in pre-school, the less internalizing problems they manifested. The mean scores obtained in the, two groups were both lower than the 68-point cutoff proposed, confirmed the proposals of other authors to decrease the 68-, point cutoff score, considering it too high to correctly identify. The ID group had a significantly higher total score of SRS than the TD group (P<0.05), and the score on the subscale of social cognition showed the most significant difference between the two groups (Cohen's d=2.00). measurement to support these findings. When we tested the criterion validity of the instrument using, the 67/68 cutoff point, we found that the sensitivity (57%), and specificity (94.73%) were the same as those obtained in, cutoff point indicated in our sample, the sensitivity of the ABC, significantly increased to 92.11% and the specificity of the, instrument remained high, meaning that the ABC is capable, of identifying the children who do not have autistic disorder. VAD and sleep disturbances in children with ASD corresponded to the severity of autism symptoms. The authors found a total mean score of, 59.90 for nonspeaking individuals and 54.86 for speaking, individuals. The results, suggested that the CBCL is a promising instrument for identifying, the CBCL identified the most frequent behavior problems in, autistic children, discussing differences between speaking and, nonspeaking children. The mean of the total score for the typically developing group was 22.4 (SD=6.26) on Q-CHAT and it was 50.94 (SD=12.35) for the ASD group, which was significantly different (p=0.00).The Cronbach's alpha coefficient of the checklist was 0.886, and test-retest reliability was calculated as 0.997 (p<0.01). A total of 100 children (47 with adequate and 53 with low weigh) were assessed with the Child Behavior Checklist for behavioral and emotional problems, as well as with the Autism Behavior Checklist for autism symptoms. Results showed that the total scores of the ABC and PDDRS measure significantly overlapping constructs (r= .80).