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Optimizing the screening of autism spectrum disorders in outpatient clinics: An examination of the Social Communication Questionnaire-Lifetime / Danielle UNG in Research in Autism Spectrum Disorders, 27 (July 2016)
[article]
Titre : Optimizing the screening of autism spectrum disorders in outpatient clinics: An examination of the Social Communication Questionnaire-Lifetime Type de document : Texte imprimé et/ou numérique Auteurs : Danielle UNG, Auteur ; Carly JOHNCO, Auteur ; Nicole M. MCBRIDE, Auteur ; Flora HOWIE, Auteur ; Leanne SCALLI, Auteur ; Eric A. STORCH, Auteur Article en page(s) : p.21-28 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Screening measures Sensitivity Specificity Social communication questionnaire Index. décimale : PER Périodiques Résumé : AbstractBackground The Social Communication Questionnaire-Lifetime (SCQ-L) is a parent report form commonly used to screen for autism spectrum disorder (ASD) symptomology. Further psychometric validation in outpatient settings is essential given the need to prioritize time- and cost-efficient measures. This archival review study examined the internal consistency, construct validity, and predictive validity of the SCQ-L. Method Participants were the parents of 76 youth aged 4–12 years who presented with developmental concerns at an outpatient ASD clinic (33 diagnosed with ASD and 43 not diagnosed with ASD). Results Results suggested good internal consistency for the SCQ-L total score and SCQ-L Reciprocal Social Interaction subscale, but questionable internal consistency for the SCQ-L Communication and Restricted, Repetitive, Stereotyped Behavior subscales. There was evidence of construct validity for the SCQ-L total score and subscale scores with other measures of social and adaptive functioning, although the relationships between the SCQ-L scores and ASD severity using the Childhood Autism Rating Scale, 2nd edition-High Functioning Form (CARS2-HF) and daily living skills and the relationship between the SCQ-L Communication subscale and Vineland Adaptive Behavior Scale- Communication subscale (VABS-Communication) were weaker than expected. A cutoff of ?15 for differentiating youth with ASD from those without ASD was ideal for the sample studied. At this cut-off sensitivity was 0.70 and specificity was 0.67. Conclusions Overall, this study provides further psychometric support for the use of the SCQ-L and clarifies the appropriate cut-off score that will optimize sensitivity and specificity to identify youth with and without ASD in an outpatient setting, where the use of the SCQ is commonly utilized. En ligne : http://dx.doi.org/10.1016/j.rasd.2016.03.011 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=289
in Research in Autism Spectrum Disorders > 27 (July 2016) . - p.21-28[article] Optimizing the screening of autism spectrum disorders in outpatient clinics: An examination of the Social Communication Questionnaire-Lifetime [Texte imprimé et/ou numérique] / Danielle UNG, Auteur ; Carly JOHNCO, Auteur ; Nicole M. MCBRIDE, Auteur ; Flora HOWIE, Auteur ; Leanne SCALLI, Auteur ; Eric A. STORCH, Auteur . - p.21-28.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 27 (July 2016) . - p.21-28
Mots-clés : Autism spectrum disorder Screening measures Sensitivity Specificity Social communication questionnaire Index. décimale : PER Périodiques Résumé : AbstractBackground The Social Communication Questionnaire-Lifetime (SCQ-L) is a parent report form commonly used to screen for autism spectrum disorder (ASD) symptomology. Further psychometric validation in outpatient settings is essential given the need to prioritize time- and cost-efficient measures. This archival review study examined the internal consistency, construct validity, and predictive validity of the SCQ-L. Method Participants were the parents of 76 youth aged 4–12 years who presented with developmental concerns at an outpatient ASD clinic (33 diagnosed with ASD and 43 not diagnosed with ASD). Results Results suggested good internal consistency for the SCQ-L total score and SCQ-L Reciprocal Social Interaction subscale, but questionable internal consistency for the SCQ-L Communication and Restricted, Repetitive, Stereotyped Behavior subscales. There was evidence of construct validity for the SCQ-L total score and subscale scores with other measures of social and adaptive functioning, although the relationships between the SCQ-L scores and ASD severity using the Childhood Autism Rating Scale, 2nd edition-High Functioning Form (CARS2-HF) and daily living skills and the relationship between the SCQ-L Communication subscale and Vineland Adaptive Behavior Scale- Communication subscale (VABS-Communication) were weaker than expected. A cutoff of ?15 for differentiating youth with ASD from those without ASD was ideal for the sample studied. At this cut-off sensitivity was 0.70 and specificity was 0.67. Conclusions Overall, this study provides further psychometric support for the use of the SCQ-L and clarifies the appropriate cut-off score that will optimize sensitivity and specificity to identify youth with and without ASD in an outpatient setting, where the use of the SCQ is commonly utilized. En ligne : http://dx.doi.org/10.1016/j.rasd.2016.03.011 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=289 ASD symptoms in toddlers and preschoolers: An examination of sex differences / Rosmary ROS-DEMARIZE in Autism Research, 13-1 (January 2020)
[article]
Titre : ASD symptoms in toddlers and preschoolers: An examination of sex differences Type de document : Texte imprimé et/ou numérique Auteurs : Rosmary ROS-DEMARIZE, Auteur ; Catherine BRADLEY, Auteur ; Stephen M. KANNE, Auteur ; Zachary WARREN, Auteur ; Andrea BOAN, Auteur ; Clara LAJONCHERE, Auteur ; Justine PARK, Auteur ; Laura A. CARPENTER, Auteur Article en page(s) : p.157-166 Langues : Anglais (eng) Mots-clés : autism spectrum disorder restricted repetitive behaviors screening measures sex differences social communication deficits Index. décimale : PER Périodiques Résumé : Although considerable work has documented higher prevalence rates of autism spectrum disorder (ASD) in boys, fewer studies have focused on sex differences within samples of young children at-risk for ASD. This study examined sex differences in ASD symptom domains and ASD screening outcomes among toddlers (18-35 months) and preschoolers (36-72 months) with ASD-related concerns. Participants included 480 children between 18 and 72 months evaluated by university-based ASD specialty clinics. Results revealed significant sex differences in severity of social communication (SC) deficits across age groups. Within the toddler group, girls diagnosed with ASD displayed greater SC deficits according to standardized observation and clinician severity ratings. Within the preschool group, girls diagnosed with ASD were rated by parents as having more severe SC deficits, but these differences were not corroborated by standardized observations or clinician ratings. No sex differences emerged for severity of restricted repetitive behaviors (RRBs) for either age group. Across the entire referred sample, boys and girls did not differ in terms of scores on commonly used screening instruments. Importantly, results suggest that two of the most commonly used ASD screeners (i.e., Modified-Checklist for Autism in Toddlers-Revised with Follow-up and Social Communication Questionnaire ) may underidentify RRBs in toddler and preschool-aged girls as screening scores were only influenced by severity of SC deficits. Greater SC deficits in young girls with ASD along with its impact on screening status suggests greater attention be placed on the under-identification of ASD in girls as well as current screening measures' ability to tap into the topography of ASD symptoms across genders. Autism Res 2020, 13: 157-166. (c) 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: In this study, we found that young girls diagnosed with autism spectrum disorder tend to have greater social communication deficits than young boys and that these differences vary by age. Specifically, toddler-aged girls receive higher clinician ratings of social communication deficits when compared to boys, while preschool-aged girls receive higher parent ratings of social communication deficits. For girls, current screening tools seem to be more highly influenced by severity of social communication deficits than by restricted repetitive behaviors. En ligne : http://dx.doi.org/10.1002/aur.2241 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=415
in Autism Research > 13-1 (January 2020) . - p.157-166[article] ASD symptoms in toddlers and preschoolers: An examination of sex differences [Texte imprimé et/ou numérique] / Rosmary ROS-DEMARIZE, Auteur ; Catherine BRADLEY, Auteur ; Stephen M. KANNE, Auteur ; Zachary WARREN, Auteur ; Andrea BOAN, Auteur ; Clara LAJONCHERE, Auteur ; Justine PARK, Auteur ; Laura A. CARPENTER, Auteur . - p.157-166.
Langues : Anglais (eng)
in Autism Research > 13-1 (January 2020) . - p.157-166
Mots-clés : autism spectrum disorder restricted repetitive behaviors screening measures sex differences social communication deficits Index. décimale : PER Périodiques Résumé : Although considerable work has documented higher prevalence rates of autism spectrum disorder (ASD) in boys, fewer studies have focused on sex differences within samples of young children at-risk for ASD. This study examined sex differences in ASD symptom domains and ASD screening outcomes among toddlers (18-35 months) and preschoolers (36-72 months) with ASD-related concerns. Participants included 480 children between 18 and 72 months evaluated by university-based ASD specialty clinics. Results revealed significant sex differences in severity of social communication (SC) deficits across age groups. Within the toddler group, girls diagnosed with ASD displayed greater SC deficits according to standardized observation and clinician severity ratings. Within the preschool group, girls diagnosed with ASD were rated by parents as having more severe SC deficits, but these differences were not corroborated by standardized observations or clinician ratings. No sex differences emerged for severity of restricted repetitive behaviors (RRBs) for either age group. Across the entire referred sample, boys and girls did not differ in terms of scores on commonly used screening instruments. Importantly, results suggest that two of the most commonly used ASD screeners (i.e., Modified-Checklist for Autism in Toddlers-Revised with Follow-up and Social Communication Questionnaire ) may underidentify RRBs in toddler and preschool-aged girls as screening scores were only influenced by severity of SC deficits. Greater SC deficits in young girls with ASD along with its impact on screening status suggests greater attention be placed on the under-identification of ASD in girls as well as current screening measures' ability to tap into the topography of ASD symptoms across genders. Autism Res 2020, 13: 157-166. (c) 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: In this study, we found that young girls diagnosed with autism spectrum disorder tend to have greater social communication deficits than young boys and that these differences vary by age. Specifically, toddler-aged girls receive higher clinician ratings of social communication deficits when compared to boys, while preschool-aged girls receive higher parent ratings of social communication deficits. For girls, current screening tools seem to be more highly influenced by severity of social communication deficits than by restricted repetitive behaviors. En ligne : http://dx.doi.org/10.1002/aur.2241 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=415 Early communication development in infants and toddlers with Fragile X syndrome / Laura J. MATTIE in Autism & Developmental Language Impairments, 7 (January-December 2022)
[article]
Titre : Early communication development in infants and toddlers with Fragile X syndrome Type de document : Texte imprimé et/ou numérique Auteurs : Laura J. MATTIE, Auteur ; Lisa R. HAMRICK, Auteur Langues : Anglais (eng) Mots-clés : Early communication fragile X syndrome language development early identification screening measures Index. décimale : PER Périodiques Résumé : Background and AimsIndividuals with fragile X syndrome (FXS) characteristically struggle with language and communication throughout the life course, but there is limited research on the development of communication before 24 months. The purpose of this study is to describe the early communication of infants and toddlers with FXS using the Communication and Symbolic Behavior Scales-Caregiver Questionnaire (CSBS-CQ), a standardized communication screening measure, as compared to the reported normative data of the CSBS-CQ and identify the percentage of infants and toddlers who scored within the range of concern. Documenting how children with FXS perform on screening measures can provide a quick snapshot of skills to help clinicians determine the need for services.MethodsParticipants were 22 infants and toddlers with FXS between 6 and 29 months. Performance on the CSBS-CQ was compared to the measure's normative data. The CSBS-CQ was completed by mothers, and children were administered the Mullen Scales of Early Learning. Because co-occurring autism is common in FXS, the presence of autism was determined using a clinical best estimate procedure.ResultsOverall and within the domains and subdomains of the CSBS-CQ, infants and toddlers with FXS had significantly lower scores than the normative data. Further, 68.2% of our sample was in the range of concern for their overall communication score. The presence of autism led to consistently lower scores, and more infants and toddlers with FXS?+?autism scored within the range of concern.ConclusionsOur findings suggest that delays in early communication are evident in comparison to typically developing norms before 24 months. These findings also emphasize that infants and toddlers with FXS would likely benefit from early language intervention given that 68.2% of our sample was in the range of concern for their overall communication score.ImplicationsEarly identification and developmental monitoring of children with FXS will help to determine concerns in communication and other domains of development. While early communication broadly may not be an early indicator of autism in FXS, some specific skills, such as eye gaze, may serve as such an indicator. Screening measures, like the CSBS-CQ, may help monitor both early communication impairments and autism symptoms. Infants and toddlers with FXS, regardless of autism status, will benefit from early language interventions. En ligne : https://doi.org/10.1177/23969415221099403 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=477
in Autism & Developmental Language Impairments > 7 (January-December 2022)[article] Early communication development in infants and toddlers with Fragile X syndrome [Texte imprimé et/ou numérique] / Laura J. MATTIE, Auteur ; Lisa R. HAMRICK, Auteur.
Langues : Anglais (eng)
in Autism & Developmental Language Impairments > 7 (January-December 2022)
Mots-clés : Early communication fragile X syndrome language development early identification screening measures Index. décimale : PER Périodiques Résumé : Background and AimsIndividuals with fragile X syndrome (FXS) characteristically struggle with language and communication throughout the life course, but there is limited research on the development of communication before 24 months. The purpose of this study is to describe the early communication of infants and toddlers with FXS using the Communication and Symbolic Behavior Scales-Caregiver Questionnaire (CSBS-CQ), a standardized communication screening measure, as compared to the reported normative data of the CSBS-CQ and identify the percentage of infants and toddlers who scored within the range of concern. Documenting how children with FXS perform on screening measures can provide a quick snapshot of skills to help clinicians determine the need for services.MethodsParticipants were 22 infants and toddlers with FXS between 6 and 29 months. Performance on the CSBS-CQ was compared to the measure's normative data. The CSBS-CQ was completed by mothers, and children were administered the Mullen Scales of Early Learning. Because co-occurring autism is common in FXS, the presence of autism was determined using a clinical best estimate procedure.ResultsOverall and within the domains and subdomains of the CSBS-CQ, infants and toddlers with FXS had significantly lower scores than the normative data. Further, 68.2% of our sample was in the range of concern for their overall communication score. The presence of autism led to consistently lower scores, and more infants and toddlers with FXS?+?autism scored within the range of concern.ConclusionsOur findings suggest that delays in early communication are evident in comparison to typically developing norms before 24 months. These findings also emphasize that infants and toddlers with FXS would likely benefit from early language intervention given that 68.2% of our sample was in the range of concern for their overall communication score.ImplicationsEarly identification and developmental monitoring of children with FXS will help to determine concerns in communication and other domains of development. While early communication broadly may not be an early indicator of autism in FXS, some specific skills, such as eye gaze, may serve as such an indicator. Screening measures, like the CSBS-CQ, may help monitor both early communication impairments and autism symptoms. Infants and toddlers with FXS, regardless of autism status, will benefit from early language interventions. En ligne : https://doi.org/10.1177/23969415221099403 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=477 The validity of the social communication questionnaire in adults with intellectual disability / Whitney T. BROOKS in Research in Autism Spectrum Disorders, 7-2 (February 2013)
[article]
Titre : The validity of the social communication questionnaire in adults with intellectual disability Type de document : Texte imprimé et/ou numérique Auteurs : Whitney T. BROOKS, Auteur ; Betsey A. BENSON, Auteur Année de publication : 2013 Article en page(s) : p.247-255 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorders (ASD) Intellectual disability (ID) Adults Social Communication Questionnaire (SCQ) Screening measures Validity Index. décimale : PER Périodiques Résumé : This study assessed the validity of the Social Communication Questionnaire (SCQ) in a sample of 69 adults, aged 18'40 years old. Participants included 21 adults diagnosed with an autism spectrum disorder (ASD) and intellectual disability (ID), and 48 individuals diagnosed with ID and no diagnosis of an ASD. The SCQ yielded a sensitivity of .71 and a specificity of .77 at the authors' recommended cutoff score of 15 (Berument et al., 1999). However, when sensitivity was prioritized over specificity, the optimal cutoff score was 12, which yielded a sensitivity of .86 and a specificity of .60. The internal consistencies of the total scale (' = .87), the social interaction subscale (' = .83), and the restricted repetitive behavior subscale (' = .81) were good, but the communication subscale performed poorly (' = .48). The SCQ shows promise as a screening measure for adults with ID whose early developmental history may be unavailable. A lower cutoff score than the authors originally proposed is recommended in adults. En ligne : http://dx.doi.org/10.1016/j.rasd.2012.10.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=186
in Research in Autism Spectrum Disorders > 7-2 (February 2013) . - p.247-255[article] The validity of the social communication questionnaire in adults with intellectual disability [Texte imprimé et/ou numérique] / Whitney T. BROOKS, Auteur ; Betsey A. BENSON, Auteur . - 2013 . - p.247-255.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 7-2 (February 2013) . - p.247-255
Mots-clés : Autism Spectrum Disorders (ASD) Intellectual disability (ID) Adults Social Communication Questionnaire (SCQ) Screening measures Validity Index. décimale : PER Périodiques Résumé : This study assessed the validity of the Social Communication Questionnaire (SCQ) in a sample of 69 adults, aged 18'40 years old. Participants included 21 adults diagnosed with an autism spectrum disorder (ASD) and intellectual disability (ID), and 48 individuals diagnosed with ID and no diagnosis of an ASD. The SCQ yielded a sensitivity of .71 and a specificity of .77 at the authors' recommended cutoff score of 15 (Berument et al., 1999). However, when sensitivity was prioritized over specificity, the optimal cutoff score was 12, which yielded a sensitivity of .86 and a specificity of .60. The internal consistencies of the total scale (' = .87), the social interaction subscale (' = .83), and the restricted repetitive behavior subscale (' = .81) were good, but the communication subscale performed poorly (' = .48). The SCQ shows promise as a screening measure for adults with ID whose early developmental history may be unavailable. A lower cutoff score than the authors originally proposed is recommended in adults. En ligne : http://dx.doi.org/10.1016/j.rasd.2012.10.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=186