Psychometric characteristics of the aberrant behavior checklist in a well-defined sample of youth with autism Spectrum disorder

Norris, Megan; Aman, Michael G.; Mazurek, Micah O.; Scherr, Jessica; Butter, Eric

doi:10.1016/j.rasd.2019.02.001

Cited by 31 publications

(15 citation statements)

References 19 publications

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“…The Cronbach's alpha in previous studies of the psychometric properties of ABC in autism populations ranged from 0.73 to 0.94, which is comparable to the Cronbach's α ranging from 0.75 to 0.96 in our analysis. Similar to the previous findings, we found the lowest, but acceptable, Cronbach's α in the inappropriate speech subscale ( 14 , 15 , 26 ).…”

Section: Discussionsupporting

confidence: 91%

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Reliability and Validity of the Simplified Chinese Version of the Aberrant Behavior Checklist in Chinese Autism Population

Kat

Guo

et al. 2020

Front. Psychiatry

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Background: The Aberrant Behavior Checklist (ABC) is a widely used scale in autism clinical intervention research for the assessment of core symptoms and comorbid emotional and behavioral problems among people with autism. The aim of this study was to examine the psychometric properties of the Simplified Chinese version of the Aberrant Behavior Checklist (SC-ABC) using a sample of people with autism in a Chinese population. Methods: In total, we enrolled 799 patients aged 1.5–33 years old. We collected data using the SC-ABC ( n = 799), Autism Behavior Checklist ( n = 743), Attention Deficit Hyperactivity Disorder Rating Scale-IV (ADHD-RS-IV) ( n = 433) and Achenbach Child Behavior Checklist (CBCL) ( n = 319). Eighty-four patients were separately assessed with the SC-ABC by two caregivers simultaneously. Forty-four patients were assessed with the SC-ABC again by same caregiver 2 weeks after the first assessment. SC-ABC data from the whole sample were used for confirmatory factor analysis. We evaluated criterion validity using Spearman's correlation coefficient between scores of the SC-ABC and scores of the Autism Behavior Checklist, ADHD-RS-IV and CBCL separately in the whole sample and different age groups. We calculated the intragroup correlation coefficients and Spearman's correlation coefficient for interrater reliability in 84 samples and test-retest reliability in 44 samples. We conducted Cronbach's α for internal consistency. Results: For the SC-ABC, the intragroup correlation coefficients of five subscales and the total score in interrater and test-retest reliability ranged from 0.87 to 0.92 and from 0.93 to 0.97 (all P < 0.01). The Spearman's correlation coefficient of five subscales and the total score in interrater and test-retest reliability ranged from 0.78 to 0.85 and 0.86 to 0.94, respectively (all P < 0.01). Cronbach's α of five subscales and the total score ranged from 0.75 to 0.96 (all P < 0.01). The Spearman's correlation coefficient for criterion validity for the whole sample and different age groups ranged from 0.39 to 0.76 (all P < 0.01). The model fit for the original five factor model was acceptable, with fit indices of SMR = 0.062 and RMSEA = 0.052. Conclusions: The SC-ABC has satisfactory psychometric properties and can be used in the assessment of core symptoms and comorbid emotional and behavioral problems in patients with autism.

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Section: Discussionsupporting

confidence: 91%

“…It has been translated into more than 20 languages ( 12 ). Its psychometric properties in autism have been established ( 13 – 15 ). The revision of the Traditional Chinese edition has also been carried out in Hong Kong with satisfactory results ( 16 ).…”

Section: Introductionmentioning

confidence: 99%

Reliability and Validity of the Simplified Chinese Version of the Aberrant Behavior Checklist in Chinese Autism Population

Kat

Guo

et al. 2020

Front. Psychiatry

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“…Parent ratings of child problem behaviors were measured using the raw scores of the Aberrant Behavior Checklist (ABC; Aman et al, 1985) and the following scores from the Vineland Adaptive Behavior Scales-Second Edition (VABS-II; Sparrow et al, 1984): standard score on the maladaptive behavior domain and v-scale scores of the internalizing and externalizing subscales. Internal consistency values for the ABC ranged from acceptable to excellent (irritability = 0.92, lethargy/ social withdrawal = 0.88, stereotypic behavior = 0.86, hyperactivity/noncompliance = 0.93, and inappropriate speech = 0.73) in a recent study of youth with ASD (Norris et al, 2019). Similarly, the Cronbach's alpha values of the VABS were high in a sample of individuals with diverse developmental disabilities (communication = 0.98, daily living skills = 0.98, socialization = 0.97, and Vineland total = 0.99; de Bildt et al, 2005).…”

Section: Secondary Measuresmentioning

confidence: 99%

Parenting stress in autism spectrum disorder may account for discrepancies in parent and clinician ratings of child functioning

Schwartzman

Hardan

Gengoux

2021

Autism

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Elevated parenting stress among parents of children with autism spectrum disorder is well-documented; however, there is limited information about variability in parenting stress and relationships with parent ratings of child functioning. The aim of this study was to explore profiles of parenting stress among 100 parents of young children with autism spectrum disorder enrolled in two clinical trials and potential relationships between parenting stress and parent ratings of child functioning at the baseline timepoint. Secondary aims examined differential patterns of association between parenting stress profiles and parent versus clinician ratings of child functioning. A k-means cluster analysis yielded three different profiles of parenting stress (normal, elevated, and clinically significant) using scores on the Parenting Stress Index–Short Form. One-way analyses of variance revealed differential patterns of parent ratings across the three parenting stress profiles on certain domains of child functioning (e.g. problem behaviors and social impairment) and family empowerment, but similar ratings of child receptive and expressive language abilities. Clinicians blinded to study conditions also rated child functioning, but clinician ratings did not differ by parenting stress profile. Findings emphasize the importance of identifying parenting stress profiles and understanding their relationship with parent ratings, with implications for interpreting parent-report measures and measuring child response in treatment trials. Lay abstract Elevated parenting stress among parents of children with autism spectrum disorder is well-documented; however, there is limited information about differences in parenting stress and potential relationships with parent ratings of child functioning. The aim of this study was to explore profiles of parenting stress among 100 parents of young children with autism spectrum disorder enrolled in two clinical trials and to explore relationships between parenting stress level and parent ratings of child functioning before treatment. Secondary aims examined differential patterns of association between parenting stress profiles and parent versus clinician ratings of child functioning. We show that stress may influence parent ratings of certain child behaviors (e.g. problem behaviors) and not others (e.g. language), yet clinician ratings of these same children do not differ. This new understanding of parenting stress has implications for parent-rated measures, tracking treatment outcome, and the design of clinical trials.

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“…The irritability section contains 15 questions using a 0 to 3 Likert scale with score range of 0 to 45 and in 1 validation sample of children with autism a mean score of 11.8 and standard deviation of 9.2. 10 Pertinent data were gleaned through a review of electronic medical records. Verbal consent was obtained from parents/legal guardians to allow the authors to describe the medical narrative of these patients.…”

Section: Case Descriptionsmentioning

confidence: 99%

The Use of N-acetylcysteine Supplementation to Decrease Irritability in Four Youths With Autism Spectrum Disorders

Pesko¹,

Burbige²,

Beresford³

et al. 2020

The Journal of Pediatric Pharmacology and Therapeutics

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Children and adolescents with autism spectrum disorder (ASD) often experience high levels of irritability, which adversely affects their functioning and behaviors. N-acetylcysteine (NAC), an antioxidant precursor to glutathione, has recently been studied for a variety of neuropsychiatric disorders. There is growing evidence to support its use to decrease irritability and self-injurious behaviors in youth with ASD. However, previous studies were limited to outpatient youth with mild symptoms of irritability, maintained on stable medication regimens, who do not meet criteria for higher levels of care. We describe the use of NAC among 4 youths (14–17 years) with ASD who had Aberrant Behavior Checklist-Irritability (ABC-I) scores of ≥ 20 and other psychotropic medication trials prior to treatment with NAC. In all of the cases, NAC appeared to be well tolerated. There was a reduction of symptoms of irritability and/or antipsychotic medication dosages in these cases; despite this, the authors cannot know whether use of NAC or other medication or behavioral strategies were responsible for such changes because this study was not a controlled trial.

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Psychometric characteristics of the aberrant behavior checklist in a well-defined sample of youth with autism Spectrum disorder

Cited by 31 publications

References 19 publications

Reliability and Validity of the Simplified Chinese Version of the Aberrant Behavior Checklist in Chinese Autism Population

Reliability and Validity of the Simplified Chinese Version of the Aberrant Behavior Checklist in Chinese Autism Population

Parenting stress in autism spectrum disorder may account for discrepancies in parent and clinician ratings of child functioning

The Use of N-acetylcysteine Supplementation to Decrease Irritability in Four Youths With Autism Spectrum Disorders

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