Psychiatry Investig.  2018 Jan;15(1):54-61. 10.4306/pi.2018.15.1.54.

Reliability and Validity of a New Comprehensive Tool for Assessing Challenging Behaviors in Autism Spectrum Disorder

Affiliations
  • 1Department of Public Health Medical Services, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
  • 2Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National College of Medicine, Seoul, Republic of Korea. kbn1@snu.ac.kr
  • 3Department of Education, Inha University, Incheon, Republic of Korea.
  • 4Department of Education, Dongguk University, Seoul, Republic of Korea.
  • 5Department of Psychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
  • 6Department of Psychiatry, Pusan National University Hospital, Busan, Republic of Korea.
  • 7Department of Psychiatry, Seoul St. Mary's Hospital, Seoul, Republic of Korea.
  • 8Seoultop Psychiatric Clinic, Seoul, Republic of Korea.

Abstract


OBJECTIVE
The purpose of this study was to examine the validity and reliability of the Korean Comprehensive Scale for the Assessment of Challenging Behavior in Developmental Disorders (K-CSCB).
METHODS
In total, the parents of 189 patients with autism spectrum disorder (ASD) and 168 controls completed the K-CSCB, the Behavior Problems Inventory (BPI) and Child Behavior Checklist (CBCL). The reliability and validity of the K-CSCB was investigated.
RESULTS
The K-CSCB was found to be a reliable instrument (Cronbach's α=0.97). There was a significant difference between the ASD and control groups in all subscale scores. Scores on the K-CSCB subscales were significantly correlated with those on the BPI and CBCL. The diagnostic validity was 97.7%, and the cut-off score with the highest sensitivity and specificity was 12.5 points.
CONCLUSION
The K-CSCB is the first tool in Korean to assess problematic behavior in individuals with ASD, and this study shows that it is a valid and reliable instrument. We expect the K-CSCB to be widely used in clinical and research settings.

Keyword

Neurodevelopmental disorder; Psychometrics; Child and adolescent psychiatry

MeSH Terms

Autism Spectrum Disorder*
Autistic Disorder*
Checklist
Child
Child Behavior
Humans
Neurodevelopmental Disorders
Parents
Psychometrics
Reproducibility of Results*
Sensitivity and Specificity
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