J Korean Neuropsychiatr Assoc.  2019 Aug;58(3):192-201. 10.4306/jknpa.2019.58.3.192.

Screening Instruments for Autism Spectrum Disorder: Mini Review

  • 1National Center for Mental Health, Seoul, Korea. yenikim@korea.kr


Most screening instruments for autism spectrum disorder (ASD) have been developed and evaluated in western countries. Therefore, difficulties are often experienced when using these instruments because of the cultural differences in the symptoms of ASD. This paper reviews the screening instruments for ASD used in South Korea and explores a new direction in the screening of ASD in South Korea. Among the many published screening instruments for ASD, the screening instruments with a validated Korean version were chosen and reviewed. A total of nine autism-screening instruments met the criteria for the inclusion criteria. Nine screening instruments were summarized and the direction for the Korean version of screening instruments was discussed.


Autism spectrum disorder; Autism screening instruments; Korean version; Review

MeSH Terms

Autism Spectrum Disorder*
Autistic Disorder*
Mass Screening*


1.Employment Development Institution. Disability statistics at a glance 2018. Seongnam: Employment Development Institution;2018. p. 4–5.
2.American Psychiatric Association. Diagnostic and statistical manual of mental disorders, DSM-5. 5th ed.Washington, DC: American Psychiatric Association;2013.
3.National Collaborating Centre for Mental Health. Autism: the NICE guideline on recognition, referral, diagnosis and management of adults on the autism spectrum. London: The Royal College of Psychia-trists;2012.
4.de Vaan G., Vervloed MP., Hoevenaars-van den Boom M., Antonissen A., Knoors H., Verhoeven L. A critical review of screening and diagnostic instruments for autism spectrum disorders in people with sensory impairments in addition to intellectual disabilities. J Ment Health Res Intellect Disabil. 2016. 9:36–59.
5.Committee on Educational Interventions for Children with Autism, Division of Behavioral and Social Sciences and Education, National Research Council. Educating children with autism. Washington, DC: National Academy Press;2001. p.195.
6.Baron-Cohen S., Cox A., Baird G., Swettenham J., Nightingale N., Morgan K, et al. Psychological markers in the detection of autism in infancy in a large population. Br J Psychiatry. 1996. 168:158–163.
7.Matson JL., Boisjoli JA., Wilkins J. Baby and infant screen for children with aUtIsm Traits (BISCUIT). Baton Rouge, LA: Disability Consultants, LLC;2007. p. 376–386.
8.Robins DL., Fein D., Barton ML., Green JA. The Modified Checklist for Autism in Toddlers: an initial study investigating the early detection of autism and pervasive developmental disorders. J Autism Dev Disord. 2001. 31:131–144.
9.Sappok T., Heinrich M., Underwood L. Screening tools for autism spectrum disorders. Adv Autism. 2015. 1:12–29.
10.Varma A., Iskandar JW. Challenges in diagnosis of autism and the struggle of using western screening tools in different cultures. Psychiatrist's perspective. Indian Pediatr. 2014. 51:356–357.
11.Matson JL., Worley JA., Fodstad JC., Chung K., Suh D., Jhin HK, et al. A multinational study examining the cross cultural differences in reported symptoms of autism spectrum disorders: Israel, South Korea, the United Kingdom, and the United States of America. Res Autism Spectr Disord. 2011. 5:1598–1604.
12.Baron-Cohen S., Allen J., Gillberg C. Can autism be detected at 18 months? The needle, the haystack, and the CHAT. Br J Psychiatry. 1992. 161:839–843.
13.Kim A., Kim H., Lee S. Development of K-CHAT. Korean J Dev Psychol. 2002. 15:17–32.
14.Kim S., Seung H., Hong G. Preliminary examination of clinical use of the Korean-Modified-Checklist of Autism in Toddlers. Commun Sci & Dis. 2013. 18:172–182.
15.Kim HU. M-CHAT [cited 2019 May 30]. Available from:. https://mchatscreen.com/wp-content/uploads/2015/05/M-CHAT_Korean_HKim.pdf.
16.Park H., Hong G., Hong S., Kim S. The validity of the Korean version of Modified-Checklist for Autism in Toddlers-Revised (KM-CHAT-R). Korean J Early Childhood Spec Educ. 2015. 15:1–20.
17.Robins DL., Fein D., Barton M. M-CHAT-R/F™[cited 2019 May 30]. Available from:. https://mchatscreen.com/mchat-rf/.
18.Hong G., Kim SJ., Seung H. M-CHAT-R™[cited 2019 May 30]. Available from:. https://mchatscreen.com/wp-content/uploads/2015/05/M-CHAT-R_F_Korean.pdf.
19.Allison C., Baron-Cohen S., Wheelwright S., Charman T., Richler J., Pasco G, et al. The Q-CHAT (Quantitative CHecklist for Autism in Toddlers): a normally distributed quantitative measure of autistic traits at 18-24 months of age: preliminary report. J Autism Dev Disord. 2008. 38:1414–1425.
20.Baird G., Charman T., Baron-Cohen S., Cox A., Swettenham J., Wheelwright S, et al. A screening instrument for autism at 18 months of age: a 6-year follow-up study. J Am Acad Child Adolesc Psychiatry. 2000. 39:694–702.
21.Park S., Won E., Lee JH., Yoon S., Park EJ., Kim Y. Reliability and validity of the Korean translation of Quantitative Checklist for Autism in Toddlers: a preliminary study. J Korean Acad Child Adolesc Psychiatry. 2018. 29:80–85.
22.Schopler E., Reichler RJ., DeVellis RF., Daly K. Toward objective classification of childhood autism: Childhood Autism Rating Scale (CARS). J Autism Dev Disord. 1980. 10:91–103.
23.Kanner L. Autistic disturbances of affective contact. Nerv Child. 1943. 2:217–250.
24.Creak M. Schizophrenic syndrome in childhood: further progress of a working party. Dev Med Child Neuro. 1964. 6:530–535.
25.Schopler E., Reichler RJ., Renner BR. Childhood Autism Rating Scale (CARS) manual. Los Angeles: Western Psychological Servic-es;1988.
26.Schopler E., Van Bourgondien ME., Wellman GJ., Love SR. Childhood Autism Rating Scale. 2nd ed.Los Angeles: Western Psychological Services;2010.
27.Shin M., Kim Y. Standardization study for the Korean version of Childhood Autism Rating Scale: reliability, validity and cut-off score. Korean J Clin Psychol. 1998. 17:1–15.
28.Kwon HJ., Yoo HJ., Kim JH., Noh DH., Sunwoo HJ., Jeon YS, et al. Re-adjusting the cut-off score of the Korean version of the Childhood Autism Rating Scale for high-functioning individuals with autism spectrum disorder. Psychiatry Clin Neurosci. 2017. 71:725–732.
29.Lee SH., Yoon SA., Shin MS. Korean Childhood Autism Rating Scale. 2nd ed.Seoul: Inpsyt;2019.
30.Gilliam JE. Gilliam Autism Rating Scale: examiner's manual. Austin: Pro-ed;1995.
31.American Psychiatric Association. Diagnosis and statistical manual of mental disorders: DSM-IV. 4th ed.Washington, DC: American Psychiatric Association;1994.
32.Eaves RC., Woods-Groves S., William TO Jr., Fall AM. Reliability and validity of the pervasive developmental disorders rating scale and the gilliam autism rating scale. Educ Train Dev Disabil. 2006. 41:300–309.
33.Yoon C. Development of Korean version of GARS: a preliminary study. Emo Behav Disord. 1997. 13:119–135.
34.Gilliam JE. Gilliam Autism Rating Scale: GARS 2. Austin, TX: Pro-ed;2006.
35.Pandolfi V., Magyar CI., Dill CA. Constructs assessed by the GARS-2: factor analysis of data from the standardization sample. J Autism Dev Disord. 2010. 40:1118–1130.
36.Jhin H., Yoon H., Park J. Korean-Gilliam Autism Rating Scale-2 (K-GARS-2) standardization. J Korean Soc Biol Ther Psychiatry. 2011. 17:189–194.
37.Berument SK., Rutter M., Lord C., Pickles A., Bailey A. Autism screening questionnaire: diagnostic validity. Br J Psychiatry. 1999. 175:444–451.
38.Weggins LD., Bakerman R., Adamson LB., Robins DL. The utility of the social communication questionnaire in screening for autism in children referred for early intervention. Focus Autism Dev Disabil. 2007. 22:33–38.
39.Osterling JA., Dawson G., Munson JA. Early recognition of 1-year-old infants with autism spectrum disorder versus mental retardation. Dev Psychopathol. 2002. 14:239–251.
40.Kim JH., SunWoo HJ., Park SB., Noh DH., Jung YK., Cho IH, et al. A validation study of the Korean version of Social Communication Questionnaire. J Korean Acad Child Adolesc Psychiatry. 2015. 26:197–208.
41.Soto S., Linas K., Jacobstein D., Biel M., Migdal T., Anthony BJ. A review of cultural adaptations of screening tools for autism spectrum disorders. Autism. 2015. 19:646–661.
42.Guillemin F., Bombardier C., Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993. 46:1417–1432.
43.Stewart LA., Lee LC. Screening for autism spectrum disorder in low-and middle-income countries: a systematic review. Autism. 2017. 21:527–539.
44.Juneja M., Sharma S., Mukherjee SB. Sensitivity of the autism behavior checklist in Indian autistic children. J Dev Behav Pediatr. 2010. 31:48–49.
45.Marteleto MR., Pedromônico MR. Validity of Autism Behavior Checklist (ABC): preliminary study. Braz J Psychiatry. 2005. 27:295–301.
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