An initial psychometric evaluation of the CBCL 6-18 in a sample of youth with autism spectrum disorders
An initial psychometric evaluation of the CBCL 6-18 in a sample of youth with autism spectrum disorders
复制标题
DOI：
10.1016/j.rasd.2011.03.009
复制
发表时间：
2012-01-01
影响因子：
2.5
通讯作者：
Dill, Charles A.
中科院分区：
文献类型：
--
作者：
Pandolfi, Vincent;Magyar, Caroline I.;Dill, Charles A.
患有自闭症谱系障碍（ASD）的个体通常会出现共同发生的情绪和行为障碍（EBD）。儿童行为检查表6-18（CBCL：Achenbach & Rescorla，2001）是一种EBD测量方法，包含通过对一般儿科人群数据进行因素分析得出的几个规范参考量表。这种广泛使用和研究的测量方法的心理测量特性尚未在ASD青年样本中进行评估。本研究评估了CBCL的内部结构，规模的可靠性，标准相关的有效性和诊断的准确性，使用档案数据从一个良好的特征样本的青年ASD（N = 122）。验证性因素分析支持CBCL症状量表的单维度性及其内在-外在因素结构。显著性检验表明，许多尺度区分两个亚组：一组ASD + EBD的个体和一组单独的ASD。诊断准确性分析表明，CBCL具有良好的敏感性，但检测共病的特异性低。结果支持使用CBCL与其他临床数据相结合时，评估EBD的青年ASD。(C)2011爱思唯尔有限公司保留所有权利。
Individuals with an autism spectrum disorder (ASD) often present with co-occurring emotional and behavioral disorders (EBD). The Child Behavior Checklist 6-18 (CBCL: Achenbach & Rescorla, 2001) is an EBD measure that contains several norm-referenced scales derived through factor analysis of data from the general pediatric population. The psychometric properties of this widely used and well-researched measure have not been evaluated in samples of youth with ASD. This study evaluated the CBCL's internal structure, scale reliability, criterion-related validity, and diagnostic accuracy using archival data from a well-characterized sample of youth with ASD (N = 122). Confirmatory factor analyses supported the unidimensionality of the CBCL's syndrome scales and its internalizing-externalizing factor structure. Significance tests indicated that many scales discriminated between two subgroups: a group of individuals with ASD + EBD and a group with ASD alone. Diagnostic accuracy analyses indicated that the CBCL had good sensitivity but low specificity for detecting co-occurring disorders. Results supported the use of the CBCL in conjunction with other clinical data when assessing for EBD in youth with ASD. (C) 2011 Elsevier Ltd. All rights reserved.