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Validation of the Quantitative Checklist for Autism in Toddlers in an Italian Clinical Sample of Young Children With Autism and Other Developmental Disorders.

Title: Validation of the Quantitative Checklist for Autism in Toddlers in an Italian Clinical Sample of Young Children With Autism and Other Developmental Disorders.
Authors: Ruta, Liliana; Chiarotti, Flavia; Arduino, Giuseppe Maurizio; Apicella, Fabio; Leonardi, Elisa; Maggio, Roberta; Carrozza, Cristina; Chericoni, Natasha; Costanzo, Valeria; Turco, Nazarena; Tartarisco, Gennaro; Gagliano, Antonella; Allison, Carrie; Baron Cohen, Simon; Pioggia, Giovanni; Muratori, Filippo
Publisher Information: Frontiers; //doi.org/10.3389/fpsyt.2019.00488
Publication Year: 2019
Collection: Apollo - University of Cambridge Repository
Subject Terms: Autism Spectrum Disorders (ASD); Quantitative Checklist for Autism in Toddlers; autism; early screening; toddlers
Description: Background: The Quantitative Checklist for Autism in Toddlers (Q-CHAT) is parent-report screening questionnaire for detecting threshold and sub-threshold autistic features in toddlers. The Q-CHAT is a dimensional measure normally distributed in the general population sample and is able to differentiate between a group of children with a diagnosis of autism and unselected toddlers. Objectives: We aim to investigate the psychometric properties, score distribution, and external validity of the Q-CHAT in an Italian clinical sample of young children with autism versus children with developmental delay and typically developing children. Method: N = 126 typically developing children (TD), n = 139 children with autism, and n = 50 children presenting developmental delay (DD) were administered the Q-CHAT. Standardized measures of cognitive functions, language, and behaviors were also obtained. Results: The Q-CHAT scores were normally distributed and demonstrated adequate internal consistency and good item to total score correlations. The mean Q-CHAT score in the autism group was significantly higher than those found in the DD sample and TD children. No difference on the mean Q-CHAT score between DD and TD children was found. The accuracy of the Q-CHAT to discriminate between autism and TD was very good. Two different cut-points (27 and 31, respectively) maximized sensitivity and specificity for autism versus TD and DD, respectively. Finally, higher Q-CHAT scores were correlated with lower language and social communication skills. Conclusions: In clinical settings, the Q-CHAT demonstrated good psychometric properties and external validity to discriminate autism children not just from children with typical development but also from children with developmental delay.
Document Type: article in journal/newspaper
File Description: Electronic-eCollection; application/pdf
Language: English
Relation: https://www.repository.cam.ac.uk/handle/1810/296085
DOI: 10.17863/CAM.43131
Availability: https://www.repository.cam.ac.uk/handle/1810/296085; https://doi.org/10.17863/CAM.43131
Rights: Attribution 4.0 International ; https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.80AD29E6
Database: BASE