Irwanto and Muhamad Kahfi and Nining Febriyana and Sri Hartini and Satoshi Takada (2018) Emotional and Behavioral Problems of Pre-school Children with Autistic Spectrum Disorder Assessed by the Child Behavior Checklist 1½–5. Kobe Journal of Medical Sciences, 64 (5). pp. 170-173. ISSN 00232513

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Abstract

Background Children with Autism Spectrum Disorder (ASD) experience a significant disruption in the ability to communicate and interact socially. Early detection is important; the earlier the child is identified with ASD, the faster the intervention can begin. The Child Behavior Checklist (CBCL) is a screening tool capable of identifying various emotional and behavioral disorders. Research data on the use of the CBCL as a screening tool for ASD are still limited in Indonesia. The present study aimed to evaluate the CBCL’s ability to detect emotional and behavioral problems in pre-school children with ASD. Methods A cross sectional study was conducted in Surabaya, Indonesia. Children aged 1½–5 years old diagnosed with ASD, and typically developing (TD) children were enrolled using total sampling. The CBCL/1½–5 questionnaire for parents, consisting of 99 items, was used in this research to evaluate emotional and behavioral problems. Data were analyzed with the Independent-Sample T-test to compare the CBCL/1½–5 scale between ASD and TD children, while the proportion of gender was evaluated by a chi-square test with a 95% confidence interval. Results Fifty children were included in this research, 25 with ASD and 25 TD. Seventy six percent (38) were male and 24% (12) were female. Six of the seven scales were significantly higher in ASD children than TD in the CBCL/1½–5. Children with ASD had higher internalization (p < 0.0001), externalization (p = 0.001), and total problem scores (p < 0.0001) when compared to TD children. Conclusion The CBCL/1½–5 can significantly detect the emotional and behavioral problems in pre-school children with ASD.

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