Assessment of Emotional and Behavioural Problems Among Children with Autism Spectrum Disorder Using the CBCL/1½-5

The article presents the results of a study of emotional and behavioural features of children with autism spectrum disorder (ASD) using the Child Behaviour Checklist (CBCL/1.-5). The use of this instrument to assess behavioural disorders and as a screening method in children with autism spectrum disorder is a new area of its application. Studies conducted previously in Europe, the USA, and South Korea have demonstrated that the DSM-Pervasive Development Problems and Withdrawal scales are the most sensitive in detecting autism spectrum disorder at the preschool age. We have not found any studies performed on a Russian sample of children in which behavioural features were studied using the CBCL/1.-5 method in children with ASD. Participants of the study included 28 children with ASD (average age: 52,9 Å} 8,7 months) who were diagnosed by a psychiatrist during examination in the Stavropol Clinical Psychiatric Hospital №1 and 29 typically developed children aged (average age: 35,8 +/- 9,4). Behavioural features of children were investigated by using the Children Behaviour Check List CBCL/1.-5. The results indicated that in the group of children with autism spectrum disorder, indicators on the DSM-Pervasive Development Problems and Withdrawal scales are at a clinical level of severity. Compared with typically developing children, the ASD sample had significantly high scores for DSM-Pervasive Development Problems, DSM — Affective Problems, DSM — Attention Deficit /Hyperactivity, DSM Oppositional Defiant Problems scales and syndromes Emotionally Reactive, Somatic Complaints, Withdrawal, Attention Problems, and Aggressive Behaviour Withdrawal scales. There was no correlation found between the frequency of exceeding critical indicators of manifestations in regard to violations of communication with the sex of children, level of education and marital status of mothers, and the number of children in families in both groups.

Achenbach T. M., Rescorla L. A. Manual for the ASEBA Preschool Forms & Profiles. Burlington, VT, University of Vermont, Research Center for Children, Youth & Families, 2000.

Pandolfi V., Magyar C. I., Dill C. A. Confirmatory Factor Analysis of the Child Behavior Checklist 1.5- 5 in a Sample of Children with Autism Spectrum Disorders. Journal of Autism and Developmental Disorders, 2009, vol. 39, pp. 986–995. https://doi.org/10.1037/a0037431.

Georgiades S., Szatmari P., Duku E., Zwaigenbaum L., Bryson S., Roberts W. et al. Phenotypic Overlap Between Core Diagnostic Features and Emotional/Behavioral Problems in Preschool Children with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 2011, vol. 41 (10), pp. 1321–1329. https://doi.org/10.1007/s10803-010-1158-9.

Muratori F., Narzisi A., Tancredi R., Cosenza A., Calugi A., Saviozzi I. The CBCL/1.5-5 in a Sample of Children with Autism Spectrum Disorders. Epidemiology and Psychiatric Sciences, 2011, vol. 20, pp. 329–338.

Rescorla L., Kim Y. A., Oh K. J. Screening for ASD with the Korean CBCL/1½-5. Journal of Autism and Developmental Disorders, 2015, vol. 45, pp. 4039–4050. https://doi.org/10.1007/s10803-014-2255-y.

Rescorla L. A., Winder-Patel B. M., Paterson S. J., Pandey J., Wolff J. J., Schultz R. T., Piven J. Autism Spectrum Disorder Screening with the CBCL/1½-5: Findings for Young Children at High Risk for Autism Spectrum Disorder. Autism, 2019, vol. 23 (1), pp. 29–38. https://doi.org/10.1177/1362361317718482.

Rescorla L. A., Given C., Glynn S., Ivanova M. Y., Achenbach T. M. International Comparisons of Autism Spectrum Disorder Behaviors in Preschoolers Rated by Parents and Caregivers/Teachers. Autism, 2019, vol. 23 (8), pp. 2043–2054. https://doi.org/10.1177/1362361319839151.

Kolmagorova A. V., Slobodskaya E. R., Kinsht I. A. Mental Health Assessment in Early Childhood. BYulleten’ SO RAMN, 2007, vol. 125 (3), pp. 46–52. (In Russian)

Kravchenko A. P. Psychological Adaptation Features of Preschool Children Who are Living with Single Mothers. PhD dissertation thesis. (Psychology) . St. Petersburg, 2011. (In Russian)

Gartstein M. A., Slobodskaya H. R., Kirchhoff C., Putnam S. P. Cross-cultural Differences in the Development of Behavior Problems: Contributions of Infant Temperament in Russia and U.S. International. Journal of Developmental Science, 2013, vol. 7, pp. 95–104. https://doi.org/10.3233/dev-1312104.

Kozlova E. A. Slobodskaya E. R. Dynamics of Mental Health in Childhood. Obozrenie psihiatrii i meditsinkoi psikhologii im. V. M. Bekhtereva, 2017, no. 1, pp. 71–75. (In Russian)

Agarkova V. V., Muhamedrakhimov R. Zh. Behaviour Characteristics of Children with Early Institutionalization Experience. Vestnik of Saint Petersburg University. Psychology. Sociology. Pedagogy, 2013, vol. 4, pp. 99–108. (In Russian)

Agarkova V. V., Muhamedrakhimov R. Zh. Behaviour Characteristics of Children with Early Institutionalization Experience After Transition to Families in the Russian Federation and the USA. Vestnik of Saint Petersburg University. Psychology. Sociology. Pedagogy, 2015, vol. 3, pp. 77–92. (In Russian)

Obimakha D., Pleshkova N. L. Psychological Adaptation Features of Preschool Children from Lithuania and the Russian Federation. Nauchnye issledovaniia vypusknikov fakulteta psikhologii SPbGU, 2015, vol. 3, pp. 148–154. (In Russian)

Priputnevich D. N., Kutashov V. A., Chernykh D. A., Syromyatnikova E. V., Kuptsova D. O. The Use of Neuroleptics in the Treatment of Hyperkinetic Behavioural Disorders in Children. Zhurnal nevrologii i psikhiatrii im. S. S. Korsakova, 2018, vol. 118 (2), pp. 31–34. (In Russian)

Priputnevich D. N., Kutashov V. A., Kuptsova D. O. The Experience Tiapride Application in the Treatment of Hyperkinetic Disorder in Children. Prikladnye informatsionnye aspekty meditsiny, 2018, vol. 21 (2), 2, pp. 107–111. (In Russian)

Slobodskaya E. R., Bocharov A. V., Ryabinchenko T. I. Anxiety and Aggression as Moderators of Adolescent Adjustment: the Impact of Gender. Sibirskii psikhologicheskii zhurnal, 2008, vol. 29, pp. 32–36. (In Russian)

Slobodskaya E. R. Temperament and Social Factors of Adolescent Adjustment. Bulleten Sibirskogo Otdeleniia Akademii Meditsinskikh nauk, 2004, vol. 24 (2), pp. 106–111. (In Russian)

Vinokurov E. V., Sobennikov V. S., Rychkova L. V., Pogodina A. V., Khramova E. E., Mental Health Problems Among Adolescent Inpatients with Menstrual Cycle Irregularity. Sibirskii vestnik psikhiatrii i narkologii, 2017, vol. 4 (97), pp. 49–56. (In Russian)

Kasatkin V. N., Karachunskij A. I., Malykh S. B., Ismatullina V. I., Voronin I. A., Volodin N. N., Miroshkin R. B., Krutikova N. Yu., Rumyantsev A. G. Cognitive Characteristics and Behavioural Problems in Children with Acute Lymphoblastic Leukemia Who Completed Treatment According to Protocol MB–2008: a Pilot Study. Voprosy prakticheskoi pediatrii, 2015, vol. 10 (5), pp. 7–13. (In Russian)

Shedler J. Where Is the Evidence for “Evidence-Based” Therapy? Psychiatric Clinics of North America, 2018, vol. 41 (2), pp. 319–329.

Pleshkova N. L., Muhamedrakhimov R. J. Quality of Attachment in St. Petersburg (Russian Federation): a Sample of Family-reared Infants. Clinical Child Psychology and Psychiatry, 2010, vol. 15(3), pp. 355– 362. https://doi.org/10.1177/135910451036545

Muhamedrakhimov R. Zh., Ivanova V. Yu., Vershinina E. V. Comparison of Child-caregivers Interaction in Family and Orphanages Children. Emotsii i otnosheniia cheloveka na rannikh etapakh razvitiia. Eds R. Zn. Muhamedrakhimov. St. Petersburg, St. Petersburg University Press, 2008, pp. 100–124.

Stern D. N. The Interpersonal World of the Infant. A View from Psychoanalysis and Developmental Psychology. London, Basic Books, 1985. https://doi.org/10.4324/9780429482137.