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Journal of Autism and Developmental Disorders

, Volume 42, Issue 8, pp 1705–1716 | Cite as

Utility of the Social Communication Questionnaire-Current and Social Responsiveness Scale as Teacher-Report Screening Tools for Autism Spectrum Disorders

  • G. Thomas SchandingJr.
  • Kerri P. Nowell
  • Robin P. Goin-Kochel
Original paper

Abstract

Limited research exists regarding the role of teachers in screening for Autism Spectrum Disorders (ASD). The current study examined the use of the Social Communication Questionnaire (SCQ) and Social Responsiveness Scale (SRS) as completed by parents and teachers about school-age children from the Simons Simplex Collection. Using the recommended cutoff scores in the manuals and extant literature, the teacher-completed SCQ and SRS yielded lower sensitivity and specificity values than would be desirable; however, lowering the cutoff scores on both instruments improved sensitivity and specificity to more adequate levels for screening purposes. Using the adjusted cutoff scores, the SRS teacher form appears to be a slightly better screener than the SCQ. Implications and limitations are discussed, as well as areas for future research.

Keywords

Autism spectrum disorders Asperger’s Syndrome PDD-NOS Screening Teachers SCQ SRS 

Notes

Acknowledgments

This research was supported by a grant from the Simons Foundation (SFARI SSC-15 to R. Goin-Kochel and A. Beaudet). We are grateful to all of the families at the participating SFARI Simplex Collection (SSC) sites, as well as the principal investigators (A. Beaudet, R. Bernier, J. Constantino, E. Cook, E. Fombonne, D. Geschwind, D. Grice, A. Klin, D. Ledbetter, C. Lord, C. Martin, D. Martin, R. Maxim, J. Miles, O. Ousley, B. Peterson, J. Piggot, C. Saulnier, M. State, W. Stone, J. Sutcliffe, C. Walsh, E. Wijsman). We appreciate obtaining access to phenotypic data on SFARI Base. Approved researchers can obtain the SSC population dataset described in this study (https://ordering.base.sfari.org/~browse_collection/archive[sfari_collection_v8_2]/ui:view()) by applying at https://base.sfari.org.

References

  1. Achenbach, T. M. (1991a). Manual for the child behavioral checklist/4–18 and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry.Google Scholar
  2. Achenbach, T. M. (1991b). Manual for teacher’s report form and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry.Google Scholar
  3. Allen, C. W., Silove, N., Williams, K., & Hutchins, P. (2007). Validity of the Social Communication Questionnaire in assessing risk of autism in preschool children with developmental problems. Journal of Autism and Developmental Disorders, 37, 1272–1278. doi: 10.1007/s10803-006-0279-7.PubMedCrossRefGoogle Scholar
  4. American Academy of Pediatrics, Council on Children with Disabilities, Section on Developmental, Behavioral Pediatrics, Bright Futures Steering Committee, & Medical Home Initiatives for Children with Special Needs Project Advisory Committee. (2006). Identifying infants and young children with developmental disorders in the medical home: An algorithm for developmental surveillance and screening [published correction appears in 2006, Pediatrics, 119, 1808–1809]. Pediatrics, 118, 405–420.CrossRefGoogle Scholar
  5. Berument, S. K., Rutter, M., Lord, C., Pickles, A., & Bailey, A. (1999). Autism screening questionnaire: diagnostic validity. British Journal of Psychiatry, 175, 444–451.PubMedCrossRefGoogle Scholar
  6. Campbell, D. B., Warren, D., Sutcliffe, J. S., Lee, E. B., & Levitt, P. (2010). Association of MET with social and communication phenotypes in individuals with autism spectrum disorder. American Journal of Medical Genetics Part B, 153(B), 438–446. doi: 10.1002/ajmg.b.30998.Google Scholar
  7. Charman, T., Baird, G., Simonoff, E., Loucas, T., Chandler, S., Meldrum, D., et al. (2007). Efficacy of three screening instruments in the identification of autistic-spectrum disorders. British Journal of Psychiatry, 191, 554–559. doi: 10.1192/bjp.bp.107.040196.PubMedCrossRefGoogle Scholar
  8. Chen, Y., Rodger, J., & McConachie, H. (2009). Restricted and repetitive behaviours, sensory processing and cognitive style in children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 635–642. doi: 10.1007/s10803-008-0663-6.PubMedCrossRefGoogle Scholar
  9. Constantino, J. N., & Gruber, C. P. (2005). The social responsiveness scale manual. Los Angeles, CA: Western Psychological Services.Google Scholar
  10. Constantino, J. N., LaVesser, P. D., Zhang, Y., Abbacchi, A. M., Gray, T., & Todd, R. D. (2007). Rapid quantitative assessment of autistic social impairment by classroom teachers. Journal of the American Academy of Child and Adolescent Psychiatry, 46(12), 1668–1676. doi: 10.1097/chi.0b013e318157cb23.PubMedCrossRefGoogle Scholar
  11. Corsello, C., Hus, V., Pickles, A., Risi, S., Cook, E. H., Leventhal, B. L., et al. (2007). Between a ROC and a hard place: Decision making and making decisions about using the SCQ. Journal of Child Psychology and Psychiatry, 48(3), 932–940. doi: 10.1111/j.1469-7610.2007.01762.x.PubMedCrossRefGoogle Scholar
  12. dosReis, S., Weiner, C. L., Johnson, L., & Newschaffer, C. J. (2006). Autism spectrum disorder screening and management practices among general pediatric providers. Journal of Developmental and Behavioral Pediatrics, 27(2), S88–S94.PubMedCrossRefGoogle Scholar
  13. Duvall, J. A., Lu, A., Cantor, R. M., Richard, T. D., Constantino, J. N., & Geschwind, D. H. (2007). A quantitative trait locus analysis of social responsiveness in multiplex autism families. American Journal of Psychiatry, 164(4), 656–662.PubMedCrossRefGoogle Scholar
  14. Eaves, L. C., Wingert, H., & Ho, H. H. (2006). Screening for autism: Agreement with diagnosis. Autism, 10(3), 229–242. doi: 10.1177/1362361306063288.PubMedCrossRefGoogle Scholar
  15. Ehlers, S., Gillberg, C., & Wing, L. (1999). A screening questionnaire for Asperger syndrome and other high-functioning autism spectrum disorders in school age children. Journal of Autism and Developmental Disorders, 23, 129–141.CrossRefGoogle Scholar
  16. Filipek, P. A., Accardo, P. J., Ashwal, S., Baranek, G. T., Cook, E. H., Jr., Dawson, G., et al. (2000). Practice parameter: Screening and diagnosis of autism. Neurology, 55, 468–479.PubMedCrossRefGoogle Scholar
  17. Fischbach, G. D., & Lord, C. (2010). The Simons Simplex Collection: A resource for identification of autism genetic risk factors. Neuron, 68(2), 192–195.PubMedCrossRefGoogle Scholar
  18. Glascoe, F. P. (2005). Screening for developmental and behavioral problems. Mental Retardation and Developmental Disabilities, 11, 173–179. doi: 10.1002/mrdd.20068.CrossRefGoogle Scholar
  19. Goin-Kochel, R. P., Mackintosh, V. H., & Myers, B. J. (2006). How many doctors does it take to make an autism spectrum diagnosis? Autism, 10(5), 439–451.PubMedCrossRefGoogle Scholar
  20. Gotham, K., Pickles, A., & Lord, C. (2009). Standardizing ADOS scores for a measure of severity in autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(5), 693–705. doi: 10.1007/s10803-008-0674-3.PubMedCrossRefGoogle Scholar
  21. Hepburn, S. L., DiGuiseppi, C., Rosenberg, S., Kaparich, K., Robinson, C., & Miller, L. (2008). Use of a teacher nomination strategy to screen for autism spectrum disorders in general education classrooms: A pilot study. Journal of Autism and Developmental Disorders, 38, 373–382. doi: 10.1007/s10803-007-0404-2.PubMedCrossRefGoogle Scholar
  22. Johnson, C. P., Myers, S. M., & The Council on Children with Disabilities. (2007). Identification and evaluation of children with autism spectrum disorders. Pediatrics, 120(5), 1183–1215.PubMedCrossRefGoogle Scholar
  23. Johnson, S., Hollis, C., Hennessy, E., Kochhar, P., Wolke, D., & Marlow, N. (2011). Screening for autism in preterm children: Diagnostic utility of the Social Communication Questionnaire. Archives of Disease in Childhood, 96(1), 73–77. doi: 10.1136/adc.2010.194795.
  24. Kadesjo, B., Gillberg, C., & Hagberg, B. (1999). Brief report: Autism and Asperger syndrome in seven-year-old children: A total population study. Journal of Autism and Developmental Disorders, 29(4), 327–331.PubMedCrossRefGoogle Scholar
  25. Kamphaus, R. W., DiStefano, C., Dowdy, E., Eklund, K., & Dunn, A. R. (2010). Determining the presence of a problem: Comparing two approaches for detecting youth behavioral risk. School Psychology Review, 39(3), 395–407.Google Scholar
  26. Kanne, S. M., Abbacchi, A. M., & Constantino, J. N. (2009). Multi-informant ratings of psychiatric symptom severity in children with autism spectrum disorders: The importance of environmental context. Journal of Autism and Developmental Disorders, 39, 856–864.PubMedCrossRefGoogle Scholar
  27. Klein, D. N., Dougherty, L. R., & Olino, T. M. (2005). Toward guidelines for evidence-based assessment of depression in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 241–251.Google Scholar
  28. Lee, H., Marvin, A. R., Watson, T., Piggot, J., Law, J. K., Law, P. A., et al. (2010). Accuracy of phenotyping of autistic children based on internet implemented parent report. American Journal of Medical Genetics Part B, 153B, 1119–1126. doi: 10.1002/ajmg.b.31103.Google Scholar
  29. Lee, L., David, A. B., Rusyniak, J., Landa, R., & Newschaffer, C. J. (2007). Performance of the Social Communication Questionnaire in children receiving preschool special education services. Research in Autism Spectrum Disorders, 1(2), 126–138. doi: 10.1016/j.rasd.2006.08.004.CrossRefGoogle Scholar
  30. Lord, C., Risi, S., DiLavore, P., Shulman, C., Thurm, A., & Pickles, A. (2006). Autism from 2 to 9 years of age. Archives of General Psychiatry, 63(6), 694–701. doi: 10.1001/archpsyc.63.6.694.PubMedCrossRefGoogle Scholar
  31. Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2009). Autism diagnostic observation schedule manual. Los Angeles, CA: Western Psychological Services.Google Scholar
  32. Mandell, D. S., Ittenbach, R. F., Levy, S. E., & Pinto-Martin, J. A. (2007). Disparities in diagnoses received prior to a diagnosis of autism spectrum disorder. Journal of Autism and Development Disorders, 37, 1795–1802. doi: 10.1007/s10803-006-0314-8.CrossRefGoogle Scholar
  33. Mandell, D. S., Morales, K. H., Xie, M., Lawer, L. J., Stahmer, A. C., & Marcus, S. C. (2010). Age of diagnosis among Medicaid-enrolled children with autism, 2001–2004. Psychiatric Services, 61(8), 822–829.PubMedCrossRefGoogle Scholar
  34. Mandell, D., Novak, M. M., & Zubritsky, C. (2005). Factors associated with the age of diagnosis among children with autism spectrum disorders. Pediatrics, 116(6), 1480–1486. doi: 10.1542/peds.2005-0185.PubMedCrossRefGoogle Scholar
  35. Mattila, M. L., Jussila, K., Kuusikko, S., Kielinen, M., Linna, S. L., Ebeling, H., et al. (2009). When does the Autism Spectrum Screening Questionnaire (ASSQ) predict autism spectrum disorders in primary school-aged children? European Child and Adolescent Psychiatry, 18, 499–509. doi: 10.1007/s00787-009-0044-5.PubMedCrossRefGoogle Scholar
  36. Noland, R. M., & Gabriels, R. L. (2004). Screening and identifying children with autism spectrum disorders in the public school system: The development of a model process. Journal of Autism and Developmental Disorders, 34(3), 265–277. doi: 10.1023/B:JADD.0000029549.84385.44.PubMedCrossRefGoogle Scholar
  37. Ozonoff, S., Goodlin-Jones, B. L., & Solomon, M. (2005). Evidence-based assessment of autism spectrum disorders in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34(3), 523–540.PubMedCrossRefGoogle Scholar
  38. Posserud, M. B., Lundervold, A. J., & Gillberg, C. (2006). Autistic features in a total population of 7–9-year-old children assessed by the ASSQ (Autism Spectrum Screening Questionnaire). Journal of Child Psychology and Psychiatry, 47(2), 167–175. doi: 10.1111/j.1469-7610.2005.01462.x.PubMedCrossRefGoogle Scholar
  39. Reilly, C., Campbell, A., & Keran, P. (2009). Screening for Asperger syndrome in school-age children: Issues and instruments. Educational Psychology in Practice, 25(1), 37–52. doi: 10.1080/02667360802697589.CrossRefGoogle Scholar
  40. Riccio, C., & Reynolds, C. (2003). The assessment of attention via continuous performance tests. In Handbook of psychological and educational assessment of children: Personality, behavior, and context (2nd ed., pp. 291–319). New York: Guilford Press.Google Scholar
  41. Rutter, M., Bailey, A., & Lord, C. (2003a). Manual for the Social Communication Questionnaire. Los Angeles, CA: Western Psychological Services.Google Scholar
  42. Rutter, M., LeCouteur, A., & Lord, C. (2003b). Autism diagnostic interview-revised. Los Angeles, CA: Western Psychological Services.Google Scholar
  43. Safran, S. P. (2008). Why youngsters with autistic spectrum disorders remain underrepresented in special education. Remedial and Special Education, 29(2), 90–95. doi: 10.1177/0741932507311637.CrossRefGoogle Scholar
  44. Sattler, J. M. (2008). Assessment of children: Cognitive foundations (5th ed.). San Diego, CA: Jerome M. Sattler, Publisher, Inc.Google Scholar
  45. Silberglitt, B., & Hintze, J. (2005). Formative assessment using CBM-R cut scores to track progress toward success on state-mandated achievement tests: A comparison of methods. Journal of Psychoeducational Assessment, 23, 304–325.CrossRefGoogle Scholar
  46. Silverman, W. K., & Ollendick, T. H. (2005). Evidence-based assessment of anxiety and its disorders in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 380–411.PubMedCrossRefGoogle Scholar
  47. Smith, C. R., & Brees, N. (1983). Autism: Model projects. Iowa monograph. Des Moines, IA: Iowa State Deparemtne of Public Instruction, Division of Special Education.Google Scholar
  48. Swets, J. A., Dawes, R. M., & Monahan, J. (2000). Psychological science can improve diagnostic decisions. Psychological Science in the Public Interest, 1(1), 1–26.CrossRefGoogle Scholar
  49. Tripp, G., Schaughency, E., & Clarke, B. (2006). Parent and teacher rating scales in the evaluation of attention-deficit hyperactivity disorder: Contribution to diagnosis and differential diagnosis in clinically referred children. Journal of Developmental and Behavioral Pediatrics, 27, 209–218.PubMedCrossRefGoogle Scholar
  50. Volkmar, F. R., Cook, E. H., Jr., Pomeroy, J., Realmuto, G., & Tanguay, P. (1999). Practice parameters for the assessment and treatment of children, adolescents, and adults with autism and other pervasive developmental disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 32S–54S.PubMedGoogle Scholar
  51. Webb, E., Morey, J., Thompsen, W., Butler, C., Barber, M., & Fraser, W. I. (2003). Prevalence of autistic spectrum disorder in children attending mainstream schools in a Welsh education authority. Developmental Medicine and Child Neurology, 45, 377–384.PubMedCrossRefGoogle Scholar
  52. Wiggins, L. D., Baio, J., & Rice, C. (2006). Examination of the time between first evaluation and first autism spectrum diagnosis in a population-based sample. Journal of Developmental and Behavioral Pediatrics, 27, S79–S87. doi: 10.1097/00004703-200604002-00005.PubMedCrossRefGoogle Scholar
  53. Wiggins, L. D., Bakeman, R., Adamson, L. B., & Robins, D. L. (2007). The utility of the social communication questionnaire in screening for autism in children referred for early intervention. Focus on Autism and Other Developmental Disabilities, 22, 33–38.CrossRefGoogle Scholar
  54. Witwer, A. N., & LeCavalier, L. (2007). Autism screening tools: An evaluation of the Social Communication Questionnaire and the Developmental Behaviour Checklist-Autism Screening Algorithm. Journal of Intellectual and Developmental Disability, 32(3), 179–187. doi: 10.1080/13668250701604776.PubMedCrossRefGoogle Scholar
  55. Zweig, M. H., & Campbell, G. (1993). Receiver-operating characteristic (ROC) plots: A fundamental evaluation tool in clinical medicine. Clinical Chemistry, 39, 561–577.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • G. Thomas SchandingJr.
    • 1
  • Kerri P. Nowell
    • 1
  • Robin P. Goin-Kochel
    • 2
  1. 1.Department of Educational PsychologyUniversity of HoustonHoustonUSA
  2. 2.Psychology Section, Department of PediatricsBaylor College of MedicineHoustonUSA

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