CONSTRUCT VALIDITY OF INDONESIAN LANGUAGE VERSION OF CHILDHOOD AUTISM RATING SCALE™ SECOND EDITION

  • Dian Dwi Sary Department of Child Health, Faculty of Medicine, Universitas Airlangga,
  • Irwanto Department of Child Health, Faculty of Medicine Universities Airlangga
  • Ahmad Suryawan Department of Child Health, Faculty of Medicine, Universitas Airlangga,
  • Mira Irmawati Department of Child Health, Faculty of Medicine, Universitas Airlangga,
  • Nining Febriyana Departement of Pschiatry, Faculty of Medicine, Universitas Airlangga,
  • Neni Widiasmoro Faculty of Health & Life Science, Management & Science University, Malaysia
Keywords: ASD assessment, Diagnostic criteria, DSM-5

Abstract

Combination of The Childhood Autism Rating Scale™ Second Edition - Standard Clinical Tool (CARS2-ST) with criteria for autism spectrum disorder (ASD) based on Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) is thought to improve diagnostic process. To meet diagnostic needs, localized, Indonesian-translated version of CARS2-ST is developed. Therefore, assessment of construct validity of the Indonesian-language translated CARS2-ST must be performed. A cross-sectional study was conducted in Child Development Center in Surabaya, Indonesia from August to December 2019. Diagnosis of ASD then performed by using CARS2-ST  and DSM-5 criteria. To assess construct validity, principal components analysis and Kaiser-varimax rotation was performed for CARS2-ST in order to determine factors. DSM-5 criteria for ASD was used to compare scale.There were 201 children aged 2 - 6 years old with reported speech and behavior problems. Sixty-six children were diagnosed for ASD. Factor analysis using Kaiser-varimax rotation indicates a significant two factors: social communication and interaction factor and restrictive stereotyped behaviors and sensory factor sensitivites. The factors satisfyingly reflects the criteria for ASD in DSM-5.Construct validity of Indonesian-translated version of CARS2-ST is confirmed, as shown by its correspondence with  DSM-5 criteria for diagnosing . This study supports the continued relevance of the Indonesian CARS2-ST in ASD assessment.

References

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013:50-9.

Baio J, Wiggins L, Christensen DL, et al. Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014. MMWR Surveill Summ 2018;67(No. SS-6):1–23.

Steiner AM, Goldsmith TR, Snow AV, et al. Practitioner’s guide to assessment of autism spectrum disorders in infants and toddlers. J Autism Dev Disord 2012;42(6):1183–96.

Durkin SM, Elsabbagh M, Barbaro J, et al. Autism screening and diagnosis in low resource settings: challenges and opportunities to enhance research and services worldwide. Autism Res 2015;8(5):473-6.

Akoury-Dirani L, Alameddin M, Salamun M. Validation of the Lebanese childhood autism rating scale-second edition-standard version. Res Autism Spectr Disord 2013;7:1097–1103.

Schopler E, Van Bourgandien M, Wellman J, et al. Love S. Childhood autism rating scale-second edition (CARS2): manual. Western Psychological Services; 2010. https://www.wpspublish.com/cars-2-childhood-autism-rating-scale-second-edition

Pereira A, Riesgo RS, Wagner MB. Childhood autism: translation and validation of the childhood autism rating scale for use in brazil. J Pediatr (Rio J) 2008; 84(6):487-94.

Russell P SS, Daniel A, Russel S, et al. Diagnostic accuracy, reliability and validity of childhood autism rating scale in India. World J Pediatr 2010; 6(2):141-7.

Vaughan CA. Test review. J Psychoeduc Assess 2011; 29(5):489–93.

Ashwood KL, Buitelaar J, Murphy D, et al. European clinical network: autism spectrum disorder assessments and patient characterisation. Eur Child Adolesc Psychiatry 2014; 24(8):985-95.

Kulage K, Goldberg J, Usseglio J, et al. How has DSM-5 Affected Autism Diagnosis? A 5-Year Follow-Up Systematic Literature Review and Meta-analysis. J Autism Dev Disord 2019; 50(6):2102-27.

Chlebowski C, Green J, Barton ML, et al. Using the childhood autism rating scale to diagnose autism spectrum disorders. J Autism Dev Disord 2010; 40(7):787–99.

Risi S, Lord C, Gotham K, et al. Combining information from multiple sources in the diagnosis of autism spectrum disorders. J Am Acad Child Adolesc Psychiatry 2006; 45:1094–1103.

Kurita H, Miyake Y, Katsuno K. Reliability and validity of the Childhood Autism Rating Scale-Tokyo version (CARS-TV). J Autism Dev Disord 1989; 19(3):389–96.

Nordin V, Gillberg C, Nyden A, The swedish version of the childhood autism rating scale in a clinical setting. J Autism Dev Disord 1998; 28:69–75.

Gudmundsson E. Guidelines for translating and adapting psychological instruments. Nordic Psychology 2009; 61(2):29–45.

Park EY, Kim J. Factor structure of the Childhood Autism Rating Scale as per DSM-5. Acta Paediatr Jpn 2016; 58:139–45.

Moulton E, Bradbury K, Barton M, et al. Factor Analysis of the Childhood Autism Rating Scale in a sample of two-year olds with an Autism Spectrum Disorder. J Autism Dev Disord 2016; 49(7):2733-46.

Strauss ME, Smith GT. Construct Validity: Advances in Theory and Methodology. Annu Rev Clin Psychol 2009; 5:1–25.

Gassaloğlu SI, Baykara B, Avcil S, et al. Validity and Reliability Analysis of Turkish Version of Childhood Autism Rating Scale. Turk Psikiyatri Derg 2016; 27(4):266–74.

Madipakkam AR, Rothkirch M, Dziobek I, et al. Unconscious avoidance of eye contact in autism spectrum disorder. Sci Rep 2017; 7(1):13378.

Marco EJ, Hinkley LBN, Hill SS, et al. Sensory processing in autism: a review of neurophysiologic findings. Pediatr Res 2011; 69(5 Pt 2):48R-54R.

Matsushima K, Kato T. Social Interaction and Atypical Sensory Processing in Children with Autism Spectrum Disorders. Hong Kong J OCCUP TH 2013; 23(2):89–96.

Published
2021-04-24
How to Cite
Dwi Sary, D., Irwanto, Suryawan, A., Irmawati, M., Febriyana, N., & Widiasmoro, N. (2021). CONSTRUCT VALIDITY OF INDONESIAN LANGUAGE VERSION OF CHILDHOOD AUTISM RATING SCALE™ SECOND EDITION. Malaysian Journal of Public Health Medicine, 21(1), 175-180. https://doi.org/10.37268/mjphm/vol.21/no.1/art.730