Comparison between a Mandarin Chinese version of the Childhood Autism Spectrum Test and the Clancy Autism Behaviour Scale in mainland China

Sun, Xiang; Allison, Carrie; Auyeung, Bonnie; Matthews, Fiona E.; Zhang, Zhixiang; Baron-Cohen, Simon; Brayne, Carol

Abstract

A Mandarin Chinese version of the Childhood Autism Spectrum Test (CAST) and Clancy Autism Behaviour Scale (CABS) were applied to 150 children aged 4-11 years old from clinical settings and mainstream schools in Beijing. All the children were further assessed using the Autism Diagnostic Observation Schedule (ADOS) and the Autism Diagnostic Interview-Revised (ADI-R). The validity of two instruments on screening of ASC was examined and compared using receiver operating characteristic (ROC) curve analysis. The validity of CAST (sensitivity: 89%, specificity: 80%, PPV: 70%) was better than the CABS (sensitivity: 58%, specificity: 84%, PPV: 65%). The area under the curve (AUC) of the CAST (AUC = 0.90) was significantly higher than the CABS (AUC = 0.79, p= 0.0002). The Mandarin CAST demonstrated a better validity in distinguishing children with ASC from children without ASC. It is an acceptable candidate as a screening instrument for ASC in large epidemiological study in Chinese population. © 2014 Elsevier Ltd.

Citation

Sun, X., Allison, C., Auyeung, B., Matthews, F. E., Zhang, Z., Baron-Cohen, S., & Brayne, C. (2014). Comparison between a Mandarin Chinese version of the Childhood Autism Spectrum Test and the Clancy Autism Behaviour Scale in mainland China. Research in Developmental Disabilities, 35(7), 1599-1608. https://doi.org/10.1016/j.ridd.2014.02.005

• Journal Article Type: Article
• Publication Date: Jan 1, 2014
• Deposit Date: Dec 8, 2023
• Journal: Research in Developmental Disabilities
• Print ISSN: 0891-4222
• Electronic ISSN: 1873-3379
• Publisher: Elsevier
• Volume: 35
• Issue: 7
• Pages: 1599-1608
• DOI: https://doi.org/10.1016/j.ridd.2014.02.005
• Public URL: https://hull-repository.worktribe.com/output/4454396