Capacity of the CCC-2 to Discriminate ASD from Other Neurodevelopmental Disorders
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Instruments
2.3. Procedure
2.4. Analyses
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Carril, A.D.L.T.; Pérez-Pereira, M. Pragmatic abilities in children with ASD, ADHD, Down syndrome and typical development through the Galician version of the CCC-2. Rev. Logop. Foniatría Audiol. 2019, 39, 105–114. [Google Scholar] [CrossRef]
- Bishop, D.V.M. The Children’s Communication Checklist (CCC-2); The Psychological Corporation: London, UK, 2003. [Google Scholar]
- Bishop, D.V.M. Children’s Communication Checklist (CCC-2). In Encyclopedia of Autism Spectrum Disorders; Volkmar, F.R., Ed.; Springer: New York, NY, USA, 2013; pp. 614–620. [Google Scholar]
- Baird, G.; Norbury, C. Social (pragmatic) communication disorders and autism spectrum disorder. Arch. Dis. Child. 2015, 101, 745–751. [Google Scholar] [CrossRef] [PubMed]
- Lord, C.; Elsabbagh, M.; Baird, G.; Veenstra-Vanderweele, J. Autism spectrum disorder. Lancet 2018, 392, 508–520. [Google Scholar] [CrossRef]
- Airenti, G. Pragmatic development. In Research in Clinical Pragmatics; Cummings, L., Ed.; Springer: New York, NY, USA, 2017; pp. 3–28. [Google Scholar]
- Perkins, M.R. Pragmatic impairment. In The Handbook of Language and Speech Disorders; Damico, J.S., Müller, N., Ball, M.J., Eds.; Wiley-Blackwell: Oxford, UK, 2010; pp. 227–246. [Google Scholar]
- Milligan, K.; Astington, J.W.; Dack, L.A. Language and Theory of Mind: Meta-Analysis of the Relation Between Language Ability and False-belief Understanding. Child Dev. 2007, 78, 622–646. [Google Scholar] [CrossRef] [PubMed]
- American Speech Language Hearing Association (ASHA). Social Language Use: Pragmatics; American Speech Language Hearing Association (ASHA): Rockville, MD, USA, 2015; Available online: http://www.asha.org/public/speech/development/Pragmatics (accessed on 24 June 2021).
- Ferrara, M.; Camia, M.; Cecere, V.; Villata, V.; Vivenzio, N.; Scorza, M.; Padovani, R. Language and Pragmatics Across Neurodevelopmental Disorders: An Investigation Using the Italian Version of CCC-2. J. Autism Dev. Disord. 2020, 50, 1295–1309. [Google Scholar] [CrossRef] [PubMed]
- Green, R.M.; Travers, A.M.; Howe, Y.; McDougle, C.J. Women and Autism Spectrum Disorder: Diagnosis and Implications for Treatment of Adolescents and Adults. Curr. Psychiatry Rep. 2019, 21, 22. [Google Scholar] [CrossRef] [PubMed]
- Mendoza, E.; Garzón, M. Puede el CCC-2 diferenciar perfiles pragmáticos? Rev. Chil. Fonoaudiol. 2012, 11, 37–56. [Google Scholar] [CrossRef]
- Volden, J. Autism spectrum disorder. In Research in Clinical Pragmatics; Cummings, L., Ed.; Springer: New York, NY, USA, 2017; pp. 58–83. [Google Scholar]
- Norbury, C.F. Practitioner Review: Social (pragmatic) communication disorder conceptualization, evidence and clinical implications. J. Child Psychol. Psychiatry Allied Discip. 2014, 55, 204–216. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Bishop, D.V.M.; McDonald, D. Identifying language impairment in children: Combining language test scores with parental report. Int. J. Lang. Commun. Disord. 2009, 44, 600–615. [Google Scholar] [CrossRef] [Green Version]
- Ketelaars, M.P.; Embrechts, M. Pragmatic language impairment. In Research in Clinical Pragmatics; Cummings, L., Ed.; Springer: New York, NY, USA, 2017; pp. 29–57. [Google Scholar]
- Marín, F.A.; Esteban, Y.A.; Bañón, D.R. Herramientas de cribado para la detección de retrasos o trastornos en el desarrollo: Una revisión sistemática de la literatura. Rev. Española Discapac. 2015, 3, 7–26. [Google Scholar] [CrossRef]
- American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders: DSM-5, 5th ed.; APA: Washington, DC, USA, 2013. [Google Scholar]
- Morales-Hidalgo, P.; Roigé-Castellví, J.; Hernández-Martínez, C.; Voltas, N.; Canals, J. Prevalence and Characteristics of Autism Spectrum Disorder Among Spanish School-Age Children. J. Autism Dev. Disord. 2018, 48, 3176–3190. [Google Scholar] [CrossRef] [PubMed]
- Rodríguez-Santos, F. Guía de Intervención Logopédica en Los Trastornos del Espectro del Autismo; Editorial Síntesis: Madrid, Spain, 2016. [Google Scholar]
- Tager-Flusberg, H. Atypical language development: Autism and other neurodevelopmental disorders. In Blackwell Handbook of Language Development; Hoff, E., Shatz, M., Eds.; Wiley-Blackwell: Oxford, UK, 2009; pp. 432–453. [Google Scholar]
- Eigsti, I.-M.; de Marchena, A.B.; Schuh, J.M.; Kelley, E. Language acquisition in autism spectrum disorders: A developmental review. Res. Autism Spectr. Disord. 2011, 5, 681–691. [Google Scholar] [CrossRef]
- Norbury, C.F. Autism spectrum disorders and communication. In The Cambridge Handbook of Communication Disorders; Cummings, L., Ed.; Cambridge University Press: Cambridge, UK, 2013; pp. 116–157. [Google Scholar]
- Martín-Borreguero, P. Perfil lingüístico del individuo con síndrome de Asperger: Implicaciones para la investigación y la práctica clínica. Rev. Neurol. 2005, 41, S115–S122. [Google Scholar] [CrossRef]
- Bacon, E.C.; Osuna, S.; Courchesne, E.; Pierce, K. Naturalistic language sampling to characterize the language abilities of 3-year-olds with autism spectrum disorder. Autism 2019, 23, 699–712. [Google Scholar] [CrossRef] [PubMed]
- Kjelgaard, M.M.; Tager-Flusberg, H. An investigation of language impairment in autism: Implications for genetic subgroups. Lang. Cogn. Process. 2001, 16, 287–308. [Google Scholar] [CrossRef] [Green Version]
- Bauminger-Zviely, N.; Karin, E.; Kimhi, Y.; Agam-Ben-Artzi, G. Spontaneous peer conversation in preschoolers with high-functioning autism spectrum disorder versus typical development. J. Child Psychol. Psychiatry 2014, 55, 363–373. [Google Scholar] [CrossRef]
- Paul, R.; Orlovski, S.M.; Marcinko, H.C.; Volkmar, F. Conversational Behaviors in Youth with High-functioning ASD and Asperger Syndrome. J. Autism Dev. Disord. 2008, 39, 115–125. [Google Scholar] [CrossRef] [Green Version]
- Loukusa, S.; Moilanen, I. Pragmatic inference abilities in individuals with Asperger syndrome or high-functioning autism. A review. Res. Autism Spectr. Disord. 2009, 3, 890–904. [Google Scholar] [CrossRef]
- Diehl, J.J.; Bennetto, L.; Young, E.C. Story Recall and Narrative Coherence of High-Functioning Children with Autism Spectrum Disorders. J. Abnorm. Child Psychol. 2006, 34, 83–98. [Google Scholar] [CrossRef] [PubMed]
- Novogrodsky, R.; Edelson, L.R. Ambiguous pronoun use in narratives of children with Autism Spectrum Disorders. Child Lang. Teach. Ther. 2015, 32, 241–252. [Google Scholar] [CrossRef]
- Loukusa, S. Attention deficit hyperactivity disorder. In Research in Clinical Pragmatics; Cummings, L., Ed.; Springer: New York, NY, USA, 2017; pp. 85–107. [Google Scholar]
- Mueller, K.L.; Tomblin, J.B. Examining the Comorbidity of Language Impairment and Attention-Deficit/Hyperactivity Disorder. Top. Lang. Disord. 2012, 32, 228–246. [Google Scholar] [CrossRef] [Green Version]
- Korrel, H.; Mueller, K.L.; Silk, T.; Anderson, V.; Sciberras, E. Research Review: Language problems in children with Attention-Deficit Hyperactivity Disorder—A systematic meta-analytic review. J. Child Psychol. Psychiatry 2017, 58, 640–654. [Google Scholar] [CrossRef]
- Hutchinson, E.; Bavin, E.; Efron, D.; Sciberras, E. A comparison of working memory profiles in school-aged children with Specific Language Impairment, Attention Deficit/Hyperactivity Disorder, Comorbid SLI and ADHD and their typically developing peers. Child Neuropsychol. 2012, 18, 190–207. [Google Scholar] [CrossRef]
- Gallardo-Paúls, B.; Moreno-Campos, V.; Roca, P.; Pérez-Mantero, J.L. Complejidad sintáctica y textual en niños con trastorno por déficit de atención/hiperactividad. Rev. Neurol. 2012, 54, S131–S135. [Google Scholar] [CrossRef] [Green Version]
- Green, B.C.; Johnson, K.; Bretherton, L. Pragmatic language difficulties in children with hyperactivity and attention problems: An integrated review. Int. J. Lang. Commun. Disord. 2013, 49, 15–29. [Google Scholar] [CrossRef] [PubMed]
- Kuijper, S.J.M.; Hartman, C.A.; Bogaerds-Hazenberg, S.T.M.; Hendriks, P. Narrative production in children with autism spectrum disorder (ASD) and children with attention-deficit/hyperactivity disorder (ADHD): Similarities and differences. J. Abnorm. Psychol. 2017, 126, 63–75. [Google Scholar] [CrossRef] [PubMed]
- Redmond, S.M. Conversational profiles of children with ADHD, SLI and typical development. Clin. Linguist. Phon. 2004, 18, 107–125. [Google Scholar] [CrossRef]
- Rumpf, A.L.; Kamp-Becker, I.; Becker, K.; Kauschke, C. Narrative competence and internal state language of children with Asperger syndrome and ADHD. Res. Dev. Disabil. 2012, 33, 1395–1407. [Google Scholar] [CrossRef]
- Chan, K.; Fugard, A. Assessing speech, language and communication difficulties in children referred for ADHD: A qualitative evaluation of a UK child and adolescent mental health service. Clin. Child Psychol. Psychiatry 2018, 23, 442–456. [Google Scholar] [CrossRef] [PubMed]
- Staikova, E.; Gomes, H.; Tartter, V.C.; McCabe, A.; Halperin, J.M. Pragmatic deficits and social impairment in children with ADHD. J. Child Psychol. Psychiatry 2013, 54, 1275–1283. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Westby, C.; Watson, S. ADHD and communication disorders. In The Handbook of Language and Speech Disorders; Damico, J.S., Müller, N., Ball, M.J., Eds.; Wiley-Backwell: Oxford, UK, 2010; pp. 529–555. [Google Scholar]
- Semrud-Clikeman, M. The Role of Inattention and Social Perception and Performance in Two Subtypes of ADHD. Arch. Clin. Neuropsychol. 2010, 25, 771–780. [Google Scholar] [CrossRef] [PubMed]
- Westby, C.; Watson, S.M.R. ADHD and Communication Disorders. In The Handbook of Language and Speech Disorders, 2nd ed.; Damico, J.S., Müller, N., Ball, M.J., Eds.; Wiley-Blackwell: Oxford, UK, 2021; pp. 531–570. [Google Scholar]
- Lorch, E.P.; Milich, R.; Astrin, C.C.; Berthiaume, K.S. Cognitive engagement and story comprehension in typically developing children and children with ADHD from preschool through elementary school. Dev. Psychol. 2006, 42, 1206–1219. [Google Scholar] [CrossRef] [PubMed]
- Martin, G.E.; Klusek, J.; Estigarribia, B.; Roberts, J.E. Language Characteristics of Individuals With Down Syndrome. Top. Lang. Disord. 2009, 29, 112–132. [Google Scholar] [CrossRef] [PubMed]
- Rice, M.L.; Warren, S.F.; Betz, S.K. Language symptoms of developmental language disorders: An overview of autism, Down syndrome, fragile X, specific language impairment, and Williams syndrome. Appl. Psycholinguist. 2005, 26, 7–27. [Google Scholar] [CrossRef] [Green Version]
- Roberts, J.; Long, S.H.; Malkin, C.; Barnes, E.; Skinner, M.; Hennon, E.A.; Anderson, K. A Comparison of Phonological Skills of Boys with Fragile X Syndrome and Down Syndrome. J. Speech Lang. Hear. Res. 2005, 48, 980–995. [Google Scholar] [CrossRef]
- Berglund, E.; Eriksson, M.; Johansson, I. Parental Reports of Spoken Language Skills in Children With Down Syndrome. J. Speech Lang. Hear. Res. 2001, 44, 179–191. [Google Scholar] [CrossRef]
- Laws, G.; Bishop, D. A Comparison of Language Abilities in Adolescents with Down Syndrome and Children with Specific Language Impairment. J. Speech Lang. Hear. Res. 2003, 46, 1324–1339. [Google Scholar] [CrossRef]
- Moreno, E.; Díaz, F. Assessment of the pragmatic component in Down’s syndrome through the quick pragmatic assessment protocol. Rev. Investig. Logop. 2014, 4, 1–27. [Google Scholar] [CrossRef]
- Abbeduto, L.; Warren, S.F.; Conners, F.A. Language development in Down syndrome: From the prelinguistic period to the acquisition of literacy. Ment. Retard. Dev. Disabil. Res. Rev. 2007, 13, 247–261. [Google Scholar] [CrossRef]
- Bishop, D.V.; Snow, P.; Thompson, P.A.; Greenhalgh, T. Phase 2 of Catalise: A multinational and multidisciplinary Delphi consensus study of problems with language development: Terminology. J. Child Psychol. Psychiatry 2017, 58, 1068–1080. [Google Scholar] [CrossRef]
- Mendoza, E. Trastorno Específico del Lenguaje (TEL): Avances en el Estudio de un Trastorno Invisible; Pirámide: Madrid, Spain, 2016. [Google Scholar]
- Prelock, P.A.; Hutchins, T.L. Children with specific language impairment. In Clinical Guide to Assessment and Treatment of Communication Disorders; Prelock, P.A., Hutchins, T.L., Eds.; Springer: New York, NY, USA, 2018; pp. 53–64. [Google Scholar]
- Botting, N.; Simkin, Z.; Conti-Ramsden, G. Associated Reading Skills in Children with a History of Specific Language Impairment (SLI). Read. Writ. 2006, 19, 77–98. [Google Scholar] [CrossRef]
- Coady, J.A. Rapid Naming by Children With and Without Specific Language Impairment. J. Speech Lang. Hear. Res. 2013, 56, 604–617. [Google Scholar] [CrossRef] [Green Version]
- Bedore, L.M.; Leonard, L.B. Verb inflections and noun phrase morphology in the spontaneous speech of Spanish-speaking children with specific language impairment. Appl. Psycholinguist. 2005, 26, 195–225. [Google Scholar] [CrossRef]
- Morgan, G.P.; Restrepo, M.A.; Auza, A. Comparison of Spanish morphology in monolingual and Spanish–English bilingual children with and without language impairment. Biling. Lang. Cogn. 2013, 16, 578–596. [Google Scholar] [CrossRef]
- Acosta, V.M.; De La Laguna, U.; Moreno, A.M. Axpe, Ángeles El estudio de la agramaticalidad en el discurso narrativo del trastorno específico del lenguaje. Onomázein 2014, 29, 118–128. [Google Scholar] [CrossRef]
- Pavez, M.M.; Coloma, C.J.; Araya, C.; Maggiolo, M.; Peñaloza, C. Gramaticalidad y complejidad en narración y conversación en niños con trastorno específico del lenguaje. Rev. Logop. Foniatría Audiol. 2015, 35, 150–158. [Google Scholar] [CrossRef]
- Bishop, D. Development of the Children’s Communication Checklist (CCC): A method for assessing qualitative aspects of communicative impairment in children. J. Child Psychol. Psychiatry 1998, 39, 879–891. [Google Scholar] [CrossRef]
- Crespo-Eguílaz, N.; Magallón, S.; Sánchez-Carpintero, R.; Narbona, J. La adaptación al castellano de la Children’s Communication Checklist permite detectar las dificultades en el uso del lenguaje pragmático y diferenciar subtipos clínicos. Rev. Neurol. 2016, 62, S49–S57. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Geurts, H.M.; Embrechts, M. Language Profiles in ASD, SLI, and ADHD. J. Autism Dev. Disord. 2008, 38, 1931–1943. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Fortea, I.B.; Forner, C.B.; Colomer, C.; Casas, A.M.; Miranda, B.R. Communicative skills in Spanish children with Autism Spectrum Disorder and children with Attention Deficit Hyperactivity Disorder. Analysis through parents’ perceptions and narrative production. Res. Autism Spectr. Disord. 2018, 50, 22–31. [Google Scholar] [CrossRef]
- Philofsky, A.; Fidler, D.J.; Hepburn, S. Pragmatic language profiles of school-age children with autism spectrum disorders and williams syndrome. Am. J. Speech Lang. Pathol. 2007, 16, 368–380. [Google Scholar] [CrossRef] [Green Version]
- Barbosa, V.; Harsányi, E.; de Oliveira, V.; Kummer, A. Tradução e adaptação transcultural para o português brasileiro do teste Children’s Communication Checklist-2. CoDAS 2013, 25, 115–119. [Google Scholar] [CrossRef]
- Solomon, M.; Miller, M.; Taylor, S.; Hinshaw, S.P.; Carter, C.S. Autism symptoms and internalizing psychopathology in girls and boys with autism spectrum disorders. J. Autism Dev. Disord. 2011, 42, 48–59. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Väisänen, R.; Loukusa, S.; Moilanen, I.; Yliherva, A. Language and pragmatic profile in children with ADHD measured by Children’s Communication Checklist 2nd edition. Logop. Phoniatr. Vocology 2014, 39, 179–187. [Google Scholar] [CrossRef]
- Helland, W.A.; Biringer, E.; Helland, T.; Heimann, M. Exploring language profiles for children with ADHD and children with asperger syndrome. J. Atten. Disord. 2012, 16, 34–43. [Google Scholar] [CrossRef]
- Baixauli, I. Análisis de habilidades pragmáticas de niños con TDAH y niños con TEA. In Psicología y Educación: Presente y Futuro; Castejón, J.L., Ed.; ACIPE: Alicante, Spain, 2018; pp. 682–689. [Google Scholar]
- Tanaka, S.; Oi, M.; Fujino, H.; Kikuchi, M.; Yoshimura, Y.; Miura, Y.; Tsujii, M.; Ohoka, H. Characteristics of communication among Japanese children with autism spectrum disorder: A cluster analysis using the Children’s Communication Checklist-2. Clin. Linguist. Phon. 2016, 31, 1–16. [Google Scholar] [CrossRef]
- Gutiérrez, S. De Pragmática y Semántica; Arco Libros: Madrid, Spain, 2002. [Google Scholar]
- Norbury, C.F.; Nash, M.; Baird, G.; Bishop, D.V.M. Using a parental checklist to identify diagnostic groups in children with communication impairment: A validation of the Children’s Communication Checklist-2. Int. J. Lang. Commun. Disord. 2004, 39, 345–364. [Google Scholar] [CrossRef]
- Perpiñan, S. Tengo un Alumno con SÍNDROME de Down: ESTRATEGIAS de Intervención Educativa; Narcea: Madrid, Spain, 2018. [Google Scholar]
- Smith, E.; Næss, K.-A.B.; Harrold, C. Assessing pragmatic communication in children with Down syndrome. J. Commun. Disord. 2017, 68, 10–23. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Helland, W.A. Differentiating children with Specific Language Impairment and Children with Asperger Syndrome using parental reports. Ann. Psychiatry Ment. Health 2014, 2, 1013. [Google Scholar]
N | Participants | Parents | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Age | Gender | Age | Gender | Educational Level | ||||||||
Female | Male | Female | Male | Primary | Secondary | High School and Technical | University | |||||
M (SD) | % | % | M (SD) | % | % | % | % | % | % | |||
Age Group 4–6 | TD | 15 | 5.40 (0.63) | 33.30 | 66.70 | 35.87 (4.61) | 86.70 | 13.30 | 20.00 | 26.70 | 20.00 | 33.30 |
ASD | 13 | 4.85 (0.80) | 30.80 | 69.20 | 36.00 (4.08) | 92.30 | 7.70 | 23.10 | 30.80 | 15.40 | 30.80 | |
ADHD | 11 | 5.36 (0.67) | 36.40 | 63.60 | 37.36 (4.65) | 100 | 0 | 27.30 | 9.10 | 45.50 | 18.20 | |
DLD | 15 | 4.93 (0.80) | 33.30 | 66.70 | 36.20 (2.70) | 86.70 | 13.30 | 6.70 | 20.00 | 40.00 | 33.30 | |
DS | 7 | 5.57 (0.54) | 28.60 | 71.40 | 38.71 (1.98) | 85.70 | 14.30 | 0 | 28.60 | 42.90 | 28.60 | |
Age Group 7–16 | TD | 15 | 10.87 (2.62) | 46.70 | 53.30 | 42.33 (6.04) | 100 | 0 | 13.30 | 20.00 | 33.30 | 33.30 |
ASD | 11 | 12.27 (3.26) | 45.5 | 54.5 | 40.55 (4.39) | 81.80 | 18.20 | 9.10 | 18.20 | 18.20 | 54.50 | |
ADHD | 11 | 11.55 (2.73) | 36.40 | 63.60 | 40.45 (3.88) | 100 | 0 | 9.10 | 18.20 | 45.50 | 27.30 | |
DLD | 10 | 10.10 (2.92) | 40.00 | 60.00 | 40.20 (2.78) | 90.00 | 10.00 | 10.00 | 20.00 | 40.00 | 30.00 | |
DS | 9 | 12.11 (3.37) | 55.60 | 44.40 | 42.33 (5.83) | 100 | 0 | 11.10 | 33.30 | 33.30 | 22.20 |
Scale | Aspects Assessed |
---|---|
| Phonology, articulation and intelligibility of speech. |
| Structure, complexity of sentences and grammatical markings. |
| Fluency and precision in word recall and lexical access. |
| Reference settings. |
| Excessive talking, persistence in initiating the same topic and not initiating topics of mutual interest. |
| Excessive use of phrases learned without adaptation to the context and excess precision. |
| Understanding and use of social communication rules, sarcasm, figurative language, politeness, metaphors, humor and the intentions of others. |
| Comprehension and use of non-verbal conversational cues, including gestures and facial expression. |
| Interest in and establishment of relationships with peers. |
| Restricted and/or repetitive interests and flexibility. |
Scales | A | B | C | D | E | F | G | H | I | J | Total |
---|---|---|---|---|---|---|---|---|---|---|---|
Cronbach’s alpha | 0.94 | 0.87 | 0.77 | 0.87 | 0.81 | 0.83 | 0.85 | 0.88 | 0.83 | 0.84 | 0.91 |
Scales and Indices | TD | ASD | ADHD | DLD | DS | H | ɳ2H | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
M | SD | Average Range | M | SD | Average Range | M | SD | Average Range | M | SD | Average Range | M | SD | Average Range | |||
A | 1.47 | 2.39 | 13.17 | 10.62 | 4.57 | 39.88 | 1.64 | 1.21 | 16.18 | 11.20 | 5.62 | 41.07 | 17.43 | 2.15 | 54.43 | 43.44 *** | 0.67 |
B | 0.80 | 1.01 | 11.97 | 7.69 | 3.04 | 39.35 | 1.36 | 1.12 | 16.27 | 9.33 | 4.15 | 43.70 | 11.71 | 1.50 | 52.21 | 45.86 *** | 0.71 |
C | 2.47 | 1.77 | 12.83 | 8.00 | 3.76 | 38.77 | 3.91 | 1.70 | 20.41 | 10.20 | 3.88 | 46.37 | 7.57 | 0.98 | 39.21 | 35.10 *** | 0.52 |
D | 1.80 | 2.08 | 8.47 | 11.92 | 2.99 | 44.15 | 7.45 | 1.86 | 24.95 | 11.33 | 3.87 | 41.00 | 11.57 | 2.94 | 42.93 | 40.73 *** | 0.62 |
E | 3.40 | 2.69 | 12.40 | 13.85 | 2.61 | 50.92 | 11.00 | 3.19 | 40.77 | 7.73 | 4.10 | 28.47 | 6.14 | 1.35 | 23.93 | 37.83 *** | 0.57 |
F | 1.27 | 1.03 | 12.00 | 13.38 | 2.60 | 54.88 | 3.91 | 1.30 | 32.00 | 4.33 | 2.64 | 32.23 | 2.71 | 1.25 | 23.14 | 42.75 *** | 0.66 |
G | 2.53 | 2.00 | 9.17 | 15.69 | 3.17 | 52.38 | 7.55 | 1.57 | 27.50 | 9.13 | 4.26 | 32.60 | 11.14 | 2.34 | 40.14 | 44.18 *** | 0.68 |
H | 0.93 | 1.10 | 13.57 | 13.23 | 3.96 | 53.69 | 5.64 | 1.57 | 39.55 | 3.47 | 2.92 | 27.97 | 1.71 | 1.50 | 19.29 | 42.22 *** | 0.65 |
I | 0.53 | 0.83 | 13.13 | 11.85 | 2.64 | 54.38 | 3.18 | 2.44 | 30.05 | 4.00 | 2.83 | 34.80 | 1.29 | 1.70 | 19.21 | 42.41 *** | 0.65 |
J | 2.73 | 1.87 | 18.00 | 14.15 | 2.82 | 54.31 | 5.82 | 2.56 | 34.82 | 4.47 | 3.72 | 24.70 | 3.86 | 1.68 | 23.07 | 34.65 *** | 0.51 |
GCI | 14.67 | 10.03 | 8.30 | 94.38 | 19.62 | 51.54 | 42.45 | 7.00 | 23.32 | 66.73 | 25.94 | 37.23 | 70.00 | 4.04 | 40.21 | 47.74 *** | 0.75 |
SIDI | 1.27 | 5.99 | 32.07 | 14.92 | 8.12 | 50.69 | 9.55 | 5.03 | 45.18 | −23.60 | 11.21 | 13.40 | −32.71 | 8.86 | 7.57 | 50.08 *** | 0.79 |
GPI | 8.13 | 4.69 | 9.03 | 56.15 | 9.15 | 54.65 | 28.09 | 5.15 | 36.68 | 24.67 | 12.08 | 29.87 | 21.71 | 3.82 | 27.64 | 47.56 *** | 0.74 |
GSI | 6.53 | 6.37 | 9.97 | 38.23 | 11.39 | 40.85 | 14.55 | 3.91 | 19.18 | 42.07 | 15.44 | 43.27 | 48.29 | 6.63 | 50.07 | 45.21 *** | 0.70 |
SCI | 3.47 | 2.50 | 15.20 | 26.00 | 3.29 | 54.42 | 10.00 | 3.32 | 37.59 | 7.27 | 6.19 | 26.50 | 5.14 | 2.80 | 20.64 | 39.59 *** | 0.60 |
Scales and Indices | TD | ASD | ADHD | DLD | DS | H | ɳ2H | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
M | SD | Average Range | M | SD | Average Range | M | SD | Average Range | M | SD | Average Range | M | SD | Average Range | |||
A | 0.73 | 0.88 | 16.90 | 2.18 | 2.32 | 24.27 | 0.91 | 1.30 | 17.14 | 8.00 | 2.75 | 42.50 | 14.44 | 4.07 | 51.33 | 39.95 *** | 0.67 |
B | 0.33 | 0.72 | 14.63 | 1.27 | 1.27 | 23.09 | 0.82 | 0.75 | 20.86 | 8.20 | 1.93 | 45.00 | 10.56 | 3.21 | 49.22 | 41.64 *** | 0.70 |
C | 1.87 | 0.64 | 9.80 | 6.09 | 2.98 | 31.55 | 4.73 | 1.85 | 26.00 | 8.80 | 3.23 | 42.30 | 8.89 | 2.21 | 43.67 | 35.84 *** | 0.59 |
D | 0.60 | 0.91 | 8.70 | 9.00 | 3.10 | 33.77 | 8.91 | 3.45 | 34.77 | 10.40 | 3.31 | 37.90 | 9.67 | 2.96 | 36.94 | 30.98 *** | 0.49 |
E | 2.33 | 1.95 | 12.67 | 11.09 | 3.70 | 43.18 | 9.73 | 3.00 | 40.27 | 3.00 | 2.67 | 15.00 | 8.67 | 2.50 | 37.56 | 38.66 *** | 0.64 |
F | 0.93 | 1.49 | 13.03 | 11.00 | 1.90 | 50.73 | 4.82 | 2.75 | 32.86 | 2.80 | 1.69 | 25.40 | 2.89 | 1.97 | 25.22 | 36.07 *** | 0.59 |
G | 1.07 | 1.28 | 9.17 | 14.64 | 2.16 | 50.05 | 7.73 | 3.55 | 30.59 | 7.00 | 3.62 | 27.55 | 8.78 | 1.72 | 32.89 | 41.52 *** | 0.70 |
H | 0.87 | 1.30 | 14.60 | 11.18 | 3.34 | 49.91 | 5.64 | 1.96 | 39.59 | 0.80 | 0.79 | 15.10 | 2.44 | 1.51 | 26.83 | 42.64 *** | 0.72 |
I | 1.13 | 1.46 | 17.43 | 8.27 | 3.13 | 46.73 | 2.00 | 1.90 | 22.64 | 2.20 | 3.01 | 20.40 | 5.89 | 2.42 | 40.83 | 30.60 *** | 0.48 |
J | 3.20 | 1.27 | 22.27 | 12.00 | 4.27 | 49.91 | 4.09 | 2.34 | 27.77 | 1.20 | 0.79 | 8.80 | 5.78 | 2.73 | 35.50 | 38.18 *** | 0.63 |
GCI | 8.73 | 3.63 | 8.07 | 66.45 | 12.36 | 43.59 | 43.27 | 11.61 | 26.36 | 49.00 | 17.71 | 30.75 | 66.33 | 8.19 | 44.22 | 41.76 *** | 0.70 |
SIDI | 4.13 | 3.72 | 28.77 | 23.82 | 10.60 | 49.86 | 9.45 | 3.78 | 38.73 | −27.40 | 6.48 | 7.60 | −20.11 | 10.88 | 12.67 | 48.16 *** | 0.83 |
GPI | 5.73 | 3.73 | 9.27 | 46.91 | 7.70 | 51.00 | 27.91 | 7.05 | 36.64 | 14.40 | 7.38 | 21.20 | 22.78 | 3.56 | 31.22 | 46.87 *** | 0.80 |
GSI | 3.53 | 1.25 | 9.00 | 18.73 | 7.79 | 28.77 | 15.45 | 4.91 | 24.00 | 34.60 | 10.58 | 43.25 | 43.56 | 8.03 | 49.78 | 46.26 *** | 0.79 |
SCI | 4.33 | 1.72 | 16.17 | 19.91 | 5.91 | 50.14 | 9.55 | 3.08 | 32.32 | 3.40 | 2.72 | 12.10 | 11.44 | 4.50 | 36.17 | 40.83 *** | 0.68 |
Scales and Indices | Preschool Age (4–6 Years) | School Age (7–16 Years) |
---|---|---|
A | TD, ADHD < ASD, DLD, DS | TD, ADHD, ASD < DLD, DS |
B | TD, ADHD < ASD, DLD, DS | TD, ADHD, ASD < DLD, DS |
C | TD < DS, ASD, DLD ADHD < DLD | TD < ASD, DLD, DS |
D | TD < DLD, DS, ASD | TD < ADHD, ASD, DS, DLD |
E | TD < ADHD, ASD DS, DLD < ASD | TD, DLD < ADHD, ASD, DS |
F | TD < DLD, ADHD TD, DS, ADHD, DLD < ASD | TD < ADHD, ASD DS, DLD < ASD |
G | TD < DLD, DS, ASD ADHD, DLD < ASD | TD < ADHD, DS, ASD DLD, ADHD < ASD |
H | TD < ADHD, ASD DS, DLD < ASD | TD < ADHD, ASD DS, DLD < ASD; DLD < ADHD |
I | TD < DLD, ASD DS, ADHD, DLD < ASD | TD < DS, ASD ADHD, DLD < ASD |
J | TD, DS, DLD < ASD | TD, ADHD, DLD < ASD DLD < DS |
GCI | TD < ADHD, DLD, DS, ASD ADHD < ASD | TD < ADHD, DLD, DS, ASD |
SIDI | DLD, DS < TD, ADHD, ASD | DLD, DS < ADHD, ASD TD < DLD, ASD |
GPI | TD < ADHD, ASD, DLD DLD, DS < ASD | TD < ADHD, ASD, DS DLD < ASD |
GSI | TD, ADHD < ASD, DLD, DS | TD < DLD, DS, ASD ADHD, ASD < DS |
SCI | TD < ASD, ADHD DS, DLD < ASD | TD < ASD, DS DLD < ASD, ADHD, DS |
Scales and Indices | TD | ASD | ADHD | DLD | DS | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Average Range | U | ɳ2u | Average Range | U | ɳ2u | Average Range | U | ɳ2u | Average Range | U | ɳ2u | Average Range | U | ɳ2u | ||||||
Age | 4–6 | 7–16 | 4–6 | 7–16 | 4–6 | 7–16 | 4–6 | 7–16 | 4–6 | 7–16 | ||||||||||
A | 15.60 | 15.40 | 111.00 | 0.49 | 17.42 | 6.68 | 7.50 *** | 0.05 | 13.59 | 9.41 | 37.50 | 0.31 | 14.87 | 10.20 | 47.00 | 0.31 | 10.79 | 6.72 | 15.50 | 0.25 |
B | 17.50 | 13.50 | 82.50 | 0.37 | 17.62 | 6.45 | 5.00 *** | 0.03 | 12.91 | 10.09 | 45.00 | 0.37 | 13.60 | 12.10 | 66.00 | 0.44 | 9.36 | 7.83 | 25.50 | 0.40 |
C | 16.90 | 14.10 | 91.50 | 0.41 | 14.23 | 10.45 | 49.00 | 0.34 | 10.00 | 13.00 | 77.00 | 0.64 | 14.20 | 11.20 | 57.00 | 0.38 | 7.07 | 9.61 | 41.50 | 0.66 |
D | 18.23 | 12.77 | 71.50 | 0.32 | 15.31 | 9.18 | 35.00 * | 0.24 | 8.68 | 14.32 | 91.50 * | 0.76 | 13.80 | 11.80 | 63.00 | 0.42 | 9.86 | 7.44 | 22.00 | 0.35 |
E | 17.13 | 13.87 | 88.00 | 0.39 | 14.88 | 9.68 | 40.50 | 0.28 | 13.23 | 9.77 | 41.50 | 0.34 | 16.20 | 8.20 | 27.00 ** | 0.18 | 5.36 | 10.94 | 53.50 * | 0.85 |
F | 17.73 | 13.27 | 79.00 | 0.35 | 15.58 | 8.86 | 31.50 * | 0.22 | 10.64 | 12.36 | 70.00 | 0.58 | 14.87 | 10.20 | 47.00 | 0.31 | 7.86 | 9.00 | 36.00 | 0.57 |
G | 18.73 | 12.27 | 64.00 * | 0.28 | 13.31 | 11.55 | 61.00 | 0.43 | 10.73 | 12.27 | 69.00 | 0.57 | 14.47 | 10.80 | 53.00 | 0.35 | 11.14 | 6.44 | 13.00 | 0.21 |
H | 15.97 | 15.03 | 105.50 | 0.47 | 14.69 | 9.91 | 43.00 | 0.30 | 11.36 | 11.64 | 62.00 | 0.51 | 16.13 | 8.30 | 28.00 ** | 0.19 | 6.79 | 9.83 | 43.50 | 0.69 |
I | 13.83 | 17.17 | 137.50 | 0.61 | 15.69 | 8.73 | 30.00 * | 0.21 | 13.09 | 9.91 | 43.00 | 0.36 | 15.00 | 10.00 | 45.00 | 0.30 | 4.71 | 11.44 | 58.00 ** | 0.92 |
J | 14.60 | 16.40 | 126.00 | 0.56 | 14.15 | 10.55 | 50.00 | 0.35 | 13.64 | 9.36 | 37.00 | 0.31 | 16.27 | 8.10 | 26.00 ** | 0.11 | 6.29 | 10.22 | 47.00 | 0.75 |
GCI | 18.67 | 12.33 | 65.00 | 0.29 | 16.81 | 7.41 | 15.50 *** | 0.11 | 10.95 | 12.05 | 66.50 | 0.55 | 15.07 | 9.90 | 44.00 * | 0.29 | 9.93 | 7.39 | 21.50 | 0.34 |
SIDI | 12.60 | 18.40 | 156.00 * | 0.69 | 9.54 | 16.00 | 110.00 * | 0.77 | 10.91 | 12.09 | 67.00 | 0.55 | 14.33 | 11.00 | 55.00 | 0.37 | 5.57 | 10.78 | 52.00 * | 0.83 |
GPI | 18.33 | 12.67 | 70.00 | 0.31 | 15.65 | 8.77 | 30.50 * | 0.21 | 11.45 | 11.55 | 61.00 | 0.50 | 15.73 | 8.90 | 34.00 * | 0.23 | 7.86 | 9.00 | 36.00 | 0.57 |
GSI | 16.83 | 14.17 | 92.50 | 0.41 | 17.04 | 7.14 | 12.50 *** | 0.09 | 9.68 | 13.32 | 80.50 | 0.67 | 14.67 | 10.50 | 50.00 | 0.33 | 10.29 | 7.11 | 19.00 | 0.30 |
SCI | 14.00 | 17.00 | 135.00 | 0.60 | 15.96 | 8.41 | 26.50 ** | 0.19 | 11.95 | 11.05 | 55.50 | 0.46 | 15.13 | 9.80 | 43.00 | 0.29 | 5.07 | 11.17 | 55.50 ** | 0.88 |
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de la Torre Carril, A.; Durán-Bouza, M.; Pérez-Pereira, M. Capacity of the CCC-2 to Discriminate ASD from Other Neurodevelopmental Disorders. Children 2021, 8, 640. https://doi.org/10.3390/children8080640
de la Torre Carril A, Durán-Bouza M, Pérez-Pereira M. Capacity of the CCC-2 to Discriminate ASD from Other Neurodevelopmental Disorders. Children. 2021; 8(8):640. https://doi.org/10.3390/children8080640
Chicago/Turabian Stylede la Torre Carril, Alba, Montserrat Durán-Bouza, and Miguel Pérez-Pereira. 2021. "Capacity of the CCC-2 to Discriminate ASD from Other Neurodevelopmental Disorders" Children 8, no. 8: 640. https://doi.org/10.3390/children8080640