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Sensitivity of the BASC-2 Adaptive Skills Composite in Detecting Adaptive Impairment in a Clinically Referred Sample of Children and Adolescents.
MedLine Citation:
PMID:  23336208     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The Behavior Assessment Scale for Children (BASC-2) is widely used to assess for internalizing/externalizing behavior problems; however, the role of its adaptive scales is not well established. This study examined the sensitivity of the parent version of the BASC-2 Adaptive Skills Composite (ASC) in identifying children with impairments on a more comprehensive measure of adaptive functioning, the Adaptive Behavior Assessment System (ABAS-II). Participants were referred for neuropsychological assessment (N = 1884, M age = 10.96 years, SD = 3.50, 65% male). The ASC, rather than individual BASC-2 adaptive scales, showed the strongest correlations with the ABAS-II General Adaptive Composite (GAC) and domains. Receiver operating characteristic analysis showed that the BASC-2 ASC discriminated children with impaired adaptive functioning on the ABAS-II ([Formula: see text] -2 SD) from those without impairment (area under curve range = .86[social domain] to .78[practical domain]); however, sensitivity was inadequate at the typical -2 SD cut-off (48%). A -1 SD cut-off on the BASC-2 (T-score [Formula: see text] 40) was more appropriate for predicting impairment on the ABAS-II (89%). Among children with impaired IQ, the ABAS-II GAC was impaired in 69% compared to only 36% on the ASC. Findings have implications for the diagnosis of Intellectual Disability and for quantifying the functional impact of other diagnoses, particularly with the release of DSM-5.
Authors:
Aimilia Papazoglou; Lisa A Jacobson; T Andrew Zabel
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-22
Journal Detail:
Title:  The Clinical neuropsychologist     Volume:  -     ISSN:  1744-4144     ISO Abbreviation:  Clin Neuropsychol     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8806548     Medline TA:  Clin Neuropsychol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
a Department of Neuropsychology , Kennedy Krieger Institute , Baltimore , MD , USA.
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