Abstract
The Behavior Summarized Evaluation (BSE), developed for the assessment of autistic behavior, was specifically designed to evaluate the severity of behavioral problems in autistic children involved in bioclinical and therapeutic studies. The reliability studies and the factorial analysis of this scale have been previously published. The present paper examines the effectiveness of the BSE to discriminate 58 autistic from 58 nonautistic mentally retarded children. The BSE clearly separated the two samples of children. A most efficient combination of 8 items emerged from the stepwise item selection procedure. The between-group differences were highest on 4 items, indicating that the most particular pattern in autistic compared to nonautistic children could be the association of autistic withdrawal and stereotypic behaviors. Our findings suggest that the BSE could help in the detection and evaluation of autistic developmental deviance. Implications for further research are discussed.
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Adrien, J. L., Barthélémy, C., Lelord, G., & Muh, J. P. (1989). The use of bioclinical markers for the assessment and treatment of children with pervasive developmental disorders.Neuropsychobiology, 22, 117–124.
Adrien, J. L., Ornitz, E., Barthélémy, C., Sauvage, D., & Lelord, G. (1987). The presence or absence of certain behaviors associated with infantile autism in severely retarded autistic and nonautistic retarded children and very young normal children.Journal of Autism and Developmental Disorders, 17, 407–416.
American Psychiatric Association. (1980).Diagnostic and statistical manual of mental disorders (3rd ed.) Washington, DC: Author.
American Psychiatric Association. (1987).Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.
Barthélémy, C., Adrien, J. L., Tanguay, P., Garreau, B., Fermanian, J., Roux, S., Sauvage, D., & Lelord, G. (1990). The Behavioral Summarized Evaluation: Validity and reliability of a scale for the assessment of autistic behaviors.Journal of Autism and Developmental Disorders, 20, 189–204.
Barthélémy, C., Bruneau, N., Jouve, J., Martineau, J., Muh, J. P., & Lelord, G. (1989). Urinary dopamine metabolites as indicators of the responsiveness to fenfluramine treatment in children with autistic behavior.Journal of Autism and Developmental Disorders, 19, 241–254.
Barthélémy, C., Hameury, I., & Lelord, G. (1989). Exchange and development therapies (EDT) for children with autism: A treatment program from TOURS, France. In C. Gillberg (Ed.),Autism: The state of the art New York: Elsevier (pp. 263–284).
Bruneau, N., Garreau, B., Roux, S., & Lelord, G. (1987). Modulation of Auditory Evoked Potentials with increasing stimulus intensity in autistic children.Electroencephalography and Clinical Neurophysiology, Suppl. 40, 584–589.
Brunet, O., & Lezine, I. (1976).Le développement psychologique de la premiére enfance. (2nd ed.). Paris: P.U.F.
Damasio, A. R., & Maurer, R. G. (1978). A neurological model for childhood autism.Archives of Neurology, 35, 778–786.
Fombonne, E. (1991). The use of questionnaires in child psychiatry research: measuring their performance and choosing an optimal cut-off.Journal of Child Psychology and Psychiatry, 32, 677–693.
Freeman, B. J., Ritvo, E. R., Guthrie, D., Schroth, P., & Ball, J. (1978). The Behavior Observation Scale for autism: initial methodology data analysis and preliminary findings on 89 children.Journal of the American Academy of Child Psychiatry, 17, 576–588.
Gesell, A., & Amatruda, C. S. (1947).Developmental diagnosis. Normal and abnormal child development: Clinical methods and pediatric applications. New York: P. B. Hoeber.
Garreau, B., Barthelemy, C., Sauvage, D., Leddet, I., & Lelord, G. (1984). A comparison of autistic syndromes with and without associated neurological problems.Journal of Autism and Developmental Disorders, 14, 105–111.
Hanley, J. A., & McNeil, B. J. (1982). The meaning and the use of the area under a Receiver Operating Characteristic (ROC) curve.Radiology, 143, 29–36.
Krug, D. A., Arick, J., & Almond, P. J. (1980). Behavior checklist for identifying severely handicapped individuals with high levels of autistic behavior.Journal of Child Psychology and Psychiatry, 21, 221–229.
Le Couteur, A., Rutter, M., Lord, C., Rios, P., Robertson, S., Holdgrafer, A., & McLennan, J. (1989). Autism Diagnostic Interview: A standardized investigator-based instrument.Journal of Autism and Developmental Disorders, 19, 363–387.
Leddet, I., Larmande, C., Barthélémy, C., Chalons, F., Sauvage, D., & Lelord, G. (1986). Comparison of clinical diagnosis and Rimland E2 scores in severely disturbed children.Journal of Autism and Developmental Disorders, 16, 215–225.
Lelord, G., Muh, J. P., Barthelemy, C., Martineau, J., Garreau, B., & Callaway, E. (1981). Effects of pyridoxine and magnesium on autistic symptoms. Initial observations.Journal of Autism and Developmental Disorders, 11, 219–230.
Lelord, G. (1990). Physiopathologie de l'autisme. Les insuffisances modulatrices cérébrales.Neuropsychiatrie de l'Enfance et de l'Adolescence, 38, 43–49.
Lord, C., Rutter, M., Goode, S., Heemsbergen, J., Jordan, H., Mawhood, I., & Schopler, E. (1989). Autism Diagnostic Observation Schedule: A standardized observation of communicative and social behavior.Journal of Autism and Developmental Disorders, 19, 185–212.
Martineau, J., Barthélémy, C., Cheliakine, C., & Lelord, G. (1988). An open middle-term study of combined B6-Mg in a subgroup of autistic children selected on their sensitivity to this treatment.Journal of Autism and Developmental Disorders, 18, 583–591.
Ornitz, E. M. (1985). Neurophysiology of infantile autism.Journal of the American Academy of Child Psychiatry, 24, 251–262.
Rimland, B. (1971). The differentiation of childhood psychosis: an analysis for 2218 psychotic children.Journal of Autism and Childhood Schizophrenia, 1, 161–174.
Rogé, B. (1985). Echelle d'évaluation de l'autisme infantile (CARS). In J. Cottraux, M. Bouvard, & P. Legeron (Eds.),Méthodes et échelles d'évaluation des comportements. Issyles-Moulineaux, France: E.A.P.
Rutter, M., & Schopler, E. (1987). Autism and pervasive developmental disorders. Concepts and diagnostic issues.Journal of Autism and Developmental Disorders, 17, 159–186.
Sauvage, D. (1988).Autisme du nourrisson et du jeune enfant (0–3 ans). Signes précoces et diagnostic (2nd ed.). Paris: Masson.
Schopler, E., Reichler, R. J., DeVellis, R. F., & Daly, K. (1980). Toward objective classification of childhood autism: Childhood autism rating scale.Journal of Autism and Developmental Disorders, 10, 91–103.
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The authors gratefully acknowledge Jacques Fermanian for his helpful advice and suggestions. This study was supported by INSERM U.316, INSERM Réseau No. 489001, CRAMTS No. 998313, Conseil Régional de la Région Centre, and Foundation Langlois. Special thanks to Monique Barré, Annick Lardeux, and Danièle Lioret for their technical assistance.
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Barthélémy, C., Adrien, JL., Roux, S. et al. Sensitivity and specificity of the Behavioral Summarized Evaluation (BSE) for the assessment of autistic behaviors. J Autism Dev Disord 22, 23–31 (1992). https://doi.org/10.1007/BF01046400
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DOI: https://doi.org/10.1007/BF01046400