Development and Psychometric Properties of a New Questionnaire to Assess Mental Health and Concerning Behaviors in Children and Young People with Autism Spectrum Disorder (ASD):The Assessment of Concerning Behavior (ACB) Scale


Although 70% of autistic children and young people meet criteria for co-occurring psychiatric conditions, there are few screening measures specifically for autistic individuals. We describe the development and validation of the Assessment of Concerning Behavior (ACB), an instrument co-developed with the autistic community to assess mental health and problematic/risky behaviors. Items include descriptions to facilitate symptom recognition by autistic people, and carers/professionals. The ACB was completed by 255 parents, 149 autistic children and young people and 30 teachers. Internal consistency, stability and validity was assessed. The ACB parent-version fit a two-factor model (internalizing and externalizing problems) and showed adequate test–retest reliability, internal consistency and construct validity. The ACB is a promising new measure for research and clinical use in autism.

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Divisions: College of Health & Life Sciences > School of Psychology
Additional Information: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit Funding: This manuscript summarizes independent research funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research programme (RP-PG-1211-20016). ES additionally receives support from the NIHR Biomedical Research Centre for Mental Health at South London and Maudsley Foundation Trust (IS-BRC-1215-20018), the NIHR through a Senior Investigator Award (NF-SI-0514-10073), the European Union Innovative Medicines Initiative (EU-IMI 115300), Autistica (7237), Medical Research Council (MR/R000832/1, MR/P019293/1), the Economic and Social Research Council (ESRC 003041/1), Guy’s and St Thomas’ Charitable Foundation (GSTT EF1150502) and the Maudsley Charity.
Uncontrolled Keywords: Autism spectrum disorder (ASD),Emotional and behavioral problems,Instrument development and validation,Risk,Behavior Rating Scale,Reproducibility of Results,Parents/psychology,Humans,Mental Health/trends,Male,Psychometrics/methods,Caregivers/psychology,Young Adult,Problem Behavior/psychology,Adolescent,Adult,Female,Surveys and Questionnaires,Child,Autism Spectrum Disorder/diagnosis,Developmental and Educational Psychology
Publication ISSN: 1573-3432
Last Modified: 14 May 2024 07:17
Date Deposited: 16 Oct 2020 09:21
Full Text Link:
Related URLs: https://link.sp ... 803-020-04748-1 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2021-08
Published Online Date: 2020-10-14
Accepted Date: 2020-10-03
Authors: Tarver, Joanne (ORCID Profile 0000-0003-0555-6043)
Vitoratou, Silia
Mastroianni, Mathilde
Heaney, Natalie
Bennett, Eleanor
Gibbons, Felicity
Fiori, Federico
Absoud, Michael
Ramasubramanian, Lakshmi
Simonoff, Emily
Santosh, Paramala



Version: Published Version

License: Creative Commons Attribution

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