SLPOtherJournal of autism and developmental disorders2023

Psychometric Assessment of the Eyberg Child Behavior Inventory in Children with Autism in Community Settings.

Kassandra Martinez, Colby Chlebowski, Scott Roesch and 3 others

PMID 35278165

WHAT IT FOUND

The Eyberg Child Behavior Inventory does not measure autism behaviors in a single group.

In children with autism, it splits into four distinct areas: emotional reactivity, conduct problems, attention issues, and daily routine difficulties. Use these subscales separately rather than one total score.

Key findings

01The standard four-factor structure of the ECBI did not fit this sample, leading researchers to remove nine items and identify four new factors: Emotional Reactivity, Conduct Problems, Attention & Hyperactivity, and Difficulty with Daily Routines.

02The new factors showed acceptable internal consistency and were able to correctly classify children with oppositional defiant disorder 80.5% of the time, but only 61.8% of the time for anxiety disorders.

03The ECBI factors were not correlated with Full Scale IQ, meaning high scores on these behavior scales are not simply a reflection of lower cognitive ability.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The factor structure is preliminary and needs to be confirmed in other community-based samples. The study did not have enough statistical power to check if the measure works the same way for Spanish-speaking versus English-speaking caregivers. The sample was drawn from Southern California publicly funded services, which may not represent families in other regions or private settings. All behavior data came from parent reports, which may differ from teacher reports or direct observation.

Declared interests

The study was approved by the University of California, San Diego Institutional Review Board. Families received a $40 gift card for completing the baseline assessment. No other funding sources or author conflicts of interest are explicitly detailed in the provided text.

The easy way to misread this

Do not use the ECBI as a standalone screening tool for anxiety in children with autism. The study found it only correctly classified anxiety disorders 61.8% of the time, and only one factor (Difficulty with Daily Routines) helped distinguish this group. Use direct clinical interview or specific anxiety measures instead.

Read it on PubMed →