Correlates of adaptive behavior profiles in a large cohort of children with autism: The autism speaks Autism Treatment Network registry data

Children with autism spectrum disorder have deficits in adaptive functioning. This study examines the adaptive behavior, its association with cognitive ability, gender, age, and symptom severity in children with autism spectrum disorder. Using data from Autism Treatment Network registry, the adaptive behavior profiles were examined in 2538 school-aged children (between 5 and 17 years, mean: 8.8 years, standard deviation: 3.0) who had an overall intelligence quotient and Vineland Adaptive Behavior Scale scores available. The children were grouped according to their intelligence quotient (low intelligence quotient < 70; borderline intelligence quotient = 70–85; average intelligence quotient > 85), age (5–10 and 11–17 years), and gender for the analyses. Significantly lower Vineland Adaptive Behavior Scale scores were found in borderline and average intelligence quotient groups when compared to mean intelligence quotient, while an opposite pattern was seen in the low intelligence quotient group, with better adaptive behavior scores than mean intelligence quotient. Vineland Adaptive Behavior Scale standard scores were positively correlated with intelligence quotient and poorly associated with autism spectrum disorder severity. Younger children had significantly higher Vineland Adaptive Behavior Scale scores. Adjusted comparisons by gender were not significant. Adaptive behavior profiles in the intelligence quotient categories are discussed. This study confirms a positive relationship between adaptive behavior and intellectual function in autism and indicates that children with higher intelligence quotient and older age are specifically impaired, with lower adaptive behavior, highlighting the need for assessment and targeted intervention in these groups. Future directions for research are discussed.

Adaptation: Vineland Adaptive Behavior Scale for 3–9 year-old Indian children

This study aimed to translate the Vineland Adaptive Behavior Scale (VABS) II Survey Form into Hindi and then adapt and use it in evaluating 3–9 year-old Indian children.The VABS II was translated to Hindi and its reliability and validity were checked. Then, it was used in a sample of 3–9 year-old children. Adaptive behavior composite (ABC) Scores, domain standard scores (DSS) and maladaptive-v scores (MBI) were compared.: Out of 433 items, 44 (10.16%) needed adaptation but no satisfactory adaptation could be made for 16 (3.6%). The adapted instrument was proven reliable and valid. Significant differences were found in all domains (except MBI) with higher scores for urban vs. rural children, school-goer vs. non-school-goer, working vs. housewife mothers and higher socioeconomic status (SES), but not between children of joint and nuclear families. Motor development significantly correlated with weight-for-age percentage, which in turn, correlated to the variables studied.The VABS was satisfactorily translated and adapted for Indian children. In addition, it was found that socioeconomic status significantly affected the social development.