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ISRN Neurology
Volume 2012 (2012), Article ID 408694, 7 pages
http://dx.doi.org/10.5402/2012/408694
Research Article

M-CHAT Mexican Version Validity and Reliability and Some Cultural Considerations

1Research Division, Hospital Psiquiátrico Infantil “Dr. Juan N. Navarro,” Secretaría de Salud, Mexico
2Epidemiology Department, Asociación Mexicana de Niños con TDA y Trastornos Asociados AC, Mexico
3Psychology School, Facultad de Psicología, Universidad Regional del Sureste, Mexico
4Psychology School, Universidad Autónoma Metropolitana de México, Mexico
5Washington University School of Medicine, Occupational Therapy and Psychiatry, St. Louis, MO, USA

Received 6 February 2012; Accepted 18 March 2012

Academic Editors: A. Arboix and K. W. Lange

Copyright © 2012 Lilia Albores-Gallo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The Modified Checklist for Autism in Toddlers (M-CHAT) questionnaire is a brief measure available in Spanish which needs to be validated for the Mexican population. Parents of children from (1) community with typical development (TD) and (2) psychiatric outpatient unit completed the CBCL/1.5–5 and the Mexican/MM-CHAT-version. The study sample consisted of 456 children (age M = 4.46, SD = 1.12), 74.34% TD children and 26.65% with Autism Spectrum Disorders (ASD). The MM-CHAT mean score for failed key items was higher for the ASD group compared with the TD group. Internal consistency for the Mexican/M-CHAT version was .76 for total score and .70 for the 6 critical items. Correlations between the MM-CHAT and the CBCL/1.5: PDD and Withdrawn subscales and with ADI-R dimensions: B non verbal) and A were high, and were moderate with ADI-R dimensions B1 (verbal) and C The failure rate of the MM-CHAT between the groups did not reproduce all the critical items found in other studies. Although the instrument has good psychometric properties and can be used for screening purposes in primary settings or busy specialized psychiatric clinics, these results support evidence for cultural differences in item responses, making it difficult to compare M-CHAT results internationally.