{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:15:34Z","timestamp":1791357334484,"version":"4.3.1"},"reference-count":47,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,12,16]],"date-time":"2015-12-16T00:00:00Z","timestamp":1450224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The DSM\u20105 recently proposed new diagnostic criteria for autism spectrum disorder (ASD). Although many new or updated tools have been developed since the DSM\u2010IV was published in 1994, the Childhood Autism Rating Scale (CARS) has been used consistently in ASD diagnosis and research due to its technical adequacy, cost\u2010effectiveness, and practicality. Additionally, items in the CARS did not alter following the release of the revised DSM\u2010IV because the CARS factor structure was found to be consistent with the revised criteria after factor analysis. For that reason, in this study confirmatory factor analysis was used to identify the factor structure of the CARS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Participants (n = 150) consisted of children with an ASD diagnosis or who met the criteria for broader autism or emotional\/behavior disorder with comorbid disorders such as attention\u2010deficit hyperactivity disorder, bipolar disorder, intellectual or developmental disabilities. Previous studies used one\u2010, two\u2010, and four\u2010factor models, all of which we examined to confirm the best\u2010fit model on confirmatory factor analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Appropriate comparative fit indices and root mean square errors were obtained for all four models. The two\u2010factor model, based on DSM\u20105 criteria, was the most valid and reliable. The inter\u2010item consistency of the CARS was 0.926 and demonstrated adequate reliability, thereby supporting the validity and reliability of the two\u2010factor model of CARS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although CARS was developed prior to the introduction of DSM\u20105, its psychometric properties, conceptual relevance, and flexible administration procedures support its continued role as a screening device in the diagnostic decision\u2010making process.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ped.12770","type":"journal-article","created":{"date-parts":[[2015,8,8]],"date-time":"2015-08-08T10:09:07Z","timestamp":1439028547000},"page":"139-145","source":"Crossref","is-referenced-by-count":33,"title":["Factor structure of the Childhood Autism Rating Scale as per DSM\u20105"],"prefix":"10.1111","volume":"58","author":[{"given":"Eun\u2010Young","family":"Park","sequence":"first","affiliation":[{"name":"Department of Secondary Special Education, College of Education Jeonju University  Wansan\u2010gu Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joungmin","family":"Kim","sequence":"additional","affiliation":[{"name":"Graduate School of Education Soonchunhyang University  Asan\u2010si Chungnam Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,12,16]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"217","article-title":"Autistic disturbance of affective contact","volume":"2","author":"Kanner L","year":"1943","journal-title":"Nerv. 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