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Morales Hidalgo, PaulaAuthor or co-author of article in journal with external admissions assessment committeeRoigé Castellví, JoanaAuthor or co-author of article in journal with external admissions assessment committeeRoige-Castellvi, JoanaAuthorVigil-Colet, AndreuCorresponding Author
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Article

The Childhood Autism Spectrum Test (CAST): Spanish adaptation and validation

Publicated to:Autism Research. 10 (9): 1491-1498 - 2017-09-01 10(9), DOI: 10.1002/aur.1793

Authors: Morales-Hidalgo, Paula; Roige-Castellvi, Joana; Vigil-Colet, Andreu; Canals Sans, Josefa

Affiliations

Univ Rovira & Virgili, Dept Psychol, Nutr & Mental Hlth Res Grp NUTRISAM, Tarragona, Spain - Author
Univ Rovira & Virgili, Dept Psychol, Res Ctr Behav Assessment CRAMC, Tarragona, Spain - Author

Abstract

The Childhood Autism Spectrum Test (CAST; Scott, Baron-Cohen, Bolton & Brayne, 2002) has proved to be a good test for screening autism spectrum disorders (ASD) and social communication problems. This study provides evidence on its psychometric properties, describe its validity for screening and provides data on its discriminative capabilities in a Spanish sample of 4-12 year-old children from community and clinical settings (N = 1460 and 36, respectively). Factorial and convergent validity is also assessed. The full Spanish version with a cut-off score of 15 presented a high sensitivity (83.9%) and specificity (92.5%), a positive predictive value (PPV) of .63 and an internal consistency (α) of .826. Some items showed low discriminating power and these results led us to propose a reduced version with 28 items and a cut-off score of 13, which presented a high sensitivity (85.7%) and specificity (91.16%), a PPV of .61 and an α of .839. Correlations were high between the Spanish full and reduced versions of the CAST, and ADI-R (Autism Diagnostic Interview Revised) and ADOS-2 (Autism Diagnostic Observation Schedule, Second Edition). Like previous adaptation studies, a two-factor structure was found. The data show that the CAST can be a valid and reliable questionnaire for ASD screening in Spanish clinical and community populations

Keywords
asdcastspanish populationAsdAutism spectrum disorderCastChildChild, preschoolFemaleHumansMalePsychometric propertiesPsychometricsReproducibility of resultsSensitivity and specificitySpainSpanish populationSurveys and questionnairesTranslations

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Autism Research due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2017, it was in position 7/51, thus managing to position itself as a Q1 (Primer Cuartil), in the category Behavioral Sciences.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 3.27, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions May 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-05-07, the following number of citations:

  • WoS: 20
  • Scopus: 24
  • Europe PMC: 8
  • Google Scholar: 24
  • OpenCitations: 23
Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-05-07:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 86.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 86 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 4.55.
  • The number of mentions on the social network Facebook: 2 (Altmetric).
  • The number of mentions on the social network X (formerly Twitter): 5 (Altmetric).
Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Roigé Castellví, Joana) .

the author responsible for correspondence tasks has been Canals Sans, Josefa.