title: Social communication in children with autism spectrum disorder (asd): Correlation between DSM-5 and autism classification system of functioning-social communication (ACSF:SC).
abstract: The aim of this study was to classify children with Autism Spectrum Disorder (ASD) according to Autism Classification System of Functioning: Social Communication (ACSF:SC) criteria, in order to investigate the association between social communication ability, ASD severity, adaptive functioning, cognitive abilities and psychoeducational profile. The severity of social communication impairment was specified through Diagnostic and Statistical Manual of Mental Disorders-5th edition (DSM-5) and ACSF:SC tool. The ADOS-2, Vineland-II and PEP-3 were administered to all participants. We found a positive correlation between DSM-5 levels and ACSF:SC-Typical Performance (r = 0.35; P = 0.007) and ACSF:SC-Capacity (r = 0.31; P = 0.01) levels. Children included in the five levels of ACSF:SC (Typical Performance and Capacity) showed statistically significant differences in ADOS-2 (Social Affect), Vineland-II (Communication and Socialization), and PEP-3 (Communication, motor skills, maladaptive behavior) scores. The results of this study indicate that ACSF:SC provide a better understanding of functional profile of children with ASD based on the social communication abilities. Children with greater severity of social communication showed more difficulty in adaptive behavior and psychoeducational profiles. In conclusion, the ACSF:SC could help clinicians and therapists not only to understand the strength and weakness of preschool children with ASD but also to devise specific treatment in order to promote their social integration. Autism Res 2017. © 2017 International Society for Autism Research, Wiley Periodicals, Inc. Autism Res 2017, 10: 1249-1258. © 2017 International Society for Autism Research, Wiley Periodicals, Inc.
authors.affiliation: Scientific Institute I.R.C.C.S. "Eugenio Medea"-"La Nostra Famiglia"-Unit for Severe disabilities in developmental age and young adults (Developmental Neurology and Neurorehabilitation)-Brindisi Research Centre, Brindisi, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Craig
authors.affiliation: Scientific Institute I.R.C.C.S. "Eugenio Medea"-"La Nostra Famiglia"-Unit for Severe disabilities in developmental age and young adults (Developmental Neurology and Neurorehabilitation)-Brindisi Research Centre, Brindisi, Italy.
authors.forename: Isabella
authors.initials: I
authors.lastname: Fanizza
authors.affiliation: Scientific Institute I.R.C.C.S. "Eugenio Medea"-"La Nostra Famiglia"-Unit for Severe disabilities in developmental age and young adults (Developmental Neurology and Neurorehabilitation)-Brindisi Research Centre, Brindisi, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Russo
authors.affiliation: Scientific Institute I.R.C.C.S. "Eugenio Medea"-"La Nostra Famiglia"-Unit for Severe disabilities in developmental age and young adults (Developmental Neurology and Neurorehabilitation)-Brindisi Research Centre, Brindisi, Italy.
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Lucarelli
authors.affiliation: Scientific Institute I.R.C.C.S. "Eugenio Medea"-"La Nostra Famiglia"-Unit for Severe disabilities in developmental age and young adults (Developmental Neurology and Neurorehabilitation)-Brindisi Research Centre, Brindisi, Italy.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Alessandro
authors.affiliation: Scientific Institute I.R.C.C.S. "Eugenio Medea"-"La Nostra Famiglia"-Unit for Severe disabilities in developmental age and young adults (Developmental Neurology and Neurorehabilitation)-Brindisi Research Centre, Brindisi, Italy.
authors.forename: Maria Grazia
authors.initials: MG
authors.lastname: Pasca
authors.affiliation: Scientific Institute I.R.C.C.S. "Eugenio Medea"-"La Nostra Famiglia"-Unit for Severe disabilities in developmental age and young adults (Developmental Neurology and Neurorehabilitation)-Brindisi Research Centre, Brindisi, Italy.
authors.forename: Antonio
authors.identifier: http://orcid.org/0000-0003-3165-0105
authors.initials: A
authors.lastname: Trabacca
mesh_terms: D000067877:Autism Spectrum Disorder / Q000145:classification* / Q000503:physiopathology*; D002648:Child; D002675:Child, Preschool; D003142:Communication; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008297:Male; D012720:Severity of Illness Index; D012919:Social Behavior
keywords: autism classification system of functioning: social communication; autism spectrum disorder; diagnostic and statistical manual of mental disorders-5th edition; social communication