ID
40382
Description
Silva, L. M. T., & Schalock, M. . (2012) . Sense and Self-Regulation Checklist (SSC) . Measurement Instrument Database for the Social Science. Retrieved 06.03.2020 from www.midss.ie Key references: Silva, L. M. T., & Schalock, M. (2012). Sense and self-regulation checklist, a measure of comorbid autism symptoms: Initial psychometric evidence. The American Journal of Occupational Therapy, 66, 177-186. Primary use / Purpose: This instrument was designed as a parent/caregiver measure of comorbid symptoms in autism. Background: Comorbid symptoms are common in autism spectrum disorder are associated with increased autism severity. Comorbid symptoms include abnormal sensory responses, sleep disruption, gastrointestinal problems, self-injurious behaviours, aggression, and irritability. It is recommended that comorbid symptoms are identified and treated from the time of autism diagnosis. The SSC was developed following extensive interviews of parents of children with autism about their child's sensory and self-regulatory responses to ordinary, daily-life situations. It contains six sensory subdomains (touch-pain, auditory, visual, taste-smell, hyperreactive to noninjurious stimuli, and hyporeactive to injurious stimuli). Items are rated never (0), rarely (1), sometimes (2), or often (3). Domain scores are obtained by summing the individual items. The SSC has been shown to be a valid measure of sensory and self-regulatory difficulties for children under 6 years of age. It can be used as a treatment outcome measure for children with autism. It can also be used to identify patterns of sensory and self-regulatory of sensory and self-regulatory difficulties in young children with other disabilities. The SSC caregiver report is suitable for use by caregivers who have an elementary school education and is available in English, Spanish, and Chinese. Psychometrics: Acceptable internal consistency and test-retest reliability has been demonstrated (Silva & Schalock, 2012). Instructions: 1. Write the date, name of your child, and who is completing the checklist. (It is very important that the same parent/caretaker complete the form each time the form is used.) 2. Circle the response for each item that most accurately describes your child. 3. Add all of the numbers circled. 4. Write total into the space provided
Link
Keywords
Versions (2)
- 3/30/20 3/30/20 -
- 4/16/20 4/16/20 -
Copyright Holder
Silva, L. M. T., & Schalock, M.
Uploaded on
April 16, 2020
DOI
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License
Creative Commons BY-NC 4.0
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Measurement Instrument Database for the Social Science (MIDSS)
Sense and Self-Regulation Checklist (SSC)
- StudyEvent: ODM
Description
Self-regulation – Orientation/Attention/Self-soothing/Sleep
Alias
- UMLS CUI-1
- C0684274
- UMLS CUI-2
- C0029266
- UMLS CUI-3
- C0004268
- UMLS CUI-4
- C0517080
- UMLS CUI-5
- C0037313
Description
Eye contact upon beeing spoken to
Data type
integer
Alias
- UMLS CUI [1,1]
- C0870532
- UMLS CUI [1,2]
- C0871157
- UMLS CUI [1,3]
- C2370895
Description
Seems not to notice when spoken to in a normal voice
Data type
integer
Alias
- UMLS CUI [1,1]
- C2370895
- UMLS CUI [1,2]
- C0004448
- UMLS CUI [1,3]
- C0205160
- UMLS CUI [1,4]
- C0234759
Description
Does not respond to name
Data type
integer
Alias
- UMLS CUI [1]
- C2317765
Description
Does not notice or react when tapped on the back
Data type
integer
Alias
- UMLS CUI [1,1]
- C0004448
- UMLS CUI [1,2]
- C0205160
- UMLS CUI [1,3]
- C0004600
- UMLS CUI [1,4]
- C0702221
- UMLS CUI [2,1]
- C0442740
- UMLS CUI [2,2]
- C0004600
- UMLS CUI [2,3]
- C0702221
Description
Does not roll over onto the back when asked
Data type
integer
Alias
- UMLS CUI [1,1]
- C0560482
- UMLS CUI [1,2]
- C0004600
- UMLS CUI [1,3]
- C1705178
Description
Stares off into space
Data type
integer
Alias
- UMLS CUI [1,1]
- C0011018
- UMLS CUI [1,2]
- C0423086
Description
Seems unaware when others are hurt
Data type
integer
Alias
- UMLS CUI [1,1]
- C0004448
- UMLS CUI [1,2]
- C0205160
- UMLS CUI [1,3]
- C4061918
- UMLS CUI [1,4]
- C0021797
Description
Has difficulty calming him/herself when upset
Data type
integer
Alias
- UMLS CUI [1,1]
- C0517080
- UMLS CUI [1,2]
- C1299586
- UMLS CUI [1,3]
- C3887804
Description
Gets upset or tantrums when asked to make a transition
Data type
integer
Alias
- UMLS CUI [1,1]
- C3887804
- UMLS CUI [1,2]
- C1705178
- UMLS CUI [1,3]
- C2700061
- UMLS CUI [2,1]
- C0233558
- UMLS CUI [2,2]
- C1705178
- UMLS CUI [2,3]
- C2700061
Description
Has difficulty falling asleep at bedtime
Data type
integer
Alias
- UMLS CUI [1,1]
- C0393760
- UMLS CUI [1,2]
- C0521112
Description
Has difficulty falling back asleep when awakens during the night
Data type
integer
Alias
- UMLS CUI [1]
- C0393761
Description
Awakens very early and stays awake
Data type
integer
Alias
- UMLS CUI [1]
- C0541798
Description
Has difficulty awakening in morning
Data type
integer
Alias
- UMLS CUI [1]
- C4065477
Description
(Answer only if your child has language.) (scale is reversed on purpose)
Data type
integer
Alias
- UMLS CUI [1,1]
- C0871981
- UMLS CUI [1,2]
- C2937276
Description
VISION
Alias
- UMLS CUI-1
- C0042789
Description
Looks at objects out of sides of eyes
Data type
integer
Alias
- UMLS CUI [1,1]
- C0016183
- UMLS CUI [1,2]
- C0347997
- UMLS CUI [1,3]
- C0015392
- UMLS CUI [1,4]
- C0441987
Description
Is bothered by certain lights
Data type
integer
Alias
- UMLS CUI [1]
- C1698258
Description
Self-regulation – Behavior: Irritability, Aggression, Selfinjurious
Alias
- UMLS CUI-1
- C0684274
- UMLS CUI-2
- C0004927
- UMLS CUI-3
- C0022107
- UMLS CUI-4
- C0178360
- UMLS CUI-5
- C0424323
Description
Tantrums or meltdowns
Data type
integer
Alias
- UMLS CUI [1,1]
- C0004927
- UMLS CUI [1,2]
- C0233558
- UMLS CUI [2,1]
- C0004927
- UMLS CUI [2,2]
- C0221508
Description
Tantrums duration
Data type
integer
Alias
- UMLS CUI [1,1]
- C0233558
- UMLS CUI [1,2]
- C0449238
- UMLS CUI [1,3]
- C0439232
Description
Tantrums frequency
Data type
integer
Alias
- UMLS CUI [1,1]
- C0439603
- UMLS CUI [1,2]
- C0439511
- UMLS CUI [1,3]
- C0233558
Description
Cries easily when frustrated
Data type
integer
Alias
- UMLS CUI [1,1]
- C0424110
- UMLS CUI [1,2]
- C0016770
Description
Hits or kicks others
Data type
integer
Alias
- UMLS CUI [1,1]
- C0424323
- UMLS CUI [1,2]
- C0562583
- UMLS CUI [2,1]
- C0424323
- UMLS CUI [2,2]
- C3662012
Description
Scratches or pulls other’s hair
Data type
integer
Alias
- UMLS CUI [1,1]
- C0424323
- UMLS CUI [1,2]
- C0562594
- UMLS CUI [2,1]
- C0424323
- UMLS CUI [2,2]
- C0562591
Description
Bites others
Data type
integer
Alias
- UMLS CUI [1,1]
- C0424323
- UMLS CUI [1,2]
- C0562590
Description
Throws things at others
Data type
integer
Alias
- UMLS CUI [1,1]
- C0424323
- UMLS CUI [1,2]
- C0565696
- UMLS CUI [1,3]
- C0037420
Description
Pulls own hair
Data type
integer
Alias
- UMLS CUI [1,1]
- C0178360
- UMLS CUI [1,2]
- C0563036
Description
Pulls own hair: where
Data type
text
Alias
- UMLS CUI [1,1]
- C0178360
- UMLS CUI [1,2]
- C0563036
- UMLS CUI [1,3]
- C1515974
Description
Bites self
Data type
integer
Alias
- UMLS CUI [1,1]
- C0178360
- UMLS CUI [1,2]
- C0424375
Description
Bites self: where
Data type
text
Alias
- UMLS CUI [1,1]
- C0178360
- UMLS CUI [1,2]
- C0424375
- UMLS CUI [1,3]
- C1515974
Description
Hits self
Data type
integer
Alias
- UMLS CUI [1,1]
- C0178360
- UMLS CUI [1,2]
- C0562716
Description
Hits self: where
Data type
text
Alias
- UMLS CUI [1,1]
- C0178360
- UMLS CUI [1,2]
- C0562716
- UMLS CUI [1,3]
- C1515974
Description
Gets aggressive or ‘hyper’ with exposure to certain smells
Data type
integer
Alias
- UMLS CUI [1,1]
- C0001807
- UMLS CUI [1,2]
- C0037361
- UMLS CUI [1,3]
- C0205369
Description
HEARING
Alias
- UMLS CUI-1
- C0018767
Description
Reacts poorly to certain everyday noises
Data type
integer
Alias
- UMLS CUI [1,1]
- C0443286
- UMLS CUI [1,2]
- C0205169
- UMLS CUI [1,3]
- C0028263
- UMLS CUI [1,4]
- C0205369
- UMLS CUI [1,5]
- C0205214
Description
Covers ears with certain sounds
Data type
integer
Alias
- UMLS CUI [1,1]
- C1545588
- UMLS CUI [1,2]
- C0013443
- UMLS CUI [1,3]
- C0205369
- UMLS CUI [1,4]
- C0037709
Description
Reacts strongly when others cry loudly or scream
Data type
integer
Alias
- UMLS CUI [1,1]
- C0443286
- UMLS CUI [1,2]
- C0442821
- UMLS CUI [1,3]
- C0021797
- UMLS CUI [1,4]
- C2185952
- UMLS CUI [2,1]
- C0443286
- UMLS CUI [2,2]
- C0442821
- UMLS CUI [2,3]
- C0021797
- UMLS CUI [2,4]
- C0521008
Description
Is startled by sudden noises
Data type
integer
Alias
- UMLS CUI [1,1]
- C0015726
- UMLS CUI [1,2]
- C1276802
- UMLS CUI [1,3]
- C0028263
Description
Self-regulation – Toilet Training
Alias
- UMLS CUI-1
- C0684274
- UMLS CUI-2
- C0040365
Description
(scale is reversed on purpose)
Data type
integer
Alias
- UMLS CUI [1,1]
- C0040365
- UMLS CUI [1,2]
- C0876938
- UMLS CUI [1,3]
- C0240526
Description
Diaper is wet in the morning
Data type
integer
Alias
- UMLS CUI [1,1]
- C0180416
- UMLS CUI [1,2]
- C0042036
- UMLS CUI [1,3]
- C0332170
Description
Wears a diaper during the day
Data type
integer
Alias
- UMLS CUI [1,1]
- C2203007
- UMLS CUI [1,2]
- C0585022
Description
(scale is reversed on purpose)
Data type
integer
Alias
- UMLS CUI [1]
- C0700127
Description
TASTE/SMELL
Alias
- UMLS CUI-1
- C0039336
- UMLS CUI-2
- C0037361
Description
Gags with certain smells
Data type
integer
Alias
- UMLS CUI [1,1]
- C0016927
- UMLS CUI [1,2]
- C0205369
- UMLS CUI [1,3]
- C0037361
Description
Avoids foods with certain textures
Data type
integer
Alias
- UMLS CUI [1,1]
- C0870186
- UMLS CUI [1,2]
- C0016452
- UMLS CUI [1,3]
- C0205369
- UMLS CUI [1,4]
- C0449582
Description
Tooth brushing is difficult
Data type
integer
Alias
- UMLS CUI [1]
- C2135846
Description
Mouths or chews objects
Data type
integer
Alias
- UMLS CUI [1]
- C2584309
- UMLS CUI [2,1]
- C0024888
- UMLS CUI [2,2]
- C0347997
Description
Self-regulation - Digestion
Alias
- UMLS CUI-1
- C0684274
- UMLS CUI-2
- C0012238
Description
Will only eat familiar foods
Data type
integer
Alias
- UMLS CUI [1,1]
- C0016468
- UMLS CUI [1,2]
- C0453817
- UMLS CUI [1,3]
- C0205171
Description
Does not seem to be interested in food
Data type
integer
Alias
- UMLS CUI [1,1]
- C2183819
- UMLS CUI [1,2]
- C0016452
Description
Eats very few foods (five to ten items)
Data type
integer
Alias
- UMLS CUI [1,1]
- C0013470
- UMLS CUI [1,2]
- C0205388
- UMLS CUI [1,3]
- C0016452
Description
Bowels are loose
Data type
integer
Alias
- UMLS CUI [1]
- C2129214
Description
Bowel movements (“poops”) are frequent (more than 3 per day)
Data type
integer
Alias
- UMLS CUI [1]
- C4288986
Description
Requires regular use of laxative to avoid constipation
Data type
integer
Alias
- UMLS CUI [1,1]
- C0199176
- UMLS CUI [1,2]
- C0009806
- UMLS CUI [1,3]
- C0240170
- UMLS CUI [1,4]
- C1514873
- UMLS CUI [1,5]
- C0332183
Description
Bowel movement (“poop”) is hard and dry
Data type
integer
Alias
- UMLS CUI [1,1]
- C0278016
- UMLS CUI [1,2]
- C0474605
Description
Has a bowel movement every other day
Data type
integer
Alias
- UMLS CUI [1,1]
- C0426642
- UMLS CUI [1,2]
- C0558287
Description
Has a bowel movement twice a week
Data type
integer
Alias
- UMLS CUI [1,1]
- C0556985
- UMLS CUI [1,2]
- C0426642
Description
Has a bowel movement once a week
Data type
integer
Alias
- UMLS CUI [1,1]
- C0426642
- UMLS CUI [1,2]
- C0558293
Description
Bowel movements are often green
Data type
integer
Alias
- UMLS CUI [1,1]
- C0474583
- UMLS CUI [1,2]
- C0332183
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Sense and Self-Regulation Checklist (SSC)
- StudyEvent: ODM
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C0445247 (UMLS CUI [1,3])
C0332173 (UMLS CUI [1,4])
C0205369 (UMLS CUI [1,2])
C1548966 (UMLS CUI [1,3])
C0030193 (UMLS CUI [1,2])
C1446409 (UMLS CUI [1,3])
C0205148 (UMLS CUI [1,2])
C0018599 (UMLS CUI [1,3])
C0205148 (UMLS CUI [1,2])
C0205358 (UMLS CUI [1,3])
C0029266 (UMLS CUI-2)
C0004268 (UMLS CUI-3)
C0517080 (UMLS CUI-4)
C0037313 (UMLS CUI-5)
C0871157 (UMLS CUI [1,2])
C2370895 (UMLS CUI [1,3])
C0004448 (UMLS CUI [1,2])
C0205160 (UMLS CUI [1,3])
C0234759 (UMLS CUI [1,4])
C0205160 (UMLS CUI [1,2])
C0004600 (UMLS CUI [1,3])
C0702221 (UMLS CUI [1,4])
C0442740 (UMLS CUI [2,1])
C0004600 (UMLS CUI [2,2])
C0702221 (UMLS CUI [2,3])
C0004600 (UMLS CUI [1,2])
C1705178 (UMLS CUI [1,3])
C0423086 (UMLS CUI [1,2])
C0205160 (UMLS CUI [1,2])
C4061918 (UMLS CUI [1,3])
C0021797 (UMLS CUI [1,4])
C1299586 (UMLS CUI [1,2])
C3887804 (UMLS CUI [1,3])
C1705178 (UMLS CUI [1,2])
C2700061 (UMLS CUI [1,3])
C0233558 (UMLS CUI [2,1])
C1705178 (UMLS CUI [2,2])
C2700061 (UMLS CUI [2,3])
C0521112 (UMLS CUI [1,2])
C2937276 (UMLS CUI [1,2])
C0347997 (UMLS CUI [1,2])
C0015392 (UMLS CUI [1,3])
C0441987 (UMLS CUI [1,4])
C0004927 (UMLS CUI-2)
C0022107 (UMLS CUI-3)
C0178360 (UMLS CUI-4)
C0424323 (UMLS CUI-5)
C0233558 (UMLS CUI [1,2])
C0004927 (UMLS CUI [2,1])
C0221508 (UMLS CUI [2,2])
C0449238 (UMLS CUI [1,2])
C0439232 (UMLS CUI [1,3])
C0439511 (UMLS CUI [1,2])
C0233558 (UMLS CUI [1,3])
C0016770 (UMLS CUI [1,2])
C0562583 (UMLS CUI [1,2])
C0424323 (UMLS CUI [2,1])
C3662012 (UMLS CUI [2,2])
C0562594 (UMLS CUI [1,2])
C0424323 (UMLS CUI [2,1])
C0562591 (UMLS CUI [2,2])
C0565696 (UMLS CUI [1,2])
C0037420 (UMLS CUI [1,3])
C0563036 (UMLS CUI [1,2])
C1515974 (UMLS CUI [1,3])
C0424375 (UMLS CUI [1,2])
C1515974 (UMLS CUI [1,3])
C0562716 (UMLS CUI [1,2])
C1515974 (UMLS CUI [1,3])
C0037361 (UMLS CUI [1,2])
C0205369 (UMLS CUI [1,3])
C0205169 (UMLS CUI [1,2])
C0028263 (UMLS CUI [1,3])
C0205369 (UMLS CUI [1,4])
C0205214 (UMLS CUI [1,5])
C0013443 (UMLS CUI [1,2])
C0205369 (UMLS CUI [1,3])
C0037709 (UMLS CUI [1,4])
C0442821 (UMLS CUI [1,2])
C0021797 (UMLS CUI [1,3])
C2185952 (UMLS CUI [1,4])
C0443286 (UMLS CUI [2,1])
C0442821 (UMLS CUI [2,2])
C0021797 (UMLS CUI [2,3])
C0521008 (UMLS CUI [2,4])
C1276802 (UMLS CUI [1,2])
C0028263 (UMLS CUI [1,3])
C0040365 (UMLS CUI-2)
C0876938 (UMLS CUI [1,2])
C0240526 (UMLS CUI [1,3])
C0042036 (UMLS CUI [1,2])
C0332170 (UMLS CUI [1,3])
C0585022 (UMLS CUI [1,2])
C0205369 (UMLS CUI [1,2])
C0037361 (UMLS CUI [1,3])
C0016452 (UMLS CUI [1,2])
C0205369 (UMLS CUI [1,3])
C0449582 (UMLS CUI [1,4])
C0024888 (UMLS CUI [2,1])
C0347997 (UMLS CUI [2,2])
C0012238 (UMLS CUI-2)
C0453817 (UMLS CUI [1,2])
C0205171 (UMLS CUI [1,3])
C0016452 (UMLS CUI [1,2])
C0205388 (UMLS CUI [1,2])
C0016452 (UMLS CUI [1,3])
C0009806 (UMLS CUI [1,2])
C0240170 (UMLS CUI [1,3])
C1514873 (UMLS CUI [1,4])
C0332183 (UMLS CUI [1,5])
C0474605 (UMLS CUI [1,2])
C0558287 (UMLS CUI [1,2])
C0426642 (UMLS CUI [1,2])
C0558293 (UMLS CUI [1,2])
C0332183 (UMLS CUI [1,2])