scholarly journals Interests in high-functioning autism are more intense, interfering, and idiosyncratic than those in neurotypical development

2013 ◽  
Vol 25 (3) ◽  
pp. 643-652 ◽  
Author(s):  
Laura Gutermuth Anthony ◽  
Lauren Kenworthy ◽  
Benjamin E. Yerys ◽  
Kathryn F. Jankowski ◽  
Joette D. James ◽  
...  
Keyword(s):  
High Functioning Autism ◽  
Repetitive Behavior ◽  
Autism Diagnostic Observation Schedule ◽  
Diagnostic Interview ◽  
Social Responsiveness ◽  
High Functioning ◽  
Autism Diagnostic Interview ◽  
Scale Scores ◽  
Behavior Rating Inventory ◽  
Autism Diagnostic Observation

AbstractAlthough circumscribed interests are pathognomonic with autism, much about these interests remains unknown. Using the Interests Scale (IS), this study compares interests between 76 neurotypical (NT) individuals and 109 individuals with high-functioning autism spectrum disorder (HF-ASD) matched groupwise on age, IQ, and gender ratio. Participants and their parents/caregivers completed diagnostic measures (the Autism Diagnostic Interview—Revised and the Autism Diagnostic Observation Schedule; HF-ASD only), cognitive tests (Wechsler IQ Scales), and questionnaires (the Repetitive Behavior Scale—Revised, the Behavior Rating Inventory of Executive Function, and the Social Responsiveness Scale), in addition to the IS. Consistent with previous research, HF-ASD and NT individuals did not differ in number of interest areas, but the types of interests and intensity of those interests differed considerably. Using only the IS intensity score, 81% of individuals were correctly classified (NT or HF-ASD) in a logistic regression analysis. Among individuals with HF-ASD, Interests Scale scores were significantly related to Autism Diagnostic Observation Schedule, Behavior Rating Inventory of Executive Function, Repetitive Behavior Scale—Revised, and Social Responsiveness Scale scores, but they were not related to Autism Diagnostic Interview—Revised scores, IQ, gender, age, or psychotropic medication use. The type and intensity, but not the number, of interests distinguish high-functioning individuals with ASD from NT individuals.

High-Functioning Autism Diagnostic Interview

2013 ◽  
pp. 1507-1507
Author(s):  
Douglas W. Woods ◽  
Matthew R. Capriotti ◽  
Madison Pilato ◽  
Carolyn A. Doyle ◽  
Christopher J. McDougle ◽  
...  
Keyword(s):  
High Functioning Autism ◽  
Diagnostic Interview ◽  
High Functioning ◽  
Autism Diagnostic Interview

scholarly journals Confiabilidad interevaluador del K-SADS-PL-2009/trastornos del espectro autista (TEA)

Salud Mental ◽  
2014 ◽  
Vol 37 (6) ◽  
pp. 461 ◽  
Author(s):  
Patricia Zavaleta-Ramírez ◽  
Rosa Elena Ulloa-Flores ◽  
Lilia Albores-Gallo
Keyword(s):  
Autism Diagnostic Observation Schedule ◽  
Diagnostic Interview ◽  
Autism Diagnostic Interview ◽  
Autism Diagnostic Observation

El incremento en la prevalencia de los trastornos del espectro autista (TEA) provocó que dejaran de considerarse como poco frecuentes. La Entrevista Diagnóstica de Autismo Revisada (ADI-R; Autism Diagnostic Interview-Revised) y la Cédula de Observación General para el Diagnóstico del Autismo (ADOS-G, Autism Diagnostic Observation Schedule-Generic) se consideran estándares de oro para diagnósticar TEA. Sin embargo, ninguno de estos instrumentos evalúa la comorbilidad asociada. La nueva versión de la Entrevista de Diagnóstico Psiquiátrico para Niños y Adolescentes, K-SADS-PL-2009, agregó un apartado para el diagnóstico de los TEA. Objetivo. El propósito de este estudio fue traducir, adaptar y analizar la confiabilidad interevaluadora del K-SADS-PL-2009/TEA. Método. La muestra se conformó por 40 niños y adolescentes, de ambos sexos, con un rango de edad de cuatro a 17 años, con un diagnóstico presuntivo de trastorno del espectro autista. La versión original del K-SADS-PL-2009/TEA fue traducida al español por dos de los autores y retraducida al inglés por un traductor certificado ciego al estudio. Resultados. Confiabilidad interevaluador. Los coeficientes de correlación intraclase fueron de buenos a excelentes para los siguientes diagnósticos en el presente y pasado: autismo 0.79 y 0.74; trastorno de Asperger 0.85 y 1.0; trastorno generalizado del desarrollo no especificado (TGDNE) 0.72 y 0.41. Los coeficientes kappa para las evaluaciones realizadas por los expertos fueron de buenos a excelentes para los siguientes diagnósticos en el presente y en el pasado: autismo 0.89 y 0.87; Asperger 0.77 y 1.00; TGDNE 0.69 y 0.64. La concordancia entre el diagnóstico realizado en el servicio de urgencias y el corroborado posteriormente por medio del instrumento diagnóstico fue de 37.5%, con un índice de error diagnóstico de 67.5%. Conclusiones. El K-SADS-PL-2009/TEA mostró una buena confiabilidad interevaluador y puede usarse en niños y adolescentes mexicanos para propósitos clínicos y de investigación.

scholarly journals The diagnosis of autism and autism spectrum disorder in low- and middle-income countries: Experience from Jamaica

Autism ◽  
2017 ◽  
Vol 21 (5) ◽  
pp. 564-572 ◽  
Author(s):  
Maureen Samms-Vaughan ◽  
Mohammad H Rahbar ◽  
Aisha S Dickerson ◽  
Katherine A Loveland ◽  
Manouchehr Hessabi ◽  
...  
Keyword(s):  
Rating Scale ◽  
Autism Diagnostic Observation Schedule ◽  
Autism Spectrum ◽  
Diagnostic Interview ◽  
Childhood Autism ◽  
Childhood Autism Rating Scale ◽  
Middle Income ◽  
Middle Income Countries ◽  
Autism Diagnostic Interview ◽  
Autism Diagnostic Observation

The administration requirements of the Autism Diagnostic Observation Schedule and the Autism Diagnostic Interview–Revised, widely used in high-income countries, make them less feasible for diagnosis of autism spectrum disorder in low- and middle-income countries. The flexible administration requirements of the Childhood Autism Rating Scale have resulted in its use in both high-income countries and low- and middle-income countries. This study examines the agreement between assessments using the Childhood Autism Rating Scale with those using the Autism Diagnostic Observation Schedule or Autism Diagnostic Observation Schedule, Second Edition and Autism Diagnostic Interview–Revised in Jamaica. Children aged 2–8 years (n = 149) diagnosed with autism by an experienced clinician using the Childhood Autism Rating Scale were re-evaluated using the Autism Diagnostic Observation Schedule and Autism Diagnostic Interview–Revised. The proportion diagnosed with autism spectrum disorder using the Autism Diagnostic Observation Schedule, Autism Diagnostic Observation Schedule, Second Edition, and Autism Diagnostic Interview–Revised was determined and mean domain scores compared using analysis of variance (ANOVA). The mean age was 64.4 (standard deviation = 21.6) months; the male:female ratio was 6:1. The diagnostic agreement of the Childhood Autism Rating Scale with the Autism Diagnostic Observation Schedule and Autism Diagnostic Observation Schedule, Second Edition was 100.0% and 98.0%, respectively. Agreement with the Autism Diagnostic Interview–Revised was 94.6%. Domain scores were highest for children with more severe symptoms (p < 0.01). Despite a high level of agreement of the Childhood Autism Rating Scale with the Autism Diagnostic Observation Schedule, Autism Diagnostic Observation Schedule, Second Edition, and Autism Diagnostic Interview–Revised, the Childhood Autism Rating Scale should be evaluated further with a broader range of autism spectrum disorder symptomatology, and by clinicians with varying experience before recommendation for use in low- and middle-income countries.

Adaptation et évaluation d’un outil de dépistage/diagnostic des troubles du spectre autistique Nord-Américain en langue française – (AMSE: Autism Mental Status Examination–David Grodberg et al.) Étude préliminaire en population à haut risque

2013 ◽  
Vol 28 (S2) ◽  
pp. 68-68
Author(s):  
S. Cussot Charpentier ◽  
T. Maffre ◽  
J.P. Raynaud ◽  
D. Grodberg
Keyword(s):  
Mental Status ◽  
Autism Diagnostic Observation Schedule ◽  
Diagnostic Interview ◽  
Prise En Charge ◽  
Patients Âgés ◽  
Autism Diagnostic Interview ◽  
Mental Status Examination ◽  
Dossier Médical ◽  
Autism Mental Status Examination ◽  
Autism Diagnostic Observation

Les troubles du spectre autistique (TSA) concernent 1 nouveau-né sur 150. Le retard au diagnostic est parfois de plusieurs années. L’Autism Mental Status Examination (AMSE) propose, par sa simplicité de passation, une aide au diagnostic pour les médecins confrontés aux troubles du spectre autistique. L’étude préliminaire consiste à déterminer le score seuil de positivité en langue française de l’échelle pour une sensibilité de l’AMSE supérieure à 80 % et une spécificité supérieure à 90 % dans une population « à haut risque de TSA ». Les patients, âgés de 18 mois à 16 ans, sont consultants de l’Unité d’évaluation des troubles envahissants du développement (CHU de Toulouse) et bénéficient d’une évaluation standardisée pluridisciplinaire suivant les dernières recommandations pour une suspicion de TSA. Les critères d’exclusion sont : un non consentement des parents, une évaluation incomplète, un âge inférieur à 18 mois ou supérieur à 16 ans, une connaissance du dossier médical du patient par l’examinateur. L’AMSE comporte 8 items évaluant le fonctionnement social, la communication et le comportement d’enfants à partir de 18 mois, renseignés grâce à l’observation clinique de l’enfant et à un entretien familial. Cette étude diagnostique, prospective, non randomisée est une étude d’équivalence : le résultat du gold standard (Autism Diagnostic Interview et Autism Diagnostic Observation Schedule) est confronté à celui de l’AMSE. L’étude est ouverte, monocentrique et prévoit l’inclusion de 40 patients sur une durée de 12 à 18 mois. Le traitement statistique utilise des courbes ROC pour déterminer le score seuil de l’AMSE pour un objectif de sensibilité supérieur à 90 % et de spécificité supérieur à 80 %, un alpha Cronbach pour tester la cohérence interne. Le projet vise à raccourcir le délai diagnostique pour une prise en charge la plus précoce possible, primordiale dans le pronostic.

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