scholarly journals CONSTRUCT VALIDITY OF INDONESIAN LANGUAGE VERSION OF CHILDHOOD AUTISM RATING SCALE™ SECOND EDITION

2021 ◽  
Vol 21 (1) ◽  
pp. 175-180
Author(s):  
Dian Dwi Sary ◽  
Irwanto ◽  
Ahmad Suryawan ◽  
Mira Irmawati ◽  
Nining Febriyana ◽  
...  

Combination of The Childhood Autism Rating Scale™ Second Edition - Standard Clinical Tool (CARS2-ST) with criteria for autism spectrum disorder (ASD) based on Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) is thought to improve diagnostic process. To meet diagnostic needs, localized, Indonesian-translated version of CARS2-ST is developed. Therefore, assessment of construct validity of the Indonesian-language translated CARS2-ST must be performed. A cross-sectional study was conducted in Child Development Center in Surabaya, Indonesia from August to December 2019. Diagnosis of ASD then performed by using CARS2-ST  and DSM-5 criteria. To assess construct validity, principal components analysis and Kaiser-varimax rotation was performed for CARS2-ST in order to determine factors. DSM-5 criteria for ASD was used to compare scale.There were 201 children aged 2 - 6 years old with reported speech and behavior problems. Sixty-six children were diagnosed for ASD. Factor analysis using Kaiser-varimax rotation indicates a significant two factors: social communication and interaction factor and restrictive stereotyped behaviors and sensory factor sensitivites. The factors satisfyingly reflects the criteria for ASD in DSM-5.Construct validity of Indonesian-translated version of CARS2-ST is confirmed, as shown by its correspondence with  DSM-5 criteria for diagnosing . This study supports the continued relevance of the Indonesian CARS2-ST in ASD assessment.

2021 ◽  
pp. 073563312110404
Author(s):  
Sara Ali ◽  
Faisal Mehmood ◽  
Yasar Ayaz ◽  
Muhammad Sajid ◽  
Haleema Sadia ◽  
...  

Several robot-mediated therapies have been implemented for diagnosis and improvement of communication skills in children with Autism Spectrum Disorder. The proposed research uses an existing model i.e., Multi-robot-mediated Intervention System (MRIS) in combination with Hidden Markov Model (HMM) to develop an infrastructure for categorizing the severity of autism in children. The observable states are joint attention type (low, delayed, and immediate) and imitation type (partial, moderate, and full) whereas the non-observable states are (level of autism i.e., (minimal, and mild). The research has been conducted on 12 subjects in which 8 children were in the training session with 72 experiments over 9 weeks, and the remaining 4 subjects were in the prediction test with 25 experiments for 6 weeks. The predicted category was compared with the actual category of autism assessed by the therapist using Childhood Autism Rating Scale. The accuracy of the proposed model is 76%. Further, a statistically significantly moderate Kappa measure of agreement between Childhood Autism Rating Scale and our proposed model has been performed in which n = 25, k = 0.52, and p = 0.009. This research contributes towards the usefulness of Hidden Markov Model integrated with joint attention and imitation modules for categorizing the level of autism using multi-robot therapies.


2021 ◽  
Vol 29 ◽  
pp. 1-16
Author(s):  
Leiliane Tavares de Albuquerque ◽  
Daniella kelly Dos Santos Silva ◽  
Fausto Muñoz-Lara ◽  
Thayane de Deus Branco Nobre ◽  
Magnúcia de Lima Leite ◽  
...  

Introdução. O autismo infantil faz parte de um grupo de transtornos do Neurodesenvolvimento descritos pelo Manual Diagnostico e Estatístico de Transtornos Mentais 5 (DSM-5). As crianças com transtorno autista apresentam comprometimentos funcionais fundamentais. Objetivo. Descrever aspectos do desenvolvimento comportamental em gêmeos (G#1 e G#2) univitelinos com diagnóstico médico concordante para autismo, em fase pré-escolar. Método. Estudo de corte transversal, prospectivo-descrito. A coleta de dados foi realizada através dos questionários: CARS – Childhood Autism Rating Scale; Escala de Perfil Psicoeducacional Revisto; Escala de Comportamento Adaptativo Vineland. Resultados. Na CARS, G#1 foi classificado como não autista e G#2 um autista moderado. Na avaliação comportamental do perfil Psicoeducacional revisado observou-se maior déficit no quesito linguagem, enquanto na escala de desenvolvimento, o G#1 executou com êxito a maior parte das atividades propostas. G#2 não obteve êxito em toda as atividades que exigiam comunicação verbal. Na escala Vineland, ocorreu comprometimento na área de comunicação verbal nos gêmeos, enquanto as respostas de autonomia, socialização e motricidade foram satisfatórias. Embora o diagnóstico clínico esteja de acordo com o autismo, os resultados mostraram discordâncias quanto à condição clínica entre gêmeos. Conclusão. Estas diferenças podem estar relacionadas aos critérios médicos usados e fatores ambientais dispostos no momento das avaliações.


Autism ◽  
2017 ◽  
Vol 21 (5) ◽  
pp. 564-572 ◽  
Author(s):  
Maureen Samms-Vaughan ◽  
Mohammad H Rahbar ◽  
Aisha S Dickerson ◽  
Katherine A Loveland ◽  
Manouchehr Hessabi ◽  
...  

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.


2020 ◽  
Author(s):  
Jiahui Chu ◽  
Fang Bian ◽  
Ruiying Yan ◽  
Yanlin Li ◽  
Yonghua Cui ◽  
...  

Abstract Autism is the most common clinical developmental disorder in children. The Childhood Autism Rating Scale (CARS) and Autistic Behavior Checklist (ABC) are the most commonly used assessment scales for diagnosing autism. The aim of this study is to compare the diagnostic validities of CARS and ABC based on a large Chinese sample. A total of 474 children with suspected autism spectrum disorder (ASD) were screened by CARS and ABC. Receiver operating characteristic (ROC) curve analysis was performed and it showed that the area-under-the-curve values of CARS is higher than ABC significantly (p < 0.05) and the suggested cutoff values of CARS and ABC were 34 and 67, respectively. It indicated that CARS is superior to ABC in the Chinese population with suspected ASD.


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