Utredning av autismespekterforstyrrelser i BUP – hvor godt samsvar er det mellom instrumenter og endelig klinisk diagnose?

2021 ◽  
Vol 58 (10) ◽  
Author(s):  
Hans Jørgen Berntsen ◽  
◽  
Beate Ørbeck ◽  
Kristin Romvig Øvergaard ◽  
◽  
...  
Keyword(s):  
Classification Accuracy ◽  
Positive Likelihood Ratio ◽  
Autism Diagnostic Observation Schedule ◽  
Autism Spectrum ◽  
Diagnostic Interview ◽  
Lower Sensitivity ◽  
Acceptable Accuracy ◽  
Reliability Sensitivity ◽  
Sensitivity Specificity ◽  
Autism Diagnostic Observation

Background: The Developmental, Dimensional and Diagnostic Interview (3Di) and the Autism Diagnostic Observation Schedule (ADOS-2) may be useful when assessing autism spectrum disorder (ASD), but the accuracy of the Norwegian 3Di is not known. Method: We investigated the classification accuracy of the 3Di and the ADOS-2 in identifying clinically diagnosed ASD in 130 participants (mean age 11 years). Results: We found acceptable accuracy in identifying ASD with both the 3Di and ADOS-2 (sensitivities/specificities > 70 %), and highest accuracy (positive likelihood ratio = 17.12) when combining the two instruments, but this gave lower sensitivity (54 %). Conclusions: The 3Di is useful when assessing ASD, and most accurate when combined with information from the ADOS-2. Clinicians should be aware that some children with ASD may be missed by requiring endorsement from both instruments. Keywords: Autism Diagnostic Observation Schedule, inter-rater reliability, sensitivity, specificity, Developmental, Dimensional and Diagnostic Interview

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.

scholarly journals Screening and diagnostic assessment of neurodevelopmental disorders in a male prison

2015 ◽  
Vol 6 (2) ◽  
pp. 102-111 ◽  
Author(s):  
Jane McCarthy ◽  
Eddie Chaplin ◽  
Lisa Underwood ◽  
Andrew Forrester ◽  
Hannah Hayward ◽  
...  
Keyword(s):  
Neurodevelopmental Disorders ◽  
Autism Diagnostic Observation Schedule ◽  
Autism Spectrum ◽  
Diagnostic Interview ◽  
Diagnostic Assessment ◽  
Self Report ◽  
Content Type ◽  
Hyperactivity Disorder ◽  
Male Prisoners ◽  
Autism Diagnostic Observation

Purpose – The purpose of this paper is to identify neurodevelopmental disorders and difficulties (NDD) in a male prison. The study used standardised tools to carry out screening and diagnostic assessment of the attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD) and intellectual disability (ID). Design/methodology/approach – The ADHD self-report scale, 20-item autism quotient and the Learning Disability Screening Questionnaire were used to screen 240 male prisoners. Prisoners who screened positive on one or more of these scales or self-reported a diagnosis of ADHD, ASD or ID were further assessed using the diagnostic interview for ADHD in adults, adapted Autism Diagnostic Observation Schedule and the Quick Test. Findings – Of the 87 prisoners who screened positive for NDD and were further assessed, 70 met the study’s diagnostic criteria for ADHD, ASD or ID. Most of those with NDD (51 per cent) had previously gone unrecognised and a high proportion (51 per cent) were identified through staff- or self-referral to the study. Originality/value – The study demonstrated that improving awareness and providing access to skilled, standardised assessment within a male prison can result in increased recognition and identification of NDD.

scholarly journals The Brief Observation of Symptoms of Autism (BOSA): Development of a New Adapted Assessment Measure for Remote Telehealth Administration through COVID-19 and Beyond

2021 ◽  
Author(s):  
Deanna Dow ◽  
Alison Holbrook ◽  
Christina Toolan ◽  
Nicole McDonald ◽  
Kyle Sterrett ◽  
...  
Keyword(s):  
Social Context ◽  
Psychometric Properties ◽  
Autism Diagnostic Observation Schedule ◽  
Psychological Services ◽  
Assessment Measure ◽  
Sensitivity Specificity ◽  
Autism Diagnostic Observation

Interest in telehealth assessment for autism has increased due to COVID-19 and subsequent expansion of remote psychological services, though options that are easy for clinicians to adopt and available through the lifespan are limited. The Brief Observation of Symptoms of Autism (BOSA) provides a social context with standardized materials and activities that can be coded by clinicians trained in the Autism Diagnostic Observation Schedule (ADOS). The current project examined psychometric properties to determine optimal use for each BOSA version. Three hundred and seven participants with 453 BOSAs were included to determine best performing items for algorithms, validity, sensitivity, specificity, recommended cut-offs, and proposed ranges of concern. While preliminary, the BOSA provides a promising new option for telehealth-administered assessment for autism.

scholarly journals Social Attention Deficits in Children With Autism Spectrum Disorder: Task Dependence of Objects vs. Faces Observation Bias

2021 ◽  
Vol 12 ◽  
Author(s):  
Susana Mouga ◽  
João Castelhano ◽  
Cátia Café ◽  
Daniela Sousa ◽  
Frederico Duque ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Autism Diagnostic Observation Schedule ◽  
Autism Spectrum ◽  
Social Attention ◽  
Spectrum Disorder ◽  
Attention Deficits ◽  
Social Stimuli ◽  
Task Dependence ◽  
Observation Bias ◽  
Autism Diagnostic Observation

Social attention deficits represent a central impairment of patients suffering from autism spectrum disorder (ASD), but the nature of such deficits remains controversial. We compared visual attention regarding social (faces) vs. non-social stimuli (objects), in an ecological diagnostic context, in 46 children and adolescents divided in two groups: ASD (N = 23) and typical neurodevelopment (TD) (N = 23), matched for chronological age and intellectual performance. Eye-tracking measures of visual scanning, while exploring and describing scenes from three different tasks from the Autism Diagnostic Observation Schedule (ADOS), were analyzed: “Description of a Picture,” “Cartoons,” and “Telling a Story from a Book.” Our analyses revealed a three-way interaction between Group, Task, and Social vs. Object Stimuli. We found a striking main effect of group and a task dependence of attentional allocation: while the TD attended first and longer to faces, ASD participants became similar to TD when they were asked to look at pictures while telling a story. Our results suggest that social attention allocation is task dependent, raising the question whether spontaneous attention deficits can be rescued by guiding goal-directed actions.

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.

A Meta-analysis of the Diagnostic Accuracy of Autism Diagnostic Observation Schedule Module-1 for Autism Spectrum Disorders

2014 ◽  
Vol 81 (S2) ◽  
pp. 187-192 ◽  
Author(s):  
Sherab Tsheringla ◽  
K. A. Minju ◽  
Sushila Russell ◽  
Priya Mammen ◽  
Paul Swamidhas Sudhakar Russell ◽  
...  
Keyword(s):  
Autism Spectrum Disorders ◽  
Diagnostic Accuracy ◽  
Meta Analysis ◽  
Autism Diagnostic Observation Schedule ◽  
Autism Spectrum ◽  
Spectrum Disorders ◽  
Autism Diagnostic Observation
Sign in / Sign up

Export Citation Format

Share Document