The added value of the combined use of the Autism Diagnostic Interview-Revised and the Autism Diagnostic Observation Schedule: Diagnostic validity in a clinical Swedish sample of toddlers and young preschoolers
dc.contributor.author | Zander, E. | |
dc.contributor.author | Sturm, H. | |
dc.contributor.author | Bolte, Sven | |
dc.date.accessioned | 2018-02-06T06:15:42Z | |
dc.date.available | 2018-02-06T06:15:42Z | |
dc.date.created | 2018-02-06T05:50:00Z | |
dc.date.issued | 2015 | |
dc.identifier.citation | Zander, E. and Sturm, H. and Bolte, S. 2015. The added value of the combined use of the Autism Diagnostic Interview-Revised and the Autism Diagnostic Observation Schedule: Diagnostic validity in a clinical Swedish sample of toddlers and young preschoolers. Autism. 19 (2): pp. 187-199. | |
dc.identifier.uri | http://hdl.handle.net/20.500.11937/63149 | |
dc.identifier.doi | 10.1177/1362361313516199 | |
dc.description.abstract |
© The Author(s) 2014. The diagnostic validity of the new research algorithms of the Autism Diagnostic Interview-Revised and the revised algorithms of the Autism Diagnostic Observation Schedule was examined in a clinical sample of children aged 18-47 months. Validity was determined for each instrument separately and their combination against a clinical consensus diagnosis. A total of N = 268 children (n = 171 with autism spectrum disorder) were assessed. The new Autism Diagnostic Interview-Revised algorithms (research cutoff) gave excellent specificities (91%-96%) but low sensitivities (44%-52%). Applying adjusted cutoffs (lower than recommended based on receiver operating characteristics) yielded a better balance between sensitivity (77%-82%) and specificity (60%-62%). Findings for the Autism Diagnostic Observation Schedule were consistent with previous studies showing high sensitivity (94%-100%) and alongside lower specificity (52%-76%) when using the autism spectrum cutoff, but better balanced sensitivity (81%-94%) and specificity (81%-83%) when using the autism cutoff. A combination of both the Autism Diagnostic Interview-Revised (with adjusted cutoff) and the Autism Diagnostic Observation Schedule (autism spectrum cutoff) yielded balanced sensitivity (77%-80%) and specificity (87%-90%). Results favor a combined usage of the Autism Diagnostic Interview-Revised and Autism Diagnostic Observation Schedule in young children with unclear developmental problems, including suspicion of autism spectrum disorder. Evaluated separately, the Autism Diagnostic Observation Schedule (cutoff for autism) provides a better diagnostic accuracy than the Autism Diagnostic Interview-Revised. | |
dc.title | The added value of the combined use of the Autism Diagnostic Interview-Revised and the Autism Diagnostic Observation Schedule: Diagnostic validity in a clinical Swedish sample of toddlers and young preschoolers | |
dc.type | Journal Article | |
dcterms.source.volume | 19 | |
dcterms.source.number | 2 | |
dcterms.source.startPage | 187 | |
dcterms.source.endPage | 199 | |
dcterms.source.issn | 1362-3613 | |
dcterms.source.title | Autism | |
curtin.department | School of Occ Therapy, Social Work and Speech Path | |
curtin.accessStatus | Fulltext not available |
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