Improved Diagnostic Validity of the ADOS Revised Algorithms: A Replication Study in an Independent Sample

被引:132
|
作者
Oosterling, Iris [1 ]
Roos, Sascha [1 ]
de Bildt, Annelies [3 ]
Rommelse, Nanda [1 ,2 ,5 ]
de Jonge, Maretha [4 ]
Visser, Janne [1 ]
Lappenschaar, Martijn [2 ]
Swinkels, Sophie [1 ,2 ,5 ]
van der Gaag, Rutger Jan [1 ,2 ,5 ]
Buitelaar, Jan [1 ,2 ,5 ]
机构
[1] Karakter Child & Adolescent Psychiat Univ Ctr, NL-6525 GC Nijmegen, Netherlands
[2] Radboud Univ Nijmegen Med Ctr, Dept Psychiat, Nijmegen, Netherlands
[3] Univ Groningen, Univ Med Ctr Groningen, Child & Adolescent Psychiat Unit, NL-9713 AV Groningen, Netherlands
[4] Univ Med Ctr Utrecht, Rudolf Magnus Inst Neurosci, Dept Child & Adolescent Psychiat, Utrecht, Netherlands
[5] NCEBP, Nijmegen, Netherlands
关键词
Autism; ADOS; Algorithm; Sensitivity; Specificity; Diagnosis; OBSERVATION-SCHEDULE; AUTISM; SPECTRUM; CHILDREN; INTERVIEW; CRITERIA;
D O I
10.1007/s10803-009-0915-0
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Recently, Gotham et al. (2007) proposed revised algorithms for the Autism Diagnostic Observation Schedule (ADOS) with improved diagnostic validity. The aim of the current study was to replicate predictive validity, factor structure, and correlations with age and verbal and nonverbal IQ of the ADOS revised algorithms for Modules 1 and 2 in a large independent Dutch sample (N = 532). Results showed that the improvement of diagnostic validity was most apparent for autism, except in very young or low functioning children. Results for other autism spectrum disorders were less consistent. Overall, these findings support the use of the more homogeneous revised algorithms, with the use of similar items across developmental cells making it easier to compare ADOS scores within and between individuals.
引用
收藏
页码:689 / 703
页数:15
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