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Psychometric properties of the Autism Spectrum Disorder in Adults Screening Questionnaire (ASDASQ) in a sample of Italian psychiatric outpatients / Laura FUSAR-POLI in Research in Autism Spectrum Disorders, 78 (October 2020)
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Titre : Psychometric properties of the Autism Spectrum Disorder in Adults Screening Questionnaire (ASDASQ) in a sample of Italian psychiatric outpatients Type de document : Texte imprimé et/ou numérique Auteurs : Laura FUSAR-POLI, Auteur ; Emanuele BISSO, Auteur ; Ilaria CONCAS, Auteur ; Teresa SURACE, Auteur ; Silvia TINACCI, Auteur ; Antonio VANELLA, Auteur ; Rosaria FURNARI, Auteur ; Maria Salvina SIGNORELLI, Auteur ; Lena NYLANDER, Auteur ; Eugenio AGUGLIA, Auteur Article en page(s) : 101668 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Psychiatry Adult Screening Differential diagnosis Misdiagnosis Clinician-rated tool Index. décimale : PER Périodiques Résumé : Background The present study aimed to examine the reliability and validity of the Italian version of the Autism Spectrum Disorder in Adults Screening Questionnaire (ASDASQ), a screening tool for autism spectrum disorder (ASD) among psychiatric outpatients. Methods We recruited 340 subjects via an outpatient psychiatric service in Italy. Forty-eight had a diagnosis of ASD, confirmed after a comprehensive clinical assessment and the administration of the Autism Diagnostic Observation Schedule-2 (ADOS-2). The remaining 292 participants had other diagnoses, confirmed after a careful psychiatric evaluation and the administration of the Structured Clinical Interview for DSM-5 (SCID-5). The ASDASQ was administered to contact clinicians of each subject. Results The ASDASQ showed outstanding accuracy (AUC = 0.96) in discriminating between ASD and non-ASD patients, with good sensitivity (0.85) and specificity (0.92). Agreement with clinical diagnosis was substantial (k = 0.68). Internal consistency of the tool was good (Cronbach’s alpha = 0.82), while intra- (ICC = 0.97) and inter-rater reliability (ICC = 0.92) were excellent. We found also a moderate correlation between ASDASQ and ADOS-2 scores in the ASD sample (r = 0.56). Conclusion Our findings suggest that the ASDASQ, in the Italian adaptation, may be considered a quick, simple, and effective tool to screen for ASD among psychiatric outpatients. Further studies are needed to evaluate its utility in other clinical settings. En ligne : https://doi.org/10.1016/j.rasd.2020.101668 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=433
in Research in Autism Spectrum Disorders > 78 (October 2020) . - 101668[article] Psychometric properties of the Autism Spectrum Disorder in Adults Screening Questionnaire (ASDASQ) in a sample of Italian psychiatric outpatients [Texte imprimé et/ou numérique] / Laura FUSAR-POLI, Auteur ; Emanuele BISSO, Auteur ; Ilaria CONCAS, Auteur ; Teresa SURACE, Auteur ; Silvia TINACCI, Auteur ; Antonio VANELLA, Auteur ; Rosaria FURNARI, Auteur ; Maria Salvina SIGNORELLI, Auteur ; Lena NYLANDER, Auteur ; Eugenio AGUGLIA, Auteur . - 101668.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 78 (October 2020) . - 101668
Mots-clés : Autism spectrum disorder Psychiatry Adult Screening Differential diagnosis Misdiagnosis Clinician-rated tool Index. décimale : PER Périodiques Résumé : Background The present study aimed to examine the reliability and validity of the Italian version of the Autism Spectrum Disorder in Adults Screening Questionnaire (ASDASQ), a screening tool for autism spectrum disorder (ASD) among psychiatric outpatients. Methods We recruited 340 subjects via an outpatient psychiatric service in Italy. Forty-eight had a diagnosis of ASD, confirmed after a comprehensive clinical assessment and the administration of the Autism Diagnostic Observation Schedule-2 (ADOS-2). The remaining 292 participants had other diagnoses, confirmed after a careful psychiatric evaluation and the administration of the Structured Clinical Interview for DSM-5 (SCID-5). The ASDASQ was administered to contact clinicians of each subject. Results The ASDASQ showed outstanding accuracy (AUC = 0.96) in discriminating between ASD and non-ASD patients, with good sensitivity (0.85) and specificity (0.92). Agreement with clinical diagnosis was substantial (k = 0.68). Internal consistency of the tool was good (Cronbach’s alpha = 0.82), while intra- (ICC = 0.97) and inter-rater reliability (ICC = 0.92) were excellent. We found also a moderate correlation between ASDASQ and ADOS-2 scores in the ASD sample (r = 0.56). Conclusion Our findings suggest that the ASDASQ, in the Italian adaptation, may be considered a quick, simple, and effective tool to screen for ASD among psychiatric outpatients. Further studies are needed to evaluate its utility in other clinical settings. En ligne : https://doi.org/10.1016/j.rasd.2020.101668 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=433