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Faire une suggestionAn investigation of the 'female camouflage effect' in autism using a computerized ADOS-2 and a test of sex/gender differences / Agnieszka RYNKIEWICZ in Molecular Autism, 7 (2016)
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Titre : An investigation of the 'female camouflage effect' in autism using a computerized ADOS-2 and a test of sex/gender differences Type de document : texte imprimé Auteurs : Agnieszka RYNKIEWICZ, Auteur ; Björn SCHULLER, Auteur ; Erik MARCHI, Auteur ; Stefano PIANA, Auteur ; Antonio CAMURRI, Auteur ; Amandine LASSALLE, Auteur ; Simon BARON-COHEN, Auteur Article en page(s) : 10p. Langues : Anglais (eng) Mots-clés : Asperger Syndrome/diagnosis/psychology Autistic Disorder/diagnosis/psychology Child Child, Preschool Communication Disorders/diagnosis/etiology Culture Diagnosis, Computer-Assisted/methods Diagnostic Errors Emotions Facial Expression Female Fixation, Ocular Gestures Humans Male Parents Poland Psychomotor Performance Severity of Illness Index Sex Characteristics Sex Factors Social Behavior Software Stereotyped Behavior Surveys and Questionnaires Ados-2 Computer application Diagnosis Females with autism Index. décimale : PER Périodiques Résumé : BACKGROUND: Autism spectrum conditions (autism) are diagnosed more frequently in boys than in girls. Females with autism may have been under-identified due to not only a male-biased understanding of autism but also females' camouflaging. The study describes a new technique that allows automated coding of non-verbal mode of communication (gestures) and offers the possibility of objective, evaluation of gestures, independent of human judgment. The EyesWeb software platform and the Kinect sensor during two demonstration activities of ADOS-2 (Autism Diagnostic Observation Schedule, Second Edition) were used. METHODS: The study group consisted of 33 high-functioning Polish girls and boys with formal diagnosis of autism or Asperger syndrome aged 5-10, with fluent speech, IQ average and above and their parents (girls with autism, n = 16; boys with autism, n = 17). All children were assessed during two demonstration activities of Module 3 of ADOS-2, administered in Polish, and coded using Polish codes. Children were also assessed with Polish versions of the Eyes and Faces Tests. Parents provided information on the author-reviewed Polish research translation of SCQ (Social Communication Questionnaire, Current and Lifetime) and Polish version of AQ Child (Autism Spectrum Quotient, Child). RESULTS: Girls with autism tended to use gestures more vividly as compared to boys with autism during two demonstration activities of ADOS-2. Girls with autism made significantly more mistakes than boys with autism on the Faces Test. All children with autism had high scores in AQ Child, which confirmed the presence of autistic traits in this group. The current communication skills of boys with autism reported by parents in SCQ were significantly better than those of girls with autism. However, both girls with autism and boys with autism improved in the social and communication abilities over the lifetime. The number of stereotypic behaviours in boys significantly decreased over life whereas it remained at a comparable level in girls with autism. CONCLUSIONS: High-functioning females with autism might present better on non-verbal (gestures) mode of communication than boys with autism. It may camouflage other diagnostic features. It poses risk of under-diagnosis or not receiving the appropriate diagnosis for this population. Further research is required to examine this phenomenon so appropriate gender revisions to the diagnostic assessments might be implemented. En ligne : http://dx.doi.org/10.1186/s13229-016-0073-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=329
in Molecular Autism > 7 (2016) . - 10p.[article] An investigation of the 'female camouflage effect' in autism using a computerized ADOS-2 and a test of sex/gender differences [texte imprimé] / Agnieszka RYNKIEWICZ, Auteur ; Björn SCHULLER, Auteur ; Erik MARCHI, Auteur ; Stefano PIANA, Auteur ; Antonio CAMURRI, Auteur ; Amandine LASSALLE, Auteur ; Simon BARON-COHEN, Auteur . - 10p.
Langues : Anglais (eng)
in Molecular Autism > 7 (2016) . - 10p.
Mots-clés : Asperger Syndrome/diagnosis/psychology Autistic Disorder/diagnosis/psychology Child Child, Preschool Communication Disorders/diagnosis/etiology Culture Diagnosis, Computer-Assisted/methods Diagnostic Errors Emotions Facial Expression Female Fixation, Ocular Gestures Humans Male Parents Poland Psychomotor Performance Severity of Illness Index Sex Characteristics Sex Factors Social Behavior Software Stereotyped Behavior Surveys and Questionnaires Ados-2 Computer application Diagnosis Females with autism Index. décimale : PER Périodiques Résumé : BACKGROUND: Autism spectrum conditions (autism) are diagnosed more frequently in boys than in girls. Females with autism may have been under-identified due to not only a male-biased understanding of autism but also females' camouflaging. The study describes a new technique that allows automated coding of non-verbal mode of communication (gestures) and offers the possibility of objective, evaluation of gestures, independent of human judgment. The EyesWeb software platform and the Kinect sensor during two demonstration activities of ADOS-2 (Autism Diagnostic Observation Schedule, Second Edition) were used. METHODS: The study group consisted of 33 high-functioning Polish girls and boys with formal diagnosis of autism or Asperger syndrome aged 5-10, with fluent speech, IQ average and above and their parents (girls with autism, n = 16; boys with autism, n = 17). All children were assessed during two demonstration activities of Module 3 of ADOS-2, administered in Polish, and coded using Polish codes. Children were also assessed with Polish versions of the Eyes and Faces Tests. Parents provided information on the author-reviewed Polish research translation of SCQ (Social Communication Questionnaire, Current and Lifetime) and Polish version of AQ Child (Autism Spectrum Quotient, Child). RESULTS: Girls with autism tended to use gestures more vividly as compared to boys with autism during two demonstration activities of ADOS-2. Girls with autism made significantly more mistakes than boys with autism on the Faces Test. All children with autism had high scores in AQ Child, which confirmed the presence of autistic traits in this group. The current communication skills of boys with autism reported by parents in SCQ were significantly better than those of girls with autism. However, both girls with autism and boys with autism improved in the social and communication abilities over the lifetime. The number of stereotypic behaviours in boys significantly decreased over life whereas it remained at a comparable level in girls with autism. CONCLUSIONS: High-functioning females with autism might present better on non-verbal (gestures) mode of communication than boys with autism. It may camouflage other diagnostic features. It poses risk of under-diagnosis or not receiving the appropriate diagnosis for this population. Further research is required to examine this phenomenon so appropriate gender revisions to the diagnostic assessments might be implemented. En ligne : http://dx.doi.org/10.1186/s13229-016-0073-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=329 Accuracy of the Screening Tool for Autism in Toddlers and Young Children in the primary care setting / Rebecca MCNALLY KEEHN in Autism, 29-4 (April 2025)
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Titre : Accuracy of the Screening Tool for Autism in Toddlers and Young Children in the primary care setting Type de document : texte imprimé Auteurs : Rebecca MCNALLY KEEHN, Auteur ; Noha F. MINSHAWI, Auteur ; Qing TANG, Auteur ; Brett ENNEKING, Auteur ; Tybytha RYAN, Auteur ; Ann Marie MARTIN, Auteur ; Angela PAXTON, Auteur ; Patrick O. MONAHAN, Auteur ; Mary CICCARELLI, Auteur ; Brandon KEEHN, Auteur Article en page(s) : p.945-957 Langues : Anglais (eng) Mots-clés : autism diagnosis primary care Index. décimale : PER Périodiques Résumé : Feasible and accurate assessment tools developed for non-specialists are needed to scale community-based models of autism evaluation. The purpose of this study was to evaluate use of the Screening Tool for Autism in Toddlers and Young Children (STAT) when used by primary care practitioners (n = 10) across a statewide system of early diagnosis set within seven United States primary care practices. Specifically, for 130, 14- to 48-month-old children, we examined (1) agreement between STAT classification and Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) outcome and expert diagnosis of autism, (2) characteristics of children with inaccurate STAT classifications, (3) consistency between STAT classification and primary care practitioner diagnosis, and (4) the relationship between STAT/primary care practitioner classification and expert diagnosis. The STAT demonstrated good concurrent validity with the ADOS-2 (77% agreement). Concordance between specialty trained primary care practitioners with expert diagnosis was 80%-87% across three age-based subgroups of children. Children misclassified by the STAT were older, had higher developmental and adaptive skills, and lower autism symptoms. Primary care practitioner diagnosis aligned with STAT categorical risk classification in 86% of cases, and 73% of consistent classifications between STAT and primary care practitioner diagnosis matched expert diagnosis. Overall, the STAT demonstrates good accuracy when used by non-specialists as part of a diagnostic evaluation.Lay summary Specialists conduct autism evaluations using tools that are expensive and difficult to get trained on. Families often wait a long time and travel far to get a diagnosis for their child. To help with this problem, primary care practitioners can be trained to provide evaluations in local communities. However, usable and accurate tools developed for non-specialists are needed. The Screening Tool for Autism in Toddlers and Young Children (STAT) was created for this purpose, but limited research has been done on accuracy of the tool in community primary care. This study tested the STAT when used by primary care practitioners as part of a diagnostic evaluation in 130, 14- to 48-month-old children. We tested (1) STAT agreement with the Autism Diagnostic Observation Schedule, Second Edition (ADOS-2), and diagnosis based on an expert research evaluation, and (2) the relationship between STAT classification, primary care practitioner diagnosis, and expert diagnosis. STAT classification matched the ADOS-2 in 77% of cases and expert diagnosis in 78% of cases. Autistic children incorrectly classified by the STAT were older, had higher developmental and adaptive skills, and fewer autism symptoms. In 86% of cases, the STAT classification agreed with primary care practitioner diagnosis. STAT classification, primary care practitioner diagnosis, and expert diagnosis agreed in 73% of cases. Overall, the STAT shows good accuracy when used by primary care practitioners as part of a community primary care autism evaluation. En ligne : https://dx.doi.org/10.1177/13623613241292850 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=552
in Autism > 29-4 (April 2025) . - p.945-957[article] Accuracy of the Screening Tool for Autism in Toddlers and Young Children in the primary care setting [texte imprimé] / Rebecca MCNALLY KEEHN, Auteur ; Noha F. MINSHAWI, Auteur ; Qing TANG, Auteur ; Brett ENNEKING, Auteur ; Tybytha RYAN, Auteur ; Ann Marie MARTIN, Auteur ; Angela PAXTON, Auteur ; Patrick O. MONAHAN, Auteur ; Mary CICCARELLI, Auteur ; Brandon KEEHN, Auteur . - p.945-957.
Langues : Anglais (eng)
in Autism > 29-4 (April 2025) . - p.945-957
Mots-clés : autism diagnosis primary care Index. décimale : PER Périodiques Résumé : Feasible and accurate assessment tools developed for non-specialists are needed to scale community-based models of autism evaluation. The purpose of this study was to evaluate use of the Screening Tool for Autism in Toddlers and Young Children (STAT) when used by primary care practitioners (n = 10) across a statewide system of early diagnosis set within seven United States primary care practices. Specifically, for 130, 14- to 48-month-old children, we examined (1) agreement between STAT classification and Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) outcome and expert diagnosis of autism, (2) characteristics of children with inaccurate STAT classifications, (3) consistency between STAT classification and primary care practitioner diagnosis, and (4) the relationship between STAT/primary care practitioner classification and expert diagnosis. The STAT demonstrated good concurrent validity with the ADOS-2 (77% agreement). Concordance between specialty trained primary care practitioners with expert diagnosis was 80%-87% across three age-based subgroups of children. Children misclassified by the STAT were older, had higher developmental and adaptive skills, and lower autism symptoms. Primary care practitioner diagnosis aligned with STAT categorical risk classification in 86% of cases, and 73% of consistent classifications between STAT and primary care practitioner diagnosis matched expert diagnosis. Overall, the STAT demonstrates good accuracy when used by non-specialists as part of a diagnostic evaluation.Lay summary Specialists conduct autism evaluations using tools that are expensive and difficult to get trained on. Families often wait a long time and travel far to get a diagnosis for their child. To help with this problem, primary care practitioners can be trained to provide evaluations in local communities. However, usable and accurate tools developed for non-specialists are needed. The Screening Tool for Autism in Toddlers and Young Children (STAT) was created for this purpose, but limited research has been done on accuracy of the tool in community primary care. This study tested the STAT when used by primary care practitioners as part of a diagnostic evaluation in 130, 14- to 48-month-old children. We tested (1) STAT agreement with the Autism Diagnostic Observation Schedule, Second Edition (ADOS-2), and diagnosis based on an expert research evaluation, and (2) the relationship between STAT classification, primary care practitioner diagnosis, and expert diagnosis. STAT classification matched the ADOS-2 in 77% of cases and expert diagnosis in 78% of cases. Autistic children incorrectly classified by the STAT were older, had higher developmental and adaptive skills, and fewer autism symptoms. In 86% of cases, the STAT classification agreed with primary care practitioner diagnosis. STAT classification, primary care practitioner diagnosis, and expert diagnosis agreed in 73% of cases. Overall, the STAT shows good accuracy when used by primary care practitioners as part of a community primary care autism evaluation. En ligne : https://dx.doi.org/10.1177/13623613241292850 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=552 Adapting and validating the Autism Diagnostic Observation Schedule Version 2 for use with deaf children and young people / Helen PHILLIPS in Journal of Autism and Developmental Disorders, 52-2 (February 2022)
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Titre : Adapting and validating the Autism Diagnostic Observation Schedule Version 2 for use with deaf children and young people Type de document : texte imprimé Auteurs : Helen PHILLIPS, Auteur ; Barry WRIGHT, Auteur ; Victoria ALLGAR, Auteur ; Helen MCCONACHIE, Auteur ; Jennifer SWEETMAN, Auteur ; Rebecca HARGATE, Auteur ; Rachel HODKINSON, Auteur ; Martin BLAND, Auteur ; Hannah GEORGE, Auteur ; Anna HUGHES, Auteur ; Emily HAYWARD, Auteur ; Victoria Fernandez Garcia DE LAS HERAS, Auteur ; Ann LE COUTEUR, Auteur Article en page(s) : p.553-568 Langues : Anglais (eng) Mots-clés : Adolescent Autism Spectrum Disorder/diagnosis Autistic Disorder Child Humans Sensitivity and Specificity Specialization Assessment Autism Spectrum Disorder Autism diagnostic observation schedule Deaf Delphi consensus Diagnosis Sign language research, authorship, and/or publication of this article. Index. décimale : PER Périodiques Résumé : We report a Delphi Consensus modification and first validation study of the Autism Diagnostic Observation Schedule - 2 with deaf children and young people (ADOS-2 Deaf adaptation). Validation included 122 deaf participants (aged 2-18 years), 63 with an Autism Spectrum Disorder (ASD). This was compared to a National Institute for Health and Clinical Excellence (NICE) guideline standard clinical assessment by blinded independent specialist clinicians. Results showed overall sensitivity 73% (95%CI 60%, 83%); specificity 71% (95%CI 58%, 82%), and for the more common modules 1-3 (combined as in previous studies) sensitivity 79% (95% CI 65-89%); specificity 79% (95% CI 66-89%) suggesting this instrument will be a helpful addition for use with deaf children and young people. En ligne : http://dx.doi.org/10.1007/s10803-021-04931-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455
in Journal of Autism and Developmental Disorders > 52-2 (February 2022) . - p.553-568[article] Adapting and validating the Autism Diagnostic Observation Schedule Version 2 for use with deaf children and young people [texte imprimé] / Helen PHILLIPS, Auteur ; Barry WRIGHT, Auteur ; Victoria ALLGAR, Auteur ; Helen MCCONACHIE, Auteur ; Jennifer SWEETMAN, Auteur ; Rebecca HARGATE, Auteur ; Rachel HODKINSON, Auteur ; Martin BLAND, Auteur ; Hannah GEORGE, Auteur ; Anna HUGHES, Auteur ; Emily HAYWARD, Auteur ; Victoria Fernandez Garcia DE LAS HERAS, Auteur ; Ann LE COUTEUR, Auteur . - p.553-568.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-2 (February 2022) . - p.553-568
Mots-clés : Adolescent Autism Spectrum Disorder/diagnosis Autistic Disorder Child Humans Sensitivity and Specificity Specialization Assessment Autism Spectrum Disorder Autism diagnostic observation schedule Deaf Delphi consensus Diagnosis Sign language research, authorship, and/or publication of this article. Index. décimale : PER Périodiques Résumé : We report a Delphi Consensus modification and first validation study of the Autism Diagnostic Observation Schedule - 2 with deaf children and young people (ADOS-2 Deaf adaptation). Validation included 122 deaf participants (aged 2-18 years), 63 with an Autism Spectrum Disorder (ASD). This was compared to a National Institute for Health and Clinical Excellence (NICE) guideline standard clinical assessment by blinded independent specialist clinicians. Results showed overall sensitivity 73% (95%CI 60%, 83%); specificity 71% (95%CI 58%, 82%), and for the more common modules 1-3 (combined as in previous studies) sensitivity 79% (95% CI 65-89%); specificity 79% (95% CI 66-89%) suggesting this instrument will be a helpful addition for use with deaf children and young people. En ligne : http://dx.doi.org/10.1007/s10803-021-04931-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455 Addressing current barriers to autism diagnoses through a tiered diagnostic approach involving pediatric primary care providers / Andrea T. WIECKOWSKI in Autism Research, 15-12 (December 2022)
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Titre : Addressing current barriers to autism diagnoses through a tiered diagnostic approach involving pediatric primary care providers Type de document : texte imprimé Auteurs : Andrea T. WIECKOWSKI, Auteur ; Katharine E. ZUCKERMAN, Auteur ; Sarabeth BRODER-FINGERT, Auteur ; Diana L. ROBINS, Auteur Article en page(s) : p.2216-2222 Langues : Anglais (eng) Mots-clés : Child Humans Child, Preschool Autistic Disorder Autism Spectrum Disorder/diagnosis/therapy Primary Health Care autism spectrum disorder diagnosis early detection primary care Index. décimale : PER Périodiques Résumé : Formal autism diagnosis from a specialist trained in autism assessment is customary prior to a child accessing early, intensive autism-specific services. However, long wait lists for diagnostic evaluations and limited specialty workforce have created substantial delays. Additionally, lengthy multidisciplinary evaluations are costly to insurers, inconvenient to families, and disproportionally impact under-resourced families. Diagnostic delays can impede access to intervention services. These barriers, combined with evidence regarding the importance of receiving early, autism-specific treatment, demand new approaches enabling access to autism specific services before comprehensive evaluation. Pediatric primary care providers (PCPs) are often the only health care professionals with whom a family interacts during early childhood and can play a crucial role in helping children with autism symptoms access services. Many strategies for autism diagnosis in primary care are being developed and tested; however, they have yet to be broadly adopted by PCPs, primarily due to critical implementation barriers in primary care settings. There is also not enough evidence on the accuracy of PCPs' diagnostic impressions without extensive specialty support, resulting in PCP hesitancy in diagnosing ASD, as well as family and service provider hesitancy in accepting a PCP autism diagnosis. In this commentary, we explore the acute need for shortening waitlists for autism evaluations through a tiered diagnostic approach, in which PCPs can rule in or rule out autism in children, for whom diagnosis is clear, and refer more complex cases for specialist evaluations, and explore implementation challenges to this approach. En ligne : http://dx.doi.org/10.1002/aur.2832 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=488
in Autism Research > 15-12 (December 2022) . - p.2216-2222[article] Addressing current barriers to autism diagnoses through a tiered diagnostic approach involving pediatric primary care providers [texte imprimé] / Andrea T. WIECKOWSKI, Auteur ; Katharine E. ZUCKERMAN, Auteur ; Sarabeth BRODER-FINGERT, Auteur ; Diana L. ROBINS, Auteur . - p.2216-2222.
Langues : Anglais (eng)
in Autism Research > 15-12 (December 2022) . - p.2216-2222
Mots-clés : Child Humans Child, Preschool Autistic Disorder Autism Spectrum Disorder/diagnosis/therapy Primary Health Care autism spectrum disorder diagnosis early detection primary care Index. décimale : PER Périodiques Résumé : Formal autism diagnosis from a specialist trained in autism assessment is customary prior to a child accessing early, intensive autism-specific services. However, long wait lists for diagnostic evaluations and limited specialty workforce have created substantial delays. Additionally, lengthy multidisciplinary evaluations are costly to insurers, inconvenient to families, and disproportionally impact under-resourced families. Diagnostic delays can impede access to intervention services. These barriers, combined with evidence regarding the importance of receiving early, autism-specific treatment, demand new approaches enabling access to autism specific services before comprehensive evaluation. Pediatric primary care providers (PCPs) are often the only health care professionals with whom a family interacts during early childhood and can play a crucial role in helping children with autism symptoms access services. Many strategies for autism diagnosis in primary care are being developed and tested; however, they have yet to be broadly adopted by PCPs, primarily due to critical implementation barriers in primary care settings. There is also not enough evidence on the accuracy of PCPs' diagnostic impressions without extensive specialty support, resulting in PCP hesitancy in diagnosing ASD, as well as family and service provider hesitancy in accepting a PCP autism diagnosis. In this commentary, we explore the acute need for shortening waitlists for autism evaluations through a tiered diagnostic approach, in which PCPs can rule in or rule out autism in children, for whom diagnosis is clear, and refer more complex cases for specialist evaluations, and explore implementation challenges to this approach. En ligne : http://dx.doi.org/10.1002/aur.2832 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=488 ADOS-2 Toddler and Module 1 standardized severity scores as used by community practitioners / Darren HEDLEY in Research in Autism Spectrum Disorders, 32 (December 2016)
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Titre : ADOS-2 Toddler and Module 1 standardized severity scores as used by community practitioners Type de document : texte imprimé Auteurs : Darren HEDLEY, Auteur ; Rose E. NEVILL, Auteur ; Mirko ULJAREVIĆ, Auteur ; Eric BUTTER, Auteur ; James A. MULICK, Auteur Article en page(s) : p.84-95 Langues : Anglais (eng) Mots-clés : Autism diagnostic observation schedule Autism spectrum disorder Calibrated severity score Diagnosis Severity Toddler Module Externalizing Internalizing Index. décimale : PER Périodiques Résumé : AbstractBackground The Autism Diagnostic Observation Schedule, 2nd edition (ADOS-2) is a diagnostic instrument which forms part of the recommended “gold standard” for the assessment of Autism Spectrum Disorder (ASD), however raw scores are affected by age, development and language level. Standardized calibrated severity scores (CSS), unlike raw scores, provide a relative metric of the severity of autism-specific symptoms. A CSS has recently been developed for the ADOS-2 Toddler Module, which can be used in children aged 12–30 months. The utility of this new algorithm has yet to be examined in an independent sample, and few studies have examined the ADOS-2 as used by community practitioners, rather than in a research environment. Method Total and domain standardized CSS for the ADOS-2 Toddler Module and Module 1 were examined in an independent, community based sample of 125 young children aged 20–47 months with a diagnosis of ASD, and in a comparison sample of children with nonspectrum diagnoses. Results The CSS was more uniformly distributed when compared to raw scores across age and language groups, and less influenced by participant characteristics, including verbal DQ. Younger non-verbal participants returned higher CSS, suggestive of overlap with developmental and language level. Increased CSS in younger, nonverbal children may also reflect greater severity, thereby leading to earlier referral. The Child Behavior Checklist externalizing score emerged as an independent predictor of ASD symptom severity. Conclusions These results offer tentative support for the introduction of the Toddler Module CSS into community practice; however caution in the interpretation of the score in younger, nonverbal children is urged. En ligne : http://dx.doi.org/10.1016/j.rasd.2016.09.005 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=296
in Research in Autism Spectrum Disorders > 32 (December 2016) . - p.84-95[article] ADOS-2 Toddler and Module 1 standardized severity scores as used by community practitioners [texte imprimé] / Darren HEDLEY, Auteur ; Rose E. NEVILL, Auteur ; Mirko ULJAREVIĆ, Auteur ; Eric BUTTER, Auteur ; James A. MULICK, Auteur . - p.84-95.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 32 (December 2016) . - p.84-95
Mots-clés : Autism diagnostic observation schedule Autism spectrum disorder Calibrated severity score Diagnosis Severity Toddler Module Externalizing Internalizing Index. décimale : PER Périodiques Résumé : AbstractBackground The Autism Diagnostic Observation Schedule, 2nd edition (ADOS-2) is a diagnostic instrument which forms part of the recommended “gold standard” for the assessment of Autism Spectrum Disorder (ASD), however raw scores are affected by age, development and language level. Standardized calibrated severity scores (CSS), unlike raw scores, provide a relative metric of the severity of autism-specific symptoms. A CSS has recently been developed for the ADOS-2 Toddler Module, which can be used in children aged 12–30 months. The utility of this new algorithm has yet to be examined in an independent sample, and few studies have examined the ADOS-2 as used by community practitioners, rather than in a research environment. Method Total and domain standardized CSS for the ADOS-2 Toddler Module and Module 1 were examined in an independent, community based sample of 125 young children aged 20–47 months with a diagnosis of ASD, and in a comparison sample of children with nonspectrum diagnoses. Results The CSS was more uniformly distributed when compared to raw scores across age and language groups, and less influenced by participant characteristics, including verbal DQ. Younger non-verbal participants returned higher CSS, suggestive of overlap with developmental and language level. Increased CSS in younger, nonverbal children may also reflect greater severity, thereby leading to earlier referral. The Child Behavior Checklist externalizing score emerged as an independent predictor of ASD symptom severity. Conclusions These results offer tentative support for the introduction of the Toddler Module CSS into community practice; however caution in the interpretation of the score in younger, nonverbal children is urged. En ligne : http://dx.doi.org/10.1016/j.rasd.2016.09.005 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=296 After Early Autism Diagnosis: Changes in Intervention and Parent–Child Interaction / Katharine SUMA in Journal of Autism and Developmental Disorders, 46-8 (August 2016)
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PermalinkAlexithymia and autism diagnostic assessments: Evidence from twins at genetic risk of autism and adults with anorexia nervosa / Hannah HOBSON in Research in Autism Spectrum Disorders, 73 (May 2019)
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PermalinkAn investigation of adherence to best practice guidelines for autism diagnosis in New Zealand / Lauren J. TAYLOR in Autism, 25-7 (October 2021)
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PermalinkAn investigation of adherence to best practice guidelines for autism diagnosis in New Zealand / Lauren J. TAYLOR in Autism, 26-7 (October 2022)
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PermalinkAnnual Research Review: Categories versus dimensions in the classification and conceptualisation of child and adolescent mental disorders – implications of recent empirical / David COGHILL in Journal of Child Psychology and Psychiatry, 53-5 (May 2012)
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