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Faire une suggestionAn Examination of Racial Bias in Scoring the Autism Diagnostic Observation Schedule (ADOS) Module 3: An Item Response Theory Analysis / Yuen Yvonne YU in Autism Research, 19-2 (February 2026)
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Titre : An Examination of Racial Bias in Scoring the Autism Diagnostic Observation Schedule (ADOS) Module 3: An Item Response Theory Analysis Type de document : texte imprimé Auteurs : Yuen Yvonne YU, Auteur ; Austin WYMAN, Auteur ; Calliana J. FAULK, Auteur ; Lizzy J. FULOP, Auteur ; Rebecca L. GREENBERG, Auteur ; Rachel M. BENECKE, Auteur ; Lauren K. STEINBECK, Auteur ; Jessica FOY, Auteur ; Caitlyn KIM, Auteur ; George O. EMORY, Auteur ; Eric A. STORCH, Auteur ; Casey J. ZAMPELLA, Auteur ; Benjamin E. YERYS, Auteur ; Robert T. SCHULTZ, Auteur ; Julia PARISH-MORRIS, Auteur ; John D. HERRINGTON, Auteur ; Caitlin C. CLEMENTS, Auteur Article en page(s) : e70155 Langues : Anglais (eng) Mots-clés : ADOS autism differential item functioning item response theory racial bias Index. décimale : PER Périodiques Résumé : ABSTRACT Given the rising prevalence of autism among racial minority children in the United States, but persistent service use disparities, this study examines potential bias in specific items from the autism diagnostic observation schedule (ADOS), a highly regarded autism evaluation. We leveraged unidimensional item response theory graded response models and a sample of 735 children to analyze the differential item functioning (DIF) of items within ADOS Module 3. Three items showed significant signs of racial bias: A1 (overall language level), A5 (offers information), and D5 (compulsions and rituals). On these items, Black/African American and Asian children were usually more likely to be rated as showing autistic behaviors than White children with similar autism levels. The impact of racial bias on the item score was small, and the impact on the overall test score was even smaller: on a scale of 0?48 points, the effect of racial bias was estimated at 0.23 total points for Black/African American children and 0.16 points for Asian children. Furthermore, none of the items showing significant bias contribute to the autism classification algorithm. This analysis suggests a small but detectable amount of bias in several specific ADOS items, but not in items central to informing an autism diagnosis. Thus, bias appears statistically, but not clinically, significant. This contributes to examinations of racial bias in the ADOS as the first analysis of Asian children and the first in-depth look at all items in the most commonly used version among school-aged children. En ligne : https://doi.org/10.1002/aur.70155 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=582
in Autism Research > 19-2 (February 2026) . - e70155[article] An Examination of Racial Bias in Scoring the Autism Diagnostic Observation Schedule (ADOS) Module 3: An Item Response Theory Analysis [texte imprimé] / Yuen Yvonne YU, Auteur ; Austin WYMAN, Auteur ; Calliana J. FAULK, Auteur ; Lizzy J. FULOP, Auteur ; Rebecca L. GREENBERG, Auteur ; Rachel M. BENECKE, Auteur ; Lauren K. STEINBECK, Auteur ; Jessica FOY, Auteur ; Caitlyn KIM, Auteur ; George O. EMORY, Auteur ; Eric A. STORCH, Auteur ; Casey J. ZAMPELLA, Auteur ; Benjamin E. YERYS, Auteur ; Robert T. SCHULTZ, Auteur ; Julia PARISH-MORRIS, Auteur ; John D. HERRINGTON, Auteur ; Caitlin C. CLEMENTS, Auteur . - e70155.
Langues : Anglais (eng)
in Autism Research > 19-2 (February 2026) . - e70155
Mots-clés : ADOS autism differential item functioning item response theory racial bias Index. décimale : PER Périodiques Résumé : ABSTRACT Given the rising prevalence of autism among racial minority children in the United States, but persistent service use disparities, this study examines potential bias in specific items from the autism diagnostic observation schedule (ADOS), a highly regarded autism evaluation. We leveraged unidimensional item response theory graded response models and a sample of 735 children to analyze the differential item functioning (DIF) of items within ADOS Module 3. Three items showed significant signs of racial bias: A1 (overall language level), A5 (offers information), and D5 (compulsions and rituals). On these items, Black/African American and Asian children were usually more likely to be rated as showing autistic behaviors than White children with similar autism levels. The impact of racial bias on the item score was small, and the impact on the overall test score was even smaller: on a scale of 0?48 points, the effect of racial bias was estimated at 0.23 total points for Black/African American children and 0.16 points for Asian children. Furthermore, none of the items showing significant bias contribute to the autism classification algorithm. This analysis suggests a small but detectable amount of bias in several specific ADOS items, but not in items central to informing an autism diagnosis. Thus, bias appears statistically, but not clinically, significant. This contributes to examinations of racial bias in the ADOS as the first analysis of Asian children and the first in-depth look at all items in the most commonly used version among school-aged children. En ligne : https://doi.org/10.1002/aur.70155 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=582 Cognitive and adaptive correlates of an ADOS-derived joint attention composite / Ashley J. HARRISON in Research in Autism Spectrum Disorders, 29-30 (September–October 2016)
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Titre : Cognitive and adaptive correlates of an ADOS-derived joint attention composite Type de document : texte imprimé Auteurs : Ashley J. HARRISON, Auteur ; Zhenqiu LU, Auteur ; Rebecca L. MCLEAN, Auteur ; Stephen J. SHEINKOPF, Auteur Article en page(s) : p.66-78 Langues : Anglais (eng) Mots-clés : ASD Joint attention Adaptive functioning Cognition ADOS Index. décimale : PER Périodiques Résumé : Abstract Joint attention skills have been shown to predict language outcomes in children with autism spectrum disorder (ASD). Less is known about the relationship between joint attention (JA) abilities in children with ASD and cognitive and adaptive abilities. In the current study, a subset of items from the Autism Diagnostic Observation Schedule (ADOS), designed to quantify JA abilities, were used to investigate social attention among an unusually large cross-sectional sample of children with ASD (n = 1061). An examination of the association between JA and a range of functional correlates (cognitive and adaptive) revealed JA was significantly related to verbal (VIQ) and non-verbal (NVIQ) cognitive ability as well as all domains of adaptive functioning (socialization, communication, and daily living skills). Additional analyses examined the degree to which the relation between adaptive abilities (socialization, communication, and daily living skills) and JA was maintained after taking into account the potentially mediating role of verbal and nonverbal cognitive ability. Results revealed that VIQ fully mediated the relation between JA and adaptive functioning, whereas the relation between these adaptive variables and JA was only partially mediated by NVIQ. Moderation analyses were also conducted to examine how verbal and non-verbal cognitive ability and gender impacted the relation between JA and adaptive functioning. In line with research showing a relation between language and JA, this indicates that while JA is significantly related to functional outcomes, this appears to be mediated specifically through a verbal cognitive pathway. En ligne : http://dx.doi.org/10.1016/j.rasd.2016.07.001 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=292
in Research in Autism Spectrum Disorders > 29-30 (September–October 2016) . - p.66-78[article] Cognitive and adaptive correlates of an ADOS-derived joint attention composite [texte imprimé] / Ashley J. HARRISON, Auteur ; Zhenqiu LU, Auteur ; Rebecca L. MCLEAN, Auteur ; Stephen J. SHEINKOPF, Auteur . - p.66-78.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 29-30 (September–October 2016) . - p.66-78
Mots-clés : ASD Joint attention Adaptive functioning Cognition ADOS Index. décimale : PER Périodiques Résumé : Abstract Joint attention skills have been shown to predict language outcomes in children with autism spectrum disorder (ASD). Less is known about the relationship between joint attention (JA) abilities in children with ASD and cognitive and adaptive abilities. In the current study, a subset of items from the Autism Diagnostic Observation Schedule (ADOS), designed to quantify JA abilities, were used to investigate social attention among an unusually large cross-sectional sample of children with ASD (n = 1061). An examination of the association between JA and a range of functional correlates (cognitive and adaptive) revealed JA was significantly related to verbal (VIQ) and non-verbal (NVIQ) cognitive ability as well as all domains of adaptive functioning (socialization, communication, and daily living skills). Additional analyses examined the degree to which the relation between adaptive abilities (socialization, communication, and daily living skills) and JA was maintained after taking into account the potentially mediating role of verbal and nonverbal cognitive ability. Results revealed that VIQ fully mediated the relation between JA and adaptive functioning, whereas the relation between these adaptive variables and JA was only partially mediated by NVIQ. Moderation analyses were also conducted to examine how verbal and non-verbal cognitive ability and gender impacted the relation between JA and adaptive functioning. In line with research showing a relation between language and JA, this indicates that while JA is significantly related to functional outcomes, this appears to be mediated specifically through a verbal cognitive pathway. En ligne : http://dx.doi.org/10.1016/j.rasd.2016.07.001 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=292 A Comparative Analysis of the ADOS-G and ADOS-2 Algorithms: Preliminary Findings / Taylor P. DORLACK in Journal of Autism and Developmental Disorders, 48-6 (June 2018)
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Titre : A Comparative Analysis of the ADOS-G and ADOS-2 Algorithms: Preliminary Findings Type de document : texte imprimé Auteurs : Taylor P. DORLACK, Auteur ; Orrin B. MYERS, Auteur ; Piyadasa W. KODITUWAKKU, Auteur Article en page(s) : p.2078-2089 Langues : Anglais (eng) Mots-clés : Ados Autism spectrum disorders Comparative analysis Diagnostic accuracy Diagnostic validity Systematic literature review Index. décimale : PER Périodiques Résumé : The Autism Diagnostic Observation Schedule (ADOS) is a widely utilized observational assessment tool for diagnosis of autism spectrum disorders. The original ADOS was succeeded by the ADOS-G with noted improvements. More recently, the ADOS-2 was introduced to further increase its diagnostic accuracy. Studies examining the validity of the ADOS have produced mixed findings, and pooled relationship trends between the algorithm versions are yet to be analyzed. The current review seeks to compare the relative merits of the ADOS-G and ADOS-2 algorithms, Modules 1-3. Eight studies met inclusion criteria for the review, and six were selected for paired comparisons of the sensitivity and specificity of the ADOS. Results indicate several contradictory findings, underscoring the importance of further study. En ligne : http://dx.doi.org/10.1007/s10803-018-3475-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=361
in Journal of Autism and Developmental Disorders > 48-6 (June 2018) . - p.2078-2089[article] A Comparative Analysis of the ADOS-G and ADOS-2 Algorithms: Preliminary Findings [texte imprimé] / Taylor P. DORLACK, Auteur ; Orrin B. MYERS, Auteur ; Piyadasa W. KODITUWAKKU, Auteur . - p.2078-2089.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-6 (June 2018) . - p.2078-2089
Mots-clés : Ados Autism spectrum disorders Comparative analysis Diagnostic accuracy Diagnostic validity Systematic literature review Index. décimale : PER Périodiques Résumé : The Autism Diagnostic Observation Schedule (ADOS) is a widely utilized observational assessment tool for diagnosis of autism spectrum disorders. The original ADOS was succeeded by the ADOS-G with noted improvements. More recently, the ADOS-2 was introduced to further increase its diagnostic accuracy. Studies examining the validity of the ADOS have produced mixed findings, and pooled relationship trends between the algorithm versions are yet to be analyzed. The current review seeks to compare the relative merits of the ADOS-G and ADOS-2 algorithms, Modules 1-3. Eight studies met inclusion criteria for the review, and six were selected for paired comparisons of the sensitivity and specificity of the ADOS. Results indicate several contradictory findings, underscoring the importance of further study. En ligne : http://dx.doi.org/10.1007/s10803-018-3475-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=361 Diagnosing ASD in Adults Without ID: Accuracy of the ADOS-2 and the ADI-R / Laura FUSAR-POLI in Journal of Autism and Developmental Disorders, 47-11 (November 2017)
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Titre : Diagnosing ASD in Adults Without ID: Accuracy of the ADOS-2 and the ADI-R Type de document : texte imprimé Auteurs : Laura FUSAR-POLI, Auteur ; Natascia BRONDINO, Auteur ; Matteo ROCCHETTI, Auteur ; Cristina PANISI, Auteur ; Umberto PROVENZANI, Auteur ; Stefano DAMIANI, Auteur ; Pierluigi POLITI, Auteur Article en page(s) : p.3370-3379 Langues : Anglais (eng) Mots-clés : Adi-r Ados Adult Autism Dsm-5 Diagnosis Index. décimale : PER Périodiques Résumé : Diagnosing autism spectrum disorder (ASD) in adulthood often represents a challenge in clinical practice. The aim of the present study was to evaluate the sensitivity and specificity of the ADOS and ADI-R in diagnosing ASD in adults. 113 subjects with an IQ of 70 or above were assessed through an extensive clinical evaluation. The ADOS-2 Module 4 and the ADI-R were separately administered by staff members blind to clinical judgment. Our results cautiously confirm the accuracy of ADOS-2 Module 4, while suggest that ADI-R might not be reliable in adults without intellectual disability. Clinicians' training and experience remains of primary importance while assessing adults who could potentially belong to the autism spectrum. En ligne : http://dx.doi.org/10.1007/s10803-017-3258-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=324
in Journal of Autism and Developmental Disorders > 47-11 (November 2017) . - p.3370-3379[article] Diagnosing ASD in Adults Without ID: Accuracy of the ADOS-2 and the ADI-R [texte imprimé] / Laura FUSAR-POLI, Auteur ; Natascia BRONDINO, Auteur ; Matteo ROCCHETTI, Auteur ; Cristina PANISI, Auteur ; Umberto PROVENZANI, Auteur ; Stefano DAMIANI, Auteur ; Pierluigi POLITI, Auteur . - p.3370-3379.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 47-11 (November 2017) . - p.3370-3379
Mots-clés : Adi-r Ados Adult Autism Dsm-5 Diagnosis Index. décimale : PER Périodiques Résumé : Diagnosing autism spectrum disorder (ASD) in adulthood often represents a challenge in clinical practice. The aim of the present study was to evaluate the sensitivity and specificity of the ADOS and ADI-R in diagnosing ASD in adults. 113 subjects with an IQ of 70 or above were assessed through an extensive clinical evaluation. The ADOS-2 Module 4 and the ADI-R were separately administered by staff members blind to clinical judgment. Our results cautiously confirm the accuracy of ADOS-2 Module 4, while suggest that ADI-R might not be reliable in adults without intellectual disability. Clinicians' training and experience remains of primary importance while assessing adults who could potentially belong to the autism spectrum. En ligne : http://dx.doi.org/10.1007/s10803-017-3258-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=324 Diagnosing Autism Spectrum Disorders in Adults: the Use of Autism Diagnostic Observation Schedule (ADOS) Module 4 / Jojanneke A. BASTIAANSEN in Journal of Autism and Developmental Disorders, 41-9 (September 2011)
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Titre : Diagnosing Autism Spectrum Disorders in Adults: the Use of Autism Diagnostic Observation Schedule (ADOS) Module 4 Type de document : texte imprimé Auteurs : Jojanneke A. BASTIAANSEN, Auteur ; Harma MEFFERT, Auteur ; Simone HEIN, Auteur ; Petra HUIZINGA, Auteur ; Cees KETELAARS, Auteur ; Marieke PIJNENBORG, Auteur ; Arnold BARTELS, Auteur ; Ruud B. MINDERAA, Auteur ; Christian KEYSERS, Auteur ; Annelies A. DE BILDT, Auteur Année de publication : 2011 Article en page(s) : p.1256-1266 Langues : Anglais (eng) Mots-clés : Autism Adults ADOS Diagnosis Schizophrenia Psychopathy Index. décimale : PER Périodiques Résumé : Autism Diagnostic Observation Schedule (ADOS) module 4 was investigated in an independent sample of high-functioning adult males with an autism spectrum disorder (ASD) compared to three specific diagnostic groups: schizophrenia, psychopathy, and typical development. ADOS module 4 proves to be a reliable instrument with good predictive value. It can adequately discriminate ASD from psychopathy and typical development, but is less specific with respect to schizophrenia due to behavioral overlap between autistic and negative symptoms. However, these groups differ on some core items and explorative analyses indicate that a revision of the algorithm in line with Gotham et al. (J Autism Dev Disord 37: 613–627, 2007) could be beneficial for discriminating ASD from schizophrenia. En ligne : http://dx.doi.org/10.1007/s10803-010-1157-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=142
in Journal of Autism and Developmental Disorders > 41-9 (September 2011) . - p.1256-1266[article] Diagnosing Autism Spectrum Disorders in Adults: the Use of Autism Diagnostic Observation Schedule (ADOS) Module 4 [texte imprimé] / Jojanneke A. BASTIAANSEN, Auteur ; Harma MEFFERT, Auteur ; Simone HEIN, Auteur ; Petra HUIZINGA, Auteur ; Cees KETELAARS, Auteur ; Marieke PIJNENBORG, Auteur ; Arnold BARTELS, Auteur ; Ruud B. MINDERAA, Auteur ; Christian KEYSERS, Auteur ; Annelies A. DE BILDT, Auteur . - 2011 . - p.1256-1266.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 41-9 (September 2011) . - p.1256-1266
Mots-clés : Autism Adults ADOS Diagnosis Schizophrenia Psychopathy Index. décimale : PER Périodiques Résumé : Autism Diagnostic Observation Schedule (ADOS) module 4 was investigated in an independent sample of high-functioning adult males with an autism spectrum disorder (ASD) compared to three specific diagnostic groups: schizophrenia, psychopathy, and typical development. ADOS module 4 proves to be a reliable instrument with good predictive value. It can adequately discriminate ASD from psychopathy and typical development, but is less specific with respect to schizophrenia due to behavioral overlap between autistic and negative symptoms. However, these groups differ on some core items and explorative analyses indicate that a revision of the algorithm in line with Gotham et al. (J Autism Dev Disord 37: 613–627, 2007) could be beneficial for discriminating ASD from schizophrenia. En ligne : http://dx.doi.org/10.1007/s10803-010-1157-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=142 Evaluation of the revised algorithm of Autism Diagnostic Observation Schedule (ADOS) in the diagnostic investigation of high-functioning children and adolescents with autism spectrum disorders / Inge KAMP-BECKER in Autism, 17-1 (January 2013)
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PermalinkExamining the relationship between social communication on the ADOS and real-world reciprocal social communication in children with ASD / Lydia R. QUALLS in Research in Autism Spectrum Disorders, 33 (January 2017)
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PermalinkStandardized ADOS Scores: Measuring Severity of Autism Spectrum Disorders in a Dutch Sample / Annelies A. DE BILDT in Journal of Autism and Developmental Disorders, 41-3 (March 2011)
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PermalinkThe Adapted ADOS: A New Module Set for the Assessment of Minimally Verbal Adolescents and Adults / Vanessa H. BAL in Journal of Autism and Developmental Disorders, 50-3 (March 2020)
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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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