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Faire une suggestionInvestigating diagnostic bias in autism spectrum conditions: An item response theory analysis of sex bias in the AQ-10 / Aja Louise MURRAY in Autism Research, 10-5 (May 2017)
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Titre : Investigating diagnostic bias in autism spectrum conditions: An item response theory analysis of sex bias in the AQ-10 Type de document : texte imprimé Auteurs : Aja Louise MURRAY, Auteur ; Carrie ALLISON, Auteur ; Paula L. SMITH, Auteur ; Simon BARON-COHEN, Auteur ; Tom BOOTH, Auteur ; Bonnie AUYEUNG, Auteur Article en page(s) : p.790-800 Langues : Anglais (eng) Mots-clés : sex differences autism screening autism spectrum quotient AQ-10 item response theory differential item functioning differential test functioning Index. décimale : PER Périodiques Résumé : Diagnostic bias is a concern in autism spectrum conditions (ASC) where prevalence and presentation differ by sex. To ensure that females with ASC are not under-identified, it is important that ASC screening tools do not systematically underestimate autistic traits in females relative to males. We evaluated whether the AQ-10, a brief screen for ASC recommended by the National Institute of Clinical Excellence in cases of suspected ASC, exhibits such a bias. Using an item response theory approach, we evaluated differential item functioning and differential test functioning. We found that although individual items showed some sex bias, these biases at times favored males and at other times favored females. Thus, at the level of test scores the item-level biases cancelled out to give an unbiased overall score. Results support the continued use of the AQ-10 sum score in its current form; however, suggest that caution should be exercised when interpreting responses to individual items. The nature of the item level biases could serve as a guide for future research into how ASC affects males and females differently. En ligne : http://dx.doi.org/10.1002/aur.1724 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=307
in Autism Research > 10-5 (May 2017) . - p.790-800[article] Investigating diagnostic bias in autism spectrum conditions: An item response theory analysis of sex bias in the AQ-10 [texte imprimé] / Aja Louise MURRAY, Auteur ; Carrie ALLISON, Auteur ; Paula L. SMITH, Auteur ; Simon BARON-COHEN, Auteur ; Tom BOOTH, Auteur ; Bonnie AUYEUNG, Auteur . - p.790-800.
Langues : Anglais (eng)
in Autism Research > 10-5 (May 2017) . - p.790-800
Mots-clés : sex differences autism screening autism spectrum quotient AQ-10 item response theory differential item functioning differential test functioning Index. décimale : PER Périodiques Résumé : Diagnostic bias is a concern in autism spectrum conditions (ASC) where prevalence and presentation differ by sex. To ensure that females with ASC are not under-identified, it is important that ASC screening tools do not systematically underestimate autistic traits in females relative to males. We evaluated whether the AQ-10, a brief screen for ASC recommended by the National Institute of Clinical Excellence in cases of suspected ASC, exhibits such a bias. Using an item response theory approach, we evaluated differential item functioning and differential test functioning. We found that although individual items showed some sex bias, these biases at times favored males and at other times favored females. Thus, at the level of test scores the item-level biases cancelled out to give an unbiased overall score. Results support the continued use of the AQ-10 sum score in its current form; however, suggest that caution should be exercised when interpreting responses to individual items. The nature of the item level biases could serve as a guide for future research into how ASC affects males and females differently. En ligne : http://dx.doi.org/10.1002/aur.1724 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=307 Investigating the utility of the AQ-10 in children and adolescents assessed in an outpatient ARFID clinic / Emma WILLMOTT ; Cate KELLY ; Louise BRADBURY ; Pippa HUGO ; Rachel BRYANT-WAUGH in Autism Research, 17-9 (September 2024)
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Titre : Investigating the utility of the AQ-10 in children and adolescents assessed in an outpatient ARFID clinic Type de document : texte imprimé Auteurs : Emma WILLMOTT, Auteur ; Cate KELLY, Auteur ; Louise BRADBURY, Auteur ; Pippa HUGO, Auteur ; Rachel BRYANT-WAUGH, Auteur Article en page(s) : p.1867-1875 Langues : Anglais (eng) Mots-clés : AQ-10 ARFID ASD autism autism screening autism spectrum disorder avoidant restrictive food intake disorder eating disorders Index. décimale : PER Périodiques Résumé : Abstract The high co-occurrence of autism and eating disorders is well established, including for those with Avoidant Restrictive Food Intake Disorder (ARFID). It is therefore important to consider autism and identify possible autism when people present to eating disorder services to ascertain whether further assessment is indicated, to support clinical formulation and to make appropriate adaptations during interventions. This paper explores the utility of a validated autism screening measure, the AQ-10, in a population of children and adolescents who presented to an outpatient eating disorders clinic for an assessment of possible ARFID. Over 19 months, 335 young people were assessed and 246 families with children aged between 4 and 17 years completed one of three versions of the AQ-10 (Child, Adolescent, and Adult), as part of a battery of routinely administered pre-assessment questionnaires. Results indicated that 80.2% (n 69) of those with an existing autism diagnosis scored above clinical threshold of 6 (M 7.2, SD 1.9), 43.9% (n 43) of those queried to be autistic scored above clinical threshold (M 5.2, SD 2.5), and 6.5% (n 4) of non-autistic individuals scored above clinical threshold (M 2.8, SD 1.8). Additionally, the AQ-10 satisfactorily discriminated between those with a known autism diagnosis and those who are not autistic across all age groups and sex. We conclude that the AQ-10, alongside a comprehensive clinical assessment and clinical judgment, is a useful screening tool that can support clinicians to identify appropriate onward referrals for autism assessments, aid clinical formulation, and consider appropriate adaptations and reasonable adjustments during ARFID interventions. En ligne : https://doi.org/10.1002/aur.3220 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=535
in Autism Research > 17-9 (September 2024) . - p.1867-1875[article] Investigating the utility of the AQ-10 in children and adolescents assessed in an outpatient ARFID clinic [texte imprimé] / Emma WILLMOTT, Auteur ; Cate KELLY, Auteur ; Louise BRADBURY, Auteur ; Pippa HUGO, Auteur ; Rachel BRYANT-WAUGH, Auteur . - p.1867-1875.
Langues : Anglais (eng)
in Autism Research > 17-9 (September 2024) . - p.1867-1875
Mots-clés : AQ-10 ARFID ASD autism autism screening autism spectrum disorder avoidant restrictive food intake disorder eating disorders Index. décimale : PER Périodiques Résumé : Abstract The high co-occurrence of autism and eating disorders is well established, including for those with Avoidant Restrictive Food Intake Disorder (ARFID). It is therefore important to consider autism and identify possible autism when people present to eating disorder services to ascertain whether further assessment is indicated, to support clinical formulation and to make appropriate adaptations during interventions. This paper explores the utility of a validated autism screening measure, the AQ-10, in a population of children and adolescents who presented to an outpatient eating disorders clinic for an assessment of possible ARFID. Over 19 months, 335 young people were assessed and 246 families with children aged between 4 and 17 years completed one of three versions of the AQ-10 (Child, Adolescent, and Adult), as part of a battery of routinely administered pre-assessment questionnaires. Results indicated that 80.2% (n 69) of those with an existing autism diagnosis scored above clinical threshold of 6 (M 7.2, SD 1.9), 43.9% (n 43) of those queried to be autistic scored above clinical threshold (M 5.2, SD 2.5), and 6.5% (n 4) of non-autistic individuals scored above clinical threshold (M 2.8, SD 1.8). Additionally, the AQ-10 satisfactorily discriminated between those with a known autism diagnosis and those who are not autistic across all age groups and sex. We conclude that the AQ-10, alongside a comprehensive clinical assessment and clinical judgment, is a useful screening tool that can support clinicians to identify appropriate onward referrals for autism assessments, aid clinical formulation, and consider appropriate adaptations and reasonable adjustments during ARFID interventions. En ligne : https://doi.org/10.1002/aur.3220 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=535 Using the AQ-10 with adults who have a borderline or mild intellectual disability: Pilot analysis of an adapted AQ-10 (AQ-10-Intellectual Disability) / Elizabeth C. KENT in Research in Autism Spectrum Disorders, 54 (October 2018)
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Titre : Using the AQ-10 with adults who have a borderline or mild intellectual disability: Pilot analysis of an adapted AQ-10 (AQ-10-Intellectual Disability) Type de document : texte imprimé Auteurs : Elizabeth C. KENT, Auteur ; Gerald H. BURGESS, Auteur ; Elizabeth KILBEY, Auteur Article en page(s) : p.65-75 Langues : Anglais (eng) Mots-clés : Intellectual disability Autism spectrum disorder Intellectual impairment Screening Case identification AQ-10 Index. décimale : PER Périodiques Résumé : Background There is a need for appropriate screening tools for case identification of autism spectrum disorder (ASD) in those with intellectual disabilities (ID) given the high co-occurrence of the two conditions. The AQ-10 is the screening tool recommended by NICE for the identification of ASD in adults with a borderline or mild intellectual disability. However, the AQ-10 was not developed with this population in mind. Method A mixed-methods approach was used to investigate the utility of the AQ-10 in its original form as a case identification tool. The AQ-10 was then redesigned and piloted. Qualitative results revealed individuals with a borderline or mild ID found the AQ-10 too inaccessible in its current format. Results Following revision, the diagnostic validity of the revised measure (AQ-10-ID) showed good sensitivity (0.85) and specificity (0.77), whereas the diagnostic validity of the original AQ-10 was poor. The internal consistency for the AQ-10-ID was 0.67 and 0.30 for the AQ-10. Conclusions These findings indicate that changes may be needed to the AQ-10 before clinicians consider using as a screen tools for adults with an intellectual disability. En ligne : https://doi.org/10.1016/j.rasd.2018.06.010 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368
in Research in Autism Spectrum Disorders > 54 (October 2018) . - p.65-75[article] Using the AQ-10 with adults who have a borderline or mild intellectual disability: Pilot analysis of an adapted AQ-10 (AQ-10-Intellectual Disability) [texte imprimé] / Elizabeth C. KENT, Auteur ; Gerald H. BURGESS, Auteur ; Elizabeth KILBEY, Auteur . - p.65-75.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 54 (October 2018) . - p.65-75
Mots-clés : Intellectual disability Autism spectrum disorder Intellectual impairment Screening Case identification AQ-10 Index. décimale : PER Périodiques Résumé : Background There is a need for appropriate screening tools for case identification of autism spectrum disorder (ASD) in those with intellectual disabilities (ID) given the high co-occurrence of the two conditions. The AQ-10 is the screening tool recommended by NICE for the identification of ASD in adults with a borderline or mild intellectual disability. However, the AQ-10 was not developed with this population in mind. Method A mixed-methods approach was used to investigate the utility of the AQ-10 in its original form as a case identification tool. The AQ-10 was then redesigned and piloted. Qualitative results revealed individuals with a borderline or mild ID found the AQ-10 too inaccessible in its current format. Results Following revision, the diagnostic validity of the revised measure (AQ-10-ID) showed good sensitivity (0.85) and specificity (0.77), whereas the diagnostic validity of the original AQ-10 was poor. The internal consistency for the AQ-10-ID was 0.67 and 0.30 for the AQ-10. Conclusions These findings indicate that changes may be needed to the AQ-10 before clinicians consider using as a screen tools for adults with an intellectual disability. En ligne : https://doi.org/10.1016/j.rasd.2018.06.010 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368 Brief Report: Sexual Orientation in Individuals with Autistic Traits: Population Based Study of 47,000 Adults in Stockholm County / Christiane E.S. RUDOLPH in Journal of Autism and Developmental Disorders, 48-2 (February 2018)
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Titre : Brief Report: Sexual Orientation in Individuals with Autistic Traits: Population Based Study of 47,000 Adults in Stockholm County Type de document : texte imprimé Auteurs : Christiane E.S. RUDOLPH, Auteur ; Andreas LUNDIN, Auteur ; J.W. ÅHS, Auteur ; Christina DALMAN, Auteur ; Kyriaki KOSIDOU, Auteur Article en page(s) : p.619-624 Langues : Anglais (eng) Mots-clés : Aq-10 Bisexuality Epidemiology Homosexuality Sexual orientation Index. décimale : PER Périodiques Résumé : We examined the association between autistic traits and sexual orientation in a general adult population (N = 47,356). Autistic traits were measured with the ten items Autistic Quotient questionnaire using a cut-off score of >/= 6. Sexual orientation was assessed by self-report. Multinomial logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for sexual orientation categories. Participants with autistic traits were more likely to identify as bisexual (OR 1.73; 95% CI 1.01-2.9) and to feel that their sexual orientation could neither be described as hetero-, homo- nor bisexual (OR 3.05; 95% CI 2.56-3.63), compared to individuals without autistic traits. Autistic traits are associated with minority sexual orientation, and perhaps with uncertain self-identification and/or a defiance of traditional ways of categorizing sexual identity. En ligne : https://doi.org/10.1007/s10803-017-3369-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=338
in Journal of Autism and Developmental Disorders > 48-2 (February 2018) . - p.619-624[article] Brief Report: Sexual Orientation in Individuals with Autistic Traits: Population Based Study of 47,000 Adults in Stockholm County [texte imprimé] / Christiane E.S. RUDOLPH, Auteur ; Andreas LUNDIN, Auteur ; J.W. ÅHS, Auteur ; Christina DALMAN, Auteur ; Kyriaki KOSIDOU, Auteur . - p.619-624.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-2 (February 2018) . - p.619-624
Mots-clés : Aq-10 Bisexuality Epidemiology Homosexuality Sexual orientation Index. décimale : PER Périodiques Résumé : We examined the association between autistic traits and sexual orientation in a general adult population (N = 47,356). Autistic traits were measured with the ten items Autistic Quotient questionnaire using a cut-off score of >/= 6. Sexual orientation was assessed by self-report. Multinomial logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for sexual orientation categories. Participants with autistic traits were more likely to identify as bisexual (OR 1.73; 95% CI 1.01-2.9) and to feel that their sexual orientation could neither be described as hetero-, homo- nor bisexual (OR 3.05; 95% CI 2.56-3.63), compared to individuals without autistic traits. Autistic traits are associated with minority sexual orientation, and perhaps with uncertain self-identification and/or a defiance of traditional ways of categorizing sexual identity. En ligne : https://doi.org/10.1007/s10803-017-3369-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=338

