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Subdomains of restricted and repetitive behaviors within autism: Exploratory structural equation modeling using the diagnostic interview for social and communication disorders / Mirko ULJAREVIC in Autism Research, 15-5 (May 2022)
[article]
Titre : Subdomains of restricted and repetitive behaviors within autism: Exploratory structural equation modeling using the diagnostic interview for social and communication disorders Type de document : Texte imprimé et/ou numérique Auteurs : Mirko ULJAREVIC, Auteur ; Sarah J. CARRINGTON, Auteur ; Antonio Y. HARDAN, Auteur ; Susan R. LEEKAM, Auteur Article en page(s) : p.861-869 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/diagnosis Autistic Disorder/diagnosis Child Communication Disorders/diagnosis Female Humans Intellectual Disability Latent Class Analysis Male Stereotyped Behavior circumscribed interests diagnostic interview for social and communication disorders factor analysis insistence on sameness repetitive behaviors sensory sensitivity Index. décimale : PER Périodiques Résumé : The current study aimed to explore the factor structure of a broad range of restricted and repetitive behaviors (RRB) within the autism spectrum. Exploratory structural equation modeling was conducted using individual item-level data from the Diagnostic Interview for Social and Communication Disorders (DISCO). DISCO is a comprehensive semi-structured interview used by clinicians to elicit information from caregivers about the individual's profile of development and behavior. Data from a sample of 226 individuals with a clinical diagnosis of autism spectrum disorder (ASD) (189 males; M(age) = 11.82?years, SD(age) = 7.87) were analyzed. The six-factor structure provided the most optimal and interpretable fit (comparative fit index = 0.944, Tucker-Lewis index = 0.923, root mean square error of approximation = 0.018). Derived factors were interpreted as repetitive motor behaviors (RMB), unusual sensory and object focused interests (USOI), sensory sensitivity (SS), insistence on sameness (IS), circumscribed interests (CI) and stereotyped language (SL). Age was significantly negatively associated with RMB, USOI and SL but not with SS, IS or CI factor scores. None of the factors were associated with sex. ASD individuals with intellectual disability (ID) had the highest RMB, USOI, SS and SL scores while those without ID had the highest IS and CI scores. Our findings provide preliminary evidence for the utility of the DISCO as a comprehensive measure of several distinct RRB domains in both research and clinical contexts. Importantly, the current investigation highlights crucial areas for measurement development. LAY SUMMARY: The diagnostic Interview for Social and Communication Disorders (DISCO) is a detailed caregiver report clinical interview designed to capture a wide range of key features associated with autism spectrum disorder, including restricted and repetitive behaviors (RRB). This paper provides initial evidence that the DISCO is a promising measure for assessing a wide range of RRB including repetitive motor behaviors, insistence on sameness, circumscribed interests, unusual interests in sensory stimuli, sensory sensitivity and stereotypic language. En ligne : http://dx.doi.org/10.1002/aur.2687 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473
in Autism Research > 15-5 (May 2022) . - p.861-869[article] Subdomains of restricted and repetitive behaviors within autism: Exploratory structural equation modeling using the diagnostic interview for social and communication disorders [Texte imprimé et/ou numérique] / Mirko ULJAREVIC, Auteur ; Sarah J. CARRINGTON, Auteur ; Antonio Y. HARDAN, Auteur ; Susan R. LEEKAM, Auteur . - p.861-869.
Langues : Anglais (eng)
in Autism Research > 15-5 (May 2022) . - p.861-869
Mots-clés : Autism Spectrum Disorder/diagnosis Autistic Disorder/diagnosis Child Communication Disorders/diagnosis Female Humans Intellectual Disability Latent Class Analysis Male Stereotyped Behavior circumscribed interests diagnostic interview for social and communication disorders factor analysis insistence on sameness repetitive behaviors sensory sensitivity Index. décimale : PER Périodiques Résumé : The current study aimed to explore the factor structure of a broad range of restricted and repetitive behaviors (RRB) within the autism spectrum. Exploratory structural equation modeling was conducted using individual item-level data from the Diagnostic Interview for Social and Communication Disorders (DISCO). DISCO is a comprehensive semi-structured interview used by clinicians to elicit information from caregivers about the individual's profile of development and behavior. Data from a sample of 226 individuals with a clinical diagnosis of autism spectrum disorder (ASD) (189 males; M(age) = 11.82?years, SD(age) = 7.87) were analyzed. The six-factor structure provided the most optimal and interpretable fit (comparative fit index = 0.944, Tucker-Lewis index = 0.923, root mean square error of approximation = 0.018). Derived factors were interpreted as repetitive motor behaviors (RMB), unusual sensory and object focused interests (USOI), sensory sensitivity (SS), insistence on sameness (IS), circumscribed interests (CI) and stereotyped language (SL). Age was significantly negatively associated with RMB, USOI and SL but not with SS, IS or CI factor scores. None of the factors were associated with sex. ASD individuals with intellectual disability (ID) had the highest RMB, USOI, SS and SL scores while those without ID had the highest IS and CI scores. Our findings provide preliminary evidence for the utility of the DISCO as a comprehensive measure of several distinct RRB domains in both research and clinical contexts. Importantly, the current investigation highlights crucial areas for measurement development. LAY SUMMARY: The diagnostic Interview for Social and Communication Disorders (DISCO) is a detailed caregiver report clinical interview designed to capture a wide range of key features associated with autism spectrum disorder, including restricted and repetitive behaviors (RRB). This paper provides initial evidence that the DISCO is a promising measure for assessing a wide range of RRB including repetitive motor behaviors, insistence on sameness, circumscribed interests, unusual interests in sensory stimuli, sensory sensitivity and stereotypic language. En ligne : http://dx.doi.org/10.1002/aur.2687 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473 The Early Screening for Autism and Communication Disorders: Field-testing an autism-specific screening tool for children 12 to 36 months of age / Amy M. WETHERBY in Autism, 25-7 (October 2021)
[article]
Titre : The Early Screening for Autism and Communication Disorders: Field-testing an autism-specific screening tool for children 12 to 36 months of age Type de document : Texte imprimé et/ou numérique Auteurs : Amy M. WETHERBY, Auteur ; W. GUTHRIE, Auteur ; J. L. HOOKER, Auteur ; Abigail D. DELEHANTY, Auteur ; T. N. DAY, Auteur ; J. WOODS, Auteur ; K. PIERCE, Auteur ; S. S. MANWARING, Auteur ; A. THURM, Auteur ; S. OZONOFF, Auteur ; E. PETKOVA, Auteur ; C. LORD, Auteur Article en page(s) : p.2112-2123 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/diagnosis Autistic Disorder Child Child, Preschool Communication Disorders/diagnosis Humans Infant Mass Screening Sensitivity and Specificity Early Screening for Autism and Communication Disorders autism spectrum disorder field-testing screening validation conflicts of interest with respect to the research, authorship, and/or publication of this article: A.M.W. is co-author of the Communication and Symbolic Behavior Scales and receives royalties but not from this study. Catherine Lord is author of the Autism Diagnostic Observation Schedule–Second Edition (ADOS-2). C.L. and W.G. are authors of the ADOS Toddler Module (ADOS-T). They receive royalties from use of the ADOS-2/ADOS-T, but not from this study. The remaining authors have no financial relationships relevant to this article to disclose. Index. décimale : PER Périodiques Résumé : There is a critical need for accurate screening tools for autism spectrum disorder in very young children so families can access tailored intervention services as early as possible. However, there are few screeners designed for children 18-24?months. Developing screeners that pick up on the signs of autism spectrum disorder in very young children has proved even more challenging. In this study, we examined a new autism-specific parent-report screening tool, the Early Screening for Autism and Communication Disorders for children between 12 and 36?months of age. Field-testing was done in five sites with 471 children screened for communication delays in primary care or referred for familial risk or concern for autism spectrum disorder. The Early Screening for Autism and Communication Disorders was tested in three age groups: 12-17, 18-23, and 24-36?months. A best-estimate diagnosis of autism spectrum disorder, developmental delay, or typical development was made. Analyses examined all 46 items and identified 30 items that best discriminated autism spectrum disorder from the non-spectrum groups. Cutoffs were established for each age group with good sensitivity and specificity. Results provide preliminary support for the accuracy of the Early Screening for Autism and Communication Disorders as an autism-specific screener in children 12-36?months with elevated risk of communication delay or autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/13623613211012526 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=451
in Autism > 25-7 (October 2021) . - p.2112-2123[article] The Early Screening for Autism and Communication Disorders: Field-testing an autism-specific screening tool for children 12 to 36 months of age [Texte imprimé et/ou numérique] / Amy M. WETHERBY, Auteur ; W. GUTHRIE, Auteur ; J. L. HOOKER, Auteur ; Abigail D. DELEHANTY, Auteur ; T. N. DAY, Auteur ; J. WOODS, Auteur ; K. PIERCE, Auteur ; S. S. MANWARING, Auteur ; A. THURM, Auteur ; S. OZONOFF, Auteur ; E. PETKOVA, Auteur ; C. LORD, Auteur . - p.2112-2123.
Langues : Anglais (eng)
in Autism > 25-7 (October 2021) . - p.2112-2123
Mots-clés : Autism Spectrum Disorder/diagnosis Autistic Disorder Child Child, Preschool Communication Disorders/diagnosis Humans Infant Mass Screening Sensitivity and Specificity Early Screening for Autism and Communication Disorders autism spectrum disorder field-testing screening validation conflicts of interest with respect to the research, authorship, and/or publication of this article: A.M.W. is co-author of the Communication and Symbolic Behavior Scales and receives royalties but not from this study. Catherine Lord is author of the Autism Diagnostic Observation Schedule–Second Edition (ADOS-2). C.L. and W.G. are authors of the ADOS Toddler Module (ADOS-T). They receive royalties from use of the ADOS-2/ADOS-T, but not from this study. The remaining authors have no financial relationships relevant to this article to disclose. Index. décimale : PER Périodiques Résumé : There is a critical need for accurate screening tools for autism spectrum disorder in very young children so families can access tailored intervention services as early as possible. However, there are few screeners designed for children 18-24?months. Developing screeners that pick up on the signs of autism spectrum disorder in very young children has proved even more challenging. In this study, we examined a new autism-specific parent-report screening tool, the Early Screening for Autism and Communication Disorders for children between 12 and 36?months of age. Field-testing was done in five sites with 471 children screened for communication delays in primary care or referred for familial risk or concern for autism spectrum disorder. The Early Screening for Autism and Communication Disorders was tested in three age groups: 12-17, 18-23, and 24-36?months. A best-estimate diagnosis of autism spectrum disorder, developmental delay, or typical development was made. Analyses examined all 46 items and identified 30 items that best discriminated autism spectrum disorder from the non-spectrum groups. Cutoffs were established for each age group with good sensitivity and specificity. Results provide preliminary support for the accuracy of the Early Screening for Autism and Communication Disorders as an autism-specific screener in children 12-36?months with elevated risk of communication delay or autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/13623613211012526 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=451 The Early Screening for Autism and Communication Disorders: Field-testing an autism-specific screening tool for children 12 to 36 months of age / Amy M. WETHERBY in Autism, 26-7 (October 2022)
[article]
Titre : The Early Screening for Autism and Communication Disorders: Field-testing an autism-specific screening tool for children 12 to 36 months of age Type de document : Texte imprimé et/ou numérique Auteurs : Amy M. WETHERBY, Auteur ; Whitney GUTHRIE, Auteur ; Jessica L HOOKER, Auteur ; Abigail D. DELEHANTY, Auteur ; Taylor N. DAY, Auteur ; Juliann WOODS, Auteur ; Karen PIERCE, Auteur ; Stacy S. MANWARING, Auteur ; Audrey THURM, Auteur ; Sally OZONOFF, Auteur ; Eva PETKOVA, Auteur ; Catherine LORD, Auteur Article en page(s) : p.2112-2123 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/diagnosis Autistic Disorder Child Child, Preschool Communication Disorders/diagnosis Humans Infant Mass Screening Sensitivity and Specificity Early Screening for Autism and Communication Disorders autism spectrum disorder field-testing screening validation potential conflicts of interest with respect to the research, authorship, and/or publication of this article: A.M.W. is co-author of the Communication and Symbolic Behavior Scales and receives royalties but not from this study. Catherine Lord is author of the Autism Diagnostic Observation Schedule–Second Edition (ADOS-2). C.L. and W.G. are authors of the ADOS Toddler Module (ADOS-T). They receive royalties from use of the ADOS-2/ADOS-T, but not from this study. The remaining authors have no financial relationships relevant to this article to disclose. Index. décimale : PER Périodiques Résumé : There is a critical need for accurate screening tools for autism spectrum disorder in very young children so families can access tailored intervention services as early as possible. However, there are few screeners designed for children 18-24months. Developing screeners that pick up on the signs of autism spectrum disorder in very young children has proved even more challenging. In this study, we examined a new autism-specific parent-report screening tool, the Early Screening for Autism and Communication Disorders for children between 12 and 36months of age. Field-testing was done in five sites with 471 children screened for communication delays in primary care or referred for familial risk or concern for autism spectrum disorder. The Early Screening for Autism and Communication Disorders was tested in three age groups: 12-17, 18-23, and 24-36months. A best-estimate diagnosis of autism spectrum disorder, developmental delay, or typical development was made. Analyses examined all 46 items and identified 30 items that best discriminated autism spectrum disorder from the non-spectrum groups. Cutoffs were established for each age group with good sensitivity and specificity. Results provide preliminary support for the accuracy of the Early Screening for Autism and Communication Disorders as an autism-specific screener in children 12-36months with elevated risk of communication delay or autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/13623613211012526 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=484
in Autism > 26-7 (October 2022) . - p.2112-2123[article] The Early Screening for Autism and Communication Disorders: Field-testing an autism-specific screening tool for children 12 to 36 months of age [Texte imprimé et/ou numérique] / Amy M. WETHERBY, Auteur ; Whitney GUTHRIE, Auteur ; Jessica L HOOKER, Auteur ; Abigail D. DELEHANTY, Auteur ; Taylor N. DAY, Auteur ; Juliann WOODS, Auteur ; Karen PIERCE, Auteur ; Stacy S. MANWARING, Auteur ; Audrey THURM, Auteur ; Sally OZONOFF, Auteur ; Eva PETKOVA, Auteur ; Catherine LORD, Auteur . - p.2112-2123.
Langues : Anglais (eng)
in Autism > 26-7 (October 2022) . - p.2112-2123
Mots-clés : Autism Spectrum Disorder/diagnosis Autistic Disorder Child Child, Preschool Communication Disorders/diagnosis Humans Infant Mass Screening Sensitivity and Specificity Early Screening for Autism and Communication Disorders autism spectrum disorder field-testing screening validation potential conflicts of interest with respect to the research, authorship, and/or publication of this article: A.M.W. is co-author of the Communication and Symbolic Behavior Scales and receives royalties but not from this study. Catherine Lord is author of the Autism Diagnostic Observation Schedule–Second Edition (ADOS-2). C.L. and W.G. are authors of the ADOS Toddler Module (ADOS-T). They receive royalties from use of the ADOS-2/ADOS-T, but not from this study. The remaining authors have no financial relationships relevant to this article to disclose. Index. décimale : PER Périodiques Résumé : There is a critical need for accurate screening tools for autism spectrum disorder in very young children so families can access tailored intervention services as early as possible. However, there are few screeners designed for children 18-24months. Developing screeners that pick up on the signs of autism spectrum disorder in very young children has proved even more challenging. In this study, we examined a new autism-specific parent-report screening tool, the Early Screening for Autism and Communication Disorders for children between 12 and 36months of age. Field-testing was done in five sites with 471 children screened for communication delays in primary care or referred for familial risk or concern for autism spectrum disorder. The Early Screening for Autism and Communication Disorders was tested in three age groups: 12-17, 18-23, and 24-36months. A best-estimate diagnosis of autism spectrum disorder, developmental delay, or typical development was made. Analyses examined all 46 items and identified 30 items that best discriminated autism spectrum disorder from the non-spectrum groups. Cutoffs were established for each age group with good sensitivity and specificity. Results provide preliminary support for the accuracy of the Early Screening for Autism and Communication Disorders as an autism-specific screener in children 12-36months with elevated risk of communication delay or autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/13623613211012526 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=484