Measurement Issues: Screening and diagnostic instruments for autism spectrum disorders – lessons from research and practise

Child and Adolescent Mental Health - Tập 18 Số 1 - Trang 52-63 - 2013
Tony Charman1, Katherine Gotham2
1Centre for Research in Autism and Education (CRAE) Institute of Education University of London UK
2University of Michigan Autism and Communication Disorders Center (UMACC), Ann Arbor, Michigan, USA

Tóm tắt

Background and ScopeSignificant progress has been made over the past two decades in the development of screening and diagnostic instruments for autism spectrum disorders (ASDs). This article reviews this progress, including recent innovations, focussing on those instruments for which the strongest research data on validity exists, and then addresses issues arising from their use in clinical settings.FindingsResearch studies have evaluated the ability of screens to prospectively identify cases of ASD in population‐based and clinically referred samples, as well as the accuracy of diagnostic instruments to map onto ‘gold standard’ clinical best estimate diagnosis. However, extension of the findings to clinical services must be done with caution, with a full understanding that instrument properties are sample‐specific. Furthermore, we are limited by the lack of a true test for ASD which remains a behaviourally defined disorder. In addition, screening and diagnostic instruments help clinicians least in the cases where they are most in want of direction, as their accuracy will always be lower for marginal cases.ConclusionInstruments help clinicians to collect detailed, structured information and increase accuracy and reliability of referral for in‐depth assessment and recommendations for support, but further research is needed to refine their effective use in clinical settings.

Từ khóa


Tài liệu tham khảo

10.1542/peds.2010-1881

10.1542/peds.108.1.192

10.1176/appi.books.9780890423349

10.1097/00004583-200006000-00007

10.1016/S0140-6736(06)69041-7

10.1192/bjp.161.6.839

10.1192/bjp.175.5.444

10.1007/s10803-009-0764-x

10.1007/s10803-010-1057-0

10.1023/B:JADD.0000022604.22374.5f

10.1111/j.1469-7610.2007.01774.x

10.1111/1469-7610.00388

10.1097/CHI.0b013e31816c42bd

10.1002/aur.49

10.1007/s10803-010-1163-z

Center for Disease Control, 2009, Prevalence of autism spectrum disorders ‐ Autism and Developmental Disabilities Monitoring Network, United States, 2006, MMWR Surveillance, 18, 1

10.1097/chi.0b013e31812f7d8d

10.1111/1469-7610.00022

10.1192/bjp.bp.107.040196

10.1007/s10803-007-0448-3

10.1111/1469-7610.00442

Constantino J.N., 2005, Social Responsiveness Scale (SRS)

10.1097/00004703-200002000-00002

10.1097/chi.0b013e318157cb23

10.1111/j.1469-7610.2007.01762.x

10.1007/s10803-010-0984-0

10.1007/s10803-006-0114-1

10.1177/1362361306063288

10.1097/00004703-200604002-00007

10.1111/j.1469-7610.1993.tb02094.x

10.1023/A:1023040610384

10.1016/j.conb.2007.01.009

10.1542/peds.99.4.522

10.1046/j.1440-1754.1999.00342.x

10.1093/med/9780195371826.003.0003

10.1007/s10803-008-0674-3

10.1097/CHI.0b013e31816bffb7

10.1007/s10803-006-0280-1

10.1007/s10803-007-0432-y

Hus V. &Lord C.(in preparation).The ADOS Adapted Modules: An autism diagnostic observation measure for adolescents and adults with limited language.

10.1542/peds.2007-2361

10.1007/s10803-011-1213-1

10.1007/s10803-007-0450-9

10.1177/1362361300004001002

10.1111/1469-7610.00024

10.1016/S0140-6736(09)61376-3

10.1023/A:1005592401947

Lord C., 1999, Autism Diagnostic Observation Schedule: Manual

Lord C., 2012, Autism Diagnostic Observation Schedule, 2nd edition (ADOS‐2): Manual

10.1007/BF02172145

10.1002/1097-0355(199323)14:3<234::AID-IMHJ2280140308>3.0.CO;2-F

10.1007/s10803-009-0746-z

10.1542/peds.2005-0185

10.1542/peds.2010-2943

10.1177/1362361310379241

National Institute of Clinical Excellence(2011). Available athttp://publications.nice.org.uk/autism-diagnosis-in-children-and-young-people-cg128[last accessed 14 March 2012].

10.1111/j.1600-0447.1998.tb09970.x

10.1177/1362361309348071

10.1007/s10803-008-0678-z

10.1111/j.1469-7610.2010.02246.x

10.1007/s10803-009-0915-0

10.1007/s10803-009-0692-9

10.1111/j.1469-7610.2009.02150.x

10.1111/j.1469-7610.2005.01462.x

10.1007/s10803-008-0609-z

10.1097/01.chi.0000227880.42780.0e

10.1177/1362361308094502

10.1023/A:1010738829569

Rutter M., 2003, Social Communication Questionnaire (SCQ)

Rutter M., 2003, The Autism Diagnostic Interview‐Revised (ADI‐R)

10.1007/s00787-009-0004-0

10.1097/00004583-200405000-00008

10.1177/1362361308094501

10.1007/s10803-004-2544-y

10.1007/s10803-008-0558-6

10.1177/1362361305049029

10.1007/s10803-006-0115-0

10.1007/BF01531288

10.1111/1469-7610.00023

World Health Organisation, 1993, Mental Disorders: A Glossary and Guide to their Classification in Accordance with the 10th Revision of the International Classification of Diseases: Research Diagnostic Criteria (ICD‐10)

Thông tin
Thông tin xuất bản

Child and Adolescent Mental Health

Tập 18 Số 1

52-63

Thông tin tác giả