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Autism screening questionnaire: Diagnostic validity

Published online by Cambridge University Press:  03 January 2018

Sibel Kazak Berument ,
Michael Rutter ,
Catherine Lord ,
Andrew Pickles  and
Anthony Bailey
Sibel Kazak Berument*
Affiliation:
Child Psychiatry Unit and Social, Genetic and Developmental Psychiatry Research Centre, Institute of Psychiatry, London
Michael Rutter
Affiliation:
Child Psychiatry Unit and Social, Genetic and Developmental Psychiatry Research Centre, Institute of Psychiatry, London
Catherine Lord
Affiliation:
Child Psychiatry Unit and Social, Genetic and Developmental Psychiatry Research Centre, Institute of Psychiatry, London
Andrew Pickles
Affiliation:
Child Psychiatry Unit and Social, Genetic and Developmental Psychiatry Research Centre, Institute of Psychiatry, London
Anthony Bailey
Affiliation:
Child Psychiatry Unit and Social, Genetic and Developmental Psychiatry Research Centre, Institute of Psychiatry, London
*
Dr Michael Rutter, Social, Genetic and Developmental Psychiatry Research Centre. Institute of Psychiatry, De Crespigny Park, London SES 8AF
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Abstract

Background

Good interview and diagnostic measures for autism and other pervasive developmental disorders (PDDs) are available but there is a lack of a good screening questionnaire.

Aims

To develop and test a screening questionnaire based on items in the best available diagnostic interview – the Autism Diagnostic Interview – Revised (ADI–R)

Method

A 40 -item scale, the Autism Screening Questionnaire (ASQ), was developed and tested on a sample of 160 individuals with PDD and 40 with non-PDD diagnoses.

Results

The ASQ has good discriminative validity with respect to the separation of PDD from non-PDD diagnoses at all IQ levels, with a cut-off of 15 proving most effective. The differentiation between autism and other varieties of PDD was weaker.

Conclusions

The ASQ is an effective screening questionnaire for PDD.

Type
Papers
Information
The British Journal of Psychiatry , Volume 175 , Issue 5 , November 1999 , pp. 444 - 451
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

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Footnotes

Declaration of interest

The study was supported by the Medical Research Council.

References

American Psychistric Association (1994) Diagnostic and Statistical Manual of Menai Disorders (4th edn) (DSM–IV) Washington, DC: APA.Google Scholar
Baron-Cohen, S., Alton, J. & Gillberg, C. (1992) Can autism be detected at 18 months? The needle, the haystack and the CHAT. British Journal of Psychiatry, 161, 839–843.CrossRefGoogle ScholarPubMed
Bolton, P., Macdonald, H., Picklez, A., et al (1994) A case–control family history of autism. Journal of Child Psychology and Psychiatry, 35, 877–900.CrossRefGoogle ScholarPubMed
Dehlgren, S. O. & Gillberg, C. (1989) Symptoms in the first two years of life: a preliminary population study of infantile autism. European Archives of Psychiatry and Neurological Sciences. 238, 169–174.CrossRefGoogle Scholar
Di Lavorn, P., Lord, C. & Rutter, M. (1995) The Pre-Linguistc: Autism Diagnostic Observation Schedule. Journal of Autism and Developmental Disorders, 25, 355–379.Google Scholar
Fombonne, E. (1991) The use of questionnaires in child psychiatry research: measuring their performance and choosing an optimal cut-off Journal of Child Psychology and Psychiaty, try 32, 677–693.Google Scholar
Hanley, J. A. & McNeil, B. J. (1982) The meaning and the use of the area under a receiver operating characteristics (ROC) curve. Radiology, 143 29–36.CrossRefGoogle Scholar
Kanner, L. (1943) Autistic disturbances of affective contact. Nervous Child. 2, 217–250.Google Scholar
Krug, D. A., Arick, J. & Almond, P. (1980) Behaviour checklist for identifying severely handicapped individuals with high levels of autistic behaviour. Journal of of Child Psychology and Psychiatry, 21, 221–229.CrossRefGoogle Scholar
La Couteur, A., Rutter, M., Lord, C., et al (1989) Autism Diagnostic Interview: a standardized investigator-based instrument. Journal of Autism and Developmental Disorders, 19, 363–387.CrossRefGoogle Scholar
Lord, C., Ratter, M., Goods, S., et al (1988) Autism Diagnostic Observation Schedule: a standardized observation of communicative and social behaviour. Journal of Autism and Developmental Disorders, 19, 185–212.CrossRefGoogle Scholar
Lord, C., Ratter, M., & La Couteur, A., (1994) Autism Diagnostic Interview – Revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24 659–685.CrossRefGoogle ScholarPubMed
Mullen, E. (1989) Mullen Scales of Early Learning. Cranston. RI: TOTAL Child.Google Scholar
Parks, S. L. (1988) Psychometric instruments available for the assessment of autistic children. In Diagnoses and Assessment in Autism (eds Schooler, E. & Mesibov, G. B.), pp. 123–136. New York: Plenum.CrossRefGoogle Scholar
Raven, J. C., Court, J. H. & Raven, J. (1998) Coloured Progressive Matrices. Oxford: Oxford Psychologist Press.Google Scholar
Rimland, B. (1964) Infantile Autism: The Syndrome and its Implications for a Neural Theory of Behavior. New York: Appleton – Century–Crofts.Google Scholar
Rutter, M., Andersen-Wood, L., Beckett, C., et al (1999) Quasi-autistic patterns following severe early global privation. Journal of Child Psychology ond Psychiatry 40, 537–549.CrossRefGoogle ScholarPubMed
Schopler, E. & Mesibov, G. B. (ed.) (1988) Diagnosis ond Assessment in Autism. New York: Plenum.CrossRefGoogle Scholar
Volkmar, F. R., Cicchetti, D. V., Dykens, E., et al (1988) An evaluation of the Autism behavior Checklist. Journal of Autism and Developmental Disorders, 18, 81–97.CrossRefGoogle ScholarPubMed
Wechsler, D. (1989) Wechsler pre-school and primary Scales of Intelligence–Revised, San Antonio, TX: Psychological Corporation.Google Scholar
Wechsler, D. (1991) Manual for the Wechsler Child Intelligence Scale–Revised. San Antonio, TX: Psychological Corporation.Google Scholar
Word Health Organization (1992) The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10). Geneva: WHO.Google ScholarPubMed
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