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13-03-2020 | Original Paper

Assessing Autism Spectrum Disorder in Intellectually Able Adults with the Personality Assessment Inventory: Normative Data and a Novel Supplemental Indicator

Auteurs: Kimberly B. Harrison, Morgan N. McCredie, Madhavi K. Reddy, Ankita Krishnan, Allison Engstrom, Yana S. Posey, Leslie C. Morey, Katherine A. Loveland

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 11/2020

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Abstract

Differential diagnosis of autism spectrum disorder (ASD) among intellectually-able adults often presents a clinical challenge, particularly when individuals present in crisis without diagnostic history. The Personality Assessment Inventory (PAI) is a multiscale personality and psychopathology instrument utilized across clinical settings, but to date there are no published normative data for use of the PAI with adults with ASD. This study provides normative PAI data for adults diagnosed with ASD, with effect size comparisons to the PAI clinical standardization sample and an inpatient sample. Additionally, a discriminant function was developed and cross-validated for identification of ASD-like symptomatology in a clinical population, which demonstrates promise as a screening tool to aid in the identification of individuals in need of specialized ASD assessment.
Voetnoten
1
ASD-DF = 3.126 − (0.024187 × taggp) + (0.019941 × tardo) − (0.038524 × tdom) + (0.026531 × tmani) − (0.009605 × tsui) − (0.043250 × twrm) − (0.024933 × tdepa) + (0.031364 × tdepc) − (0.029401 × tstr) + (0.054067 × tmang) − (0.021821 × tsczp) + (0.028959 × tsczs) − (0.010558 × talc) + (0.011066 × taggv) − (0.006408 × tanta) − (0.013 × tdepp) − (0.006156 × tparp) − (0.00369 × tdrg).
 
Literatuur
go back to reference American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders: DSM-IV. Washington, DC: Author. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders: DSM-IV. Washington, DC: Author.
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text Revision). Washington, DC: Author. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text Revision). Washington, DC: Author.
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). Washington, DC: Author.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). Washington, DC: Author.CrossRef
go back to reference Avni, E., Ben-Itzchak, E., & Zachor, D. A. (2018). The presence of comorbid ADHD and anxiety symptoms in autism spectrum disorder: Clinical presentation and predictors. Frontiers in Psychiatry, 9, 717.CrossRef Avni, E., Ben-Itzchak, E., & Zachor, D. A. (2018). The presence of comorbid ADHD and anxiety symptoms in autism spectrum disorder: Clinical presentation and predictors. Frontiers in Psychiatry, 9, 717.CrossRef
go back to reference Barahona-Corrêa, B. (2017). The high-functioning group: High-functioning autism and Asperger syndrome in adults. In Autism spectrum disorders in adults (pp. 129–178). Cham: Springer. Barahona-Corrêa, B. (2017). The high-functioning group: High-functioning autism and Asperger syndrome in adults. In Autism spectrum disorders in adults (pp. 129–178). Cham: Springer.
go back to reference Baron-Cohen, S., & Wheelwright, S. (2004). The empathy quotient: an investigation of adults with Asperger syndrome or high functioning autism, and normal sex differences. Journal of Autism and Developmental Disorders, 34, 163–175.CrossRef Baron-Cohen, S., & Wheelwright, S. (2004). The empathy quotient: an investigation of adults with Asperger syndrome or high functioning autism, and normal sex differences. Journal of Autism and Developmental Disorders, 34, 163–175.CrossRef
go back to reference Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., & Clubley, E. (2001). The autism-spectrum quotient (AQ): Evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. Journal of Autism and Developmental Disorders, 31, 5–17.CrossRef Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., & Clubley, E. (2001). The autism-spectrum quotient (AQ): Evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. Journal of Autism and Developmental Disorders, 31, 5–17.CrossRef
go back to reference Brugha, T. S., McManus, S., Bankart, J., Scott, F., Purdon, S., Smith, J., … Meltzer, H. (2011). Epidemiology of autism spectrum disorders in adults in the community in England. Archives of General Psychiatry, 68, 459–465. Brugha, T. S., McManus, S., Bankart, J., Scott, F., Purdon, S., Smith, J., … Meltzer, H. (2011). Epidemiology of autism spectrum disorders in adults in the community in England. Archives of General Psychiatry, 68, 459–465.
go back to reference Casey, B. J., Oliveri, M. E., & Insel, T. (2014). A neurodevelopmental perspective on the research domain criteria (RDoC) framework. Biological Psychiatry, 76, 350–353.CrossRef Casey, B. J., Oliveri, M. E., & Insel, T. (2014). A neurodevelopmental perspective on the research domain criteria (RDoC) framework. Biological Psychiatry, 76, 350–353.CrossRef
go back to reference Constantino, J. N., & Gruber, C. P. (2012). Social responsiveness scale–2nd edition (SRS-2). Torrance, CA: Western Psychological Services. Constantino, J. N., & Gruber, C. P. (2012). Social responsiveness scale–2nd edition (SRS-2). Torrance, CA: Western Psychological Services.
go back to reference Craig, F., Margari, F., Legrottaglie, A. R., Palumbi, R., De Giambattista, C., & Margari, L. (2016). A review of executive function deficits in autism spectrum disorder and attention-deficit/hyperactivity disorder. Neuropsychiatric Disease and Treatment, 12, 1191–1202.PubMedPubMedCentral Craig, F., Margari, F., Legrottaglie, A. R., Palumbi, R., De Giambattista, C., & Margari, L. (2016). A review of executive function deficits in autism spectrum disorder and attention-deficit/hyperactivity disorder. Neuropsychiatric Disease and Treatment, 12, 1191–1202.PubMedPubMedCentral
go back to reference Geurts, H. M., & Jansen, M. D. (2012). A retrospective chart study: The pathway to a diagnosis for adults referred for ASD assessment. Autism, 16, 299–305.CrossRef Geurts, H. M., & Jansen, M. D. (2012). A retrospective chart study: The pathway to a diagnosis for adults referred for ASD assessment. Autism, 16, 299–305.CrossRef
go back to reference Happé, F. G., Mansour, H., Barrett, P., Brown, T., Abbott, P., & Charlton, R. A. (2016). Demographic and cognitive profile of individuals seeking a diagnosis of autism spectrum disorder in adulthood. Journal of Autism and Developmental Disorders, 46, 3469–3480.CrossRef Happé, F. G., Mansour, H., Barrett, P., Brown, T., Abbott, P., & Charlton, R. A. (2016). Demographic and cognitive profile of individuals seeking a diagnosis of autism spectrum disorder in adulthood. Journal of Autism and Developmental Disorders, 46, 3469–3480.CrossRef
go back to reference Hartley, S. L., & Sikora, D. M. (2009). Which DSM-IV-TR criteria best differentiate high-functioning autism spectrum disorder from ADHD and anxiety disorders in older children? Autism: The International Journal of Research and Practice, 13, 485–509. Hartley, S. L., & Sikora, D. M. (2009). Which DSM-IV-TR criteria best differentiate high-functioning autism spectrum disorder from ADHD and anxiety disorders in older children? Autism: The International Journal of Research and Practice, 13, 485–509.
go back to reference Hooks, E. N. (2017). Profile analysis of the Personality Assessment Inventory: Adolescent (PAIA) for individuals with autism spectrum disorder. Unpublished doctoral dissertation, Ball State University. Hooks, E. N. (2017). Profile analysis of the Personality Assessment Inventory: Adolescent (PAIA) for individuals with autism spectrum disorder. Unpublished doctoral dissertation, Ball State University.
go back to reference Lord, C., Rutter, M., DiLavore, P., Risi, S., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule–2nd edition (ADOS-2). Los Angeles, CA: Western Psychological Corporation. Lord, C., Rutter, M., DiLavore, P., Risi, S., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule–2nd edition (ADOS-2). Los Angeles, CA: Western Psychological Corporation.
go back to reference Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (1999). Autism Diagnostic Observation Schedule-WPS (ADOS-WPS). Los Angeles, CA: Western Psychological Services. Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (1999). Autism Diagnostic Observation Schedule-WPS (ADOS-WPS). Los Angeles, CA: Western Psychological Services.
go back to reference Lord, C., Rutter, M., & Le 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.CrossRef Lord, C., Rutter, M., & Le 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.CrossRef
go back to reference Maddox, B. B., Brodkin, E. S., Calkins, M. E., Shea, K., Mullan, K., Hostager, J., … Miller, J. S. (2017). The accuracy of the ADOS-2 in identifying autism among adults with complex psychiatric conditions. Journal of Autism and Developmental Disorders, 47, 2703–2709. Maddox, B. B., Brodkin, E. S., Calkins, M. E., Shea, K., Mullan, K., Hostager, J., … Miller, J. S. (2017). The accuracy of the ADOS-2 in identifying autism among adults with complex psychiatric conditions. Journal of Autism and Developmental Disorders, 47, 2703–2709.
go back to reference McCredie, M. N., & Morey, L. C. (2018). Who are the Turkers? A characterization of MTurk workers using the Personality Assessment Inventory. Assessment, 26, 759–766.CrossRef McCredie, M. N., & Morey, L. C. (2018). Who are the Turkers? A characterization of MTurk workers using the Personality Assessment Inventory. Assessment, 26, 759–766.CrossRef
go back to reference Morey, L. C. (1991). Personality Assessment Inventory professional manual. Odessa, FL: Psychological Assessment Resources. Morey, L. C. (1991). Personality Assessment Inventory professional manual. Odessa, FL: Psychological Assessment Resources.
go back to reference Nylander, L., & Gillberg, C. (2001). Screening for autism spectrum disorders in adult psychiatric out-patients: A preliminary report. Acta Psychiatrica Scandinavica, 103, 428–434.CrossRef Nylander, L., & Gillberg, C. (2001). Screening for autism spectrum disorders in adult psychiatric out-patients: A preliminary report. Acta Psychiatrica Scandinavica, 103, 428–434.CrossRef
go back to reference Ozonoff, S., Garcia, N., Clark, E., & Lainhart, J. E. (2005). MMPI-2 personality profiles of high-functioning adults with autism spectrum disorders. Assessment, 12, 86–95.CrossRef Ozonoff, S., Garcia, N., Clark, E., & Lainhart, J. E. (2005). MMPI-2 personality profiles of high-functioning adults with autism spectrum disorders. Assessment, 12, 86–95.CrossRef
go back to reference Piotrowski, C. (2017). The status of the Personality Assessment Inventory (PAI) in training and practice: Evidence from the emerging literature. SIS Journal of Projective Psychology and Mental Health, 24, 83–90. Piotrowski, C. (2017). The status of the Personality Assessment Inventory (PAI) in training and practice: Evidence from the emerging literature. SIS Journal of Projective Psychology and Mental Health, 24, 83–90.
go back to reference Raja, M., & Azzoni, A. (2010). Autistic spectrum disorders and schizophrenia in the adult psychiatric setting: Diagnosis and comorbidity. Psychiatria Danubina, 22, 514–521.PubMed Raja, M., & Azzoni, A. (2010). Autistic spectrum disorders and schizophrenia in the adult psychiatric setting: Diagnosis and comorbidity. Psychiatria Danubina, 22, 514–521.PubMed
go back to reference Ritvo, R. A., Ritvo, E. R., Guthrie, D., Ritvo, M. J., Hufnagel, D. H., McMahon, W., … Eloff, J. (2011). The Ritvo Autism Asperger Diagnostic Scale-Revised (RAADS-R): A scale to assist the diagnosis of autism spectrum disorder in adults: an international validation study. Journal of Autism and Developmental Disorders, 41, 1076–1089. Ritvo, R. A., Ritvo, E. R., Guthrie, D., Ritvo, M. J., Hufnagel, D. H., McMahon, W., … Eloff, J. (2011). The Ritvo Autism Asperger Diagnostic Scale-Revised (RAADS-R): A scale to assist the diagnosis of autism spectrum disorder in adults: an international validation study. Journal of Autism and Developmental Disorders, 41, 1076–1089.
go back to reference Rutter, M., Bailey, A., & Lord, C. (2003). SCQ: Social Communication Questionnaire. Los Angeles, CA: Western Psychological Services. Rutter, M., Bailey, A., & Lord, C. (2003). SCQ: Social Communication Questionnaire. Los Angeles, CA: Western Psychological Services.
go back to reference Schwaiger, E. M. (2014). The interpersonal style of adults with autism spectrum disorder. Unpublished Doctoral Dissertation, Massachusetts School of Professional Psychology, Boston, MA. Schwaiger, E. M. (2014). The interpersonal style of adults with autism spectrum disorder. Unpublished Doctoral Dissertation, Massachusetts School of Professional Psychology, Boston, MA.
go back to reference Tebartz van Elst, L., Pick, M., Biscaldi, M., Fangmeier, T., & Riedel, A. (2013). High-functioning autism spectrum disorder as a basic disorder in adult psychiatry and psychotherapy: Psychopathological presentation, clinical relevance and therapeutic concepts. European Archives of Psychiatry and Clinical Neuroscience, 263, 189–196.CrossRef Tebartz van Elst, L., Pick, M., Biscaldi, M., Fangmeier, T., & Riedel, A. (2013). High-functioning autism spectrum disorder as a basic disorder in adult psychiatry and psychotherapy: Psychopathological presentation, clinical relevance and therapeutic concepts. European Archives of Psychiatry and Clinical Neuroscience, 263, 189–196.CrossRef
go back to reference World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. Geneva: Author. World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. Geneva: Author.
Metagegevens
Titel
Assessing Autism Spectrum Disorder in Intellectually Able Adults with the Personality Assessment Inventory: Normative Data and a Novel Supplemental Indicator
Auteurs
Kimberly B. Harrison
Morgan N. McCredie
Madhavi K. Reddy
Ankita Krishnan
Allison Engstrom
Yana S. Posey
Leslie C. Morey
Katherine A. Loveland
Publicatiedatum
13-03-2020
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 11/2020
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-020-04450-2