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Journal of Autism and Developmental Disorders

Gepubliceerd in:

07-10-2017 | Original Paper

Diagnosing Autism in Adults with Intellectual Disability: Validation of the DiBAS-R in an Independent Sample

Auteurs: Manuel Heinrich, Julia Böhm, Tanja Sappok

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 2/2018

Abstract

The study assessed the diagnostic validity of the diagnostic behavioral assessment for autism spectrum disorders-revised (DiBAS-R; 19-item screening scale based on ratings by caregivers) in a clinical sample of 381 adults with ID. Analysis revealed a sensitivity of 0.82 and a specificity of 0.67 in the overall sample (70.3% agreement). Sensitivity (0.79) and specificity (0.84) were balanced in individuals with mild to moderate ID (83.3% agreement), while specificity was lower in individuals with severe to profound ID (sensitivity: 0.83, specificity: 0.34, 51% agreement). The level of ID as well as its interaction with ASD explained a significant proportion of the variance in the DiBAS-R scores. The DiBAS-R is an adequate screening tool, especially in individuals with mild to moderate ID.

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APA. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.

Bergmann, T., Diefenbacher, A., Heinrich, M., Riedel, A., & Sappok, T. (2016). Perspektivenverschränkung: Multiprofessionelle Autismusdiagnostik bei erwachsenen Menschen mit Intelligenzminderung. Zeitschrift für Psychiatrie, Psychologie und Psychotherapie. doi:10.1024/1661-4747/a000287.

Bergmann, T., Sappok, T., Diefenbacher, A., Dames, S., Heinrich, M., Ziegler, M., et al. (2015). Music-based autism diagnostics (MUSAD)—A newly developed diagnostic measure for adults with intellectual developmental disabilities suspected of autism. Research in Developmental Disabilities. doi:10.1016/j.ridd.2015.05.011.PubMed

Bradley, E. A., Summers, J. A., Wood, H. L., & Bryson, S. E. (2004). Comparing rates of psychiatric and behavior disorders in adolescents and young adults with severe intellectual disability with and without autism. Journal of Autism and Developmental Disorders, 34(2), 151–161.CrossRefPubMed

Brooks, W. T., & Benson, B. A. (2013). The validity of the social communication questionnaire in adults with intellectual disability. Research in Autism Spectrum Disorders. doi:10.1016/j.rasd.2012.10.002.

Charman, T., & Gotham, K. (2013). Measurement Issues: Screening and diagnostic instruments for autism spectrum disorders—Lessons from research and practice. Child and Adolescent Mental Health. doi:10.1111/j.1475-3588.2012.00664.x.PubMed

Derks, O., Heinrich, M., Brooks, W., Sterkenburg, P., McCarthy, J., Underwood, L., et al. (2017). The social communication questionnaire for adults with intellectual disability: SCQ-AID. Autism Research. doi:10.1002/aur.1795.PubMed

Dilling, H. (Ed.). (2014). Internationale Klassifikation psychischer Störungen: ICD-10 Kapitel V (F), Klinisch-diagnostische Leitlinien (9th edn.). Bern: Huber.

Glascoe, F. P. (2005). Screening for developmental and behavioral problems. Developmental Disabilities Research Reviews, 11(3), 173–179.

Goldman, S., Wang, C., Salgado, M. W., Greene, P. E., Kim, M., & Rapin, I. (2009). Motor stereotypies in children with autism and other developmental disorders. Developmental Medicine and Child Neurology. doi:10.1111/j.1469-8749.2008.03178.x.PubMed

Holmes, N., Shah, A., & Wing, L. (1982). The disability assessment schedule: A brief screening device for use with the mentally retarded. Psychological Medicine, 12(4), 879–890.CrossRefPubMed

Horovitz, M., Matson, J. L., Hattier, M. A., Tureck, K., & Bamburg, J. W. (2013). Challenging behaviors in adults with intellectual disability: The effects of race and autism spectrum disorders. Journal of Mental Health Research in Intellectual Disabilities. doi:10.1080/19315864.2011.605989.

Kim, S. H., & Lord, C. (2012). Combining information from multiple sources for the diagnosis of autism spectrum disorders for toddlers and young preschoolers from 12 to 47 months of age. Journal of Child Psychology and Psychiatry, and Allied Disciplines. doi:10.1111/j.1469-7610.2011.02458.x.

Kraijer, D., & de Bildt, A. (2005). The PDD-MRS: An instrument for identification of autism spectrum disorders in persons with mental retardation. Journal of Autism and Developmental Disorders. doi:10.1007/s10803-005-5040-0.

La Malfa, G., Lassi, S., Bertelli, M., Salvini, R., & Placidi, G. F. (2004). Autism and intellectual disability: A study of prevalence on a sample of the Italian population. Journal of Intellectual Disability Research: JIDR. doi:10.1111/j.1365-2788.2003.00567.x.PubMed

Looney, S. W., & Hagan, J. L. (2015). Analysis of biomarker data: A practical guide (1st ed.). London: Wiley.

Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., et al (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223.CrossRefPubMed

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(5), 659–685.CrossRefPubMed

Matson, J. L., Boisjoli, J. A., González, M. L., Smith, K. R., & Wilkins, J. (2007). Norms and cut off scores for the autism spectrum disorders diagnosis for adults (ASD-DA) with intellectual disability. Research in Autism Spectrum Disorders. doi:10.1016/j.rasd.2007.01.001.

Matson, J. L., Dempsey, T., Lovullo, S. V., & Wilkins, J. (2008a). The effects of intellectual functioning on the range of core symptoms of autism spectrum disorders. Research in Developmental Disabilities. doi:10.1016/j.ridd.2007.06.006.

Matson, J. L., Rivet, T. T., Fodstad, J. C., Dempsey, T., & Boisjoli, J. A. (2009). Examination of adaptive behavior differences in adults with autism spectrum disorders and intellectual disability. Research in Developmental Disabilities. doi:10.1016/j.ridd.2009.05.008.

Matson, J. L., & Shoemaker, M. (2009). Intellectual disability and its relationship to autism spectrum disorders. Research in Developmental Disabilities. doi:10.1016/j.ridd.2009.06.003.

Matson, J. L., Wilkins, J., & Ancona, M. (2008b). Autism in adults with severe intellectual disability: An empirical study of symptom presentation. Journal of Intellectual and Developmental Disability. doi:10.1080/13668250701829837.

Matson, J. L., Wilkins, J., Boisjoli, J. A., & Smith, K. R. (2008c). The validity of the autism spectrum disorders-diagnosis for intellectually disabled adults (ASD-DA). Research in Developmental Disabilities. doi:10.1016/j.ridd.2007.09.006.

McCarthy, J., Hemmings, C., Kravariti, E., Dworzynski, K., Holt, G., Bouras, N., et al. (2010). Challenging behavior and co-morbid psychopathology in adults with intellectual disability and autism spectrum disorders. Research in Developmental Disabilities. doi:10.1016/j.ridd.2009.10.009.

Meins, W., & Sussmann, D. (1993). Evaluation of an adaptive behaviour classification for mentally retarded adults. Social Psychiatry and Psychiatric Epidemiology, 28(4), 201–205.CrossRefPubMed

Mutsaerts, C. G., Heinrich, M., Sterkenburg, P. S., & Sappok, T. (2016). Screening for ASD in adults with ID-moving toward a standard using the DiBAS-R and the ACL. Journal of Intellectual Disability Research: JIDR. doi:10.1111/jir.12290.PubMed

Norris, M., & Lecavalier, L. (2010). Screening accuracy of Level 2 autism spectrum disorder rating scales. A review of selected instruments. Autism: The International Journal of research and practice. doi:10.1177/1362361309348071.

Planelles-Fernández, I., Gallardo-Pujol, D., Labad, A., Godall, D., Cristia, N., Gutiérrez-Zotes, A., et al. (2017). Spanish adaptation of the autism spectrum disorders—diagnosis for adults (ASD-DA) in adults with severe and profound intellectual disability. Journal of Developmental and Physical Disabilities. doi:10.1007/s10882-017-9541-5.

R Core Team (2016). R: A language and environment for statistical computing. Vienna: R Foundation for Statistical Computing.

Risi, S., Lord, C., Gotham, K., Corsello, C., Chrysler, C., Szatmari, P., et al. (2006). Combining information from multiple sources in the diagnosis of autism spectrum disorders. Journal of the American Academy of Child and Adolescent Psychiatry. doi:10.1097/01.chi.0000227880.42780.0e.PubMed

Robin, X., Turck, N., Hainard, A., Tiberti, N., Lisacek, F., Sanchez, J. -C., et al. (2011). pROC: An open-source package for R and S + to analyze and compare ROC curves. BMC Bioinformatics. doi:10.1186/1471-2105-12-77.PubMedPubMedCentral

Rutter, M., Bailey, A., Lord, C., & Berument, S. K. (2003). Social Communication Questionnaire. LA: Western Psychological Services.

Saemundsen, E., Juliusson, H., Hjaltested, S., Gunnarsdottir, T., Halldorsdottir, T., Hreidarsson, S., et al. (2010). Prevalence of autism in an urban population of adults with severe intellectual disabilities—a preliminary study. Journal of Intellectual Disability Research : JIDR. doi:10.1111/j.1365-2788.2010.01300.x.PubMed

Sappok, T., Bergmann, T., Kaiser, H., & Diefenbacher, A. (2010). Autismus bei erwachsenen Menschen mit geistiger Behinderung. Der Nervenarzt, 81(11), 1333–1345.CrossRefPubMed

Sappok, T., Budczies, J., Dziobek, I., Bolte, S., Dosen, A., & Diefenbacher, A. (2014a). The missing link: Delayed emotional development predicts challenging behavior in adults with intellectual disability. Journal of Autism and Developmental Disorders. doi:10.1007/s10803-013-1933-5.PubMed

Sappok, T., Diefenbacher, A., Budczies, J., Schade, C., Grubich, C., Bergmann, T., et al. (2013). Diagnosing autism in a clinical sample of adults with intellectual disabilities: How useful are the ADOS and the ADI-R? Research in Developmental Disabilities. doi:10.1016/j.ridd.2013.01.028.PubMed

Sappok, T., Diefenbacher, A., Gaul, I., & Bölte, S. (2015a). Validity of the social communication questionnaire in adults with intellectual disabilities and suspected autism spectrum disorder. American Journal on Intellectual and Developmental Disabilities. doi:10.1352/1944-7558-120.3.203.PubMed

Sappok, T., Gaul, I., Bergmann, T., Dziobek, I., Bölte, S., Diefenbacher, A., et al. (2014b). The diagnostic behavioral assessment for autism spectrum disorder—Revised: A screening instrument for adults with intellectual disability suspected of autism spectrum disorders. Research in Autism Spectrum Disorders. doi:10.1016/j.rasd.2013.12.016.

Sappok, T., Heinrich, M., & Diefenbacher, A. (2014c). Psychometrische Eigenschaften der Autismus-Checkliste (ACL) für erwachsene Menschen mit Intelligenzminderung. Psychiatrische Praxis. doi:10.1055/s-0033-1343193.

Sappok, T., Heinrich, M., & Underwood, L. (2015b). Screening tools for autism spectrum disorders. Advances in Autism. doi:10.1108/AIA-03-2015-0001.

Stevenson, M. (2016). epiR: Tools for the Analysis of Epidemiological Data. R package version 0.9–79.

Wei, T., Chesnut, S. R., Barnard-Brak, L., & Richman, D. (2015). Psychometric analysis of the social communication questionnaire using an item-response theory framework: Implications for the use of the lifetime and current forms. Journal of Psychopathology and Behavioral Assessment. doi:10.1007/s10862-014-9468-4.

Titel: Diagnosing Autism in Adults with Intellectual Disability: Validation of the DiBAS-R in an Independent Sample
Auteurs: Manuel Heinrich
Julia Böhm
Tanja Sappok
Publicatiedatum: 07-10-2017
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 2/2018
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-017-3336-5

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