Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Journal of Autism and Developmental Disorders 2/2008

01-02-2008

Diagnosing Autism Spectrum Disorders in Pre-school Children Using Two Standardised Assessment Instruments: The ADI-R and the ADOS

Auteurs: Ann Le Couteur, Gyles Haden, Donna Hammal, Helen McConachie

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 2/2008

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

The reliable diagnosis of Autism/Autism Spectrum Disorder in pre-school children is important for access to early intervention and for accurate ascertainment for research. This paper explores the combined use of two standardised assessment instruments—the Autism Diagnostic Interview Revised (ADI-R) and the Autism Diagnostic Observation Schedule (ADOS)—in a large sample of pre-school children. The children were recruited to research studies, and a ‘best estimate’ clinical diagnosis reached. The findings show good agreement between the instruments especially for children with core Autism. The instruments appear to have a complementary effect in aiding diagnosis and confirm the importance of a multidisciplinary assessment process with access to information from different sources and settings. The presence of repetitive behaviours during the ADOS appeared of diagnostic significance.
Literatuur
go back to reference American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV). Washington DC: American Psychiatric Press Inc. American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV). Washington DC: American Psychiatric Press Inc.
go back to reference American Psychiatric Association (2004). Diagnostic and Statistical Manual of Mental Disorders Fourth Edition-Text Revision (DSM-IV-TR). Washington DC: American Psychiatric Press Inc. American Psychiatric Association (2004). Diagnostic and Statistical Manual of Mental Disorders Fourth Edition-Text Revision (DSM-IV-TR). Washington DC: American Psychiatric Press Inc.
go back to reference Baird, G., Siminoff, E., Pickles, A., Chandler, S., Loucas, T., Meldrum, D., & Charman, T. (2006). Prevalence of disorders of the autistic spectrum in a population cohort of children in South Thames: The Special Needs and Autism Project (SNAP). The Lancet, 368, 210–215. CrossRef Baird, G., Siminoff, E., Pickles, A., Chandler, S., Loucas, T., Meldrum, D., & Charman, T. (2006). Prevalence of disorders of the autistic spectrum in a population cohort of children in South Thames: The Special Needs and Autism Project (SNAP). The Lancet, 368, 210–215. CrossRef
go back to reference Baranek, G. T. (1999). Autism during infancy: A retrospective video of sensory-motor and social behaviours at 9–12 months of age. Journal of Autism and Developmental Disorders, 29, 213–224. PubMedCrossRef Baranek, G. T. (1999). Autism during infancy: A retrospective video of sensory-motor and social behaviours at 9–12 months of age. Journal of Autism and Developmental Disorders, 29, 213–224. PubMedCrossRef
go back to reference Berument, S. K., Rutter, M., Lord, C., Pickles, A., & Bailey, A. (1999). Autism screening questionnaire: Diagnostic validity. British Journal of Psychiatry, 175, 444–451. PubMedCrossRef Berument, S. K., Rutter, M., Lord, C., Pickles, A., & Bailey, A. (1999). Autism screening questionnaire: Diagnostic validity. British Journal of Psychiatry, 175, 444–451. PubMedCrossRef
go back to reference Bishop, D.V.M., & Norbury, C.F. (2002). Exploring the borderlands of autistic disorder and specific language impairment: A study using standardised diagnostic instruments. Journal of Child Psychology and Psychiatry and Allied Disciplines, 43, 917–929. CrossRef Bishop, D.V.M., & Norbury, C.F. (2002). Exploring the borderlands of autistic disorder and specific language impairment: A study using standardised diagnostic instruments. Journal of Child Psychology and Psychiatry and Allied Disciplines, 43, 917–929. CrossRef
go back to reference Bryson, S. E., Rogers, S. J., & Fombonne, E. (2003). Autism spectrum disorders: Early detection, intervention, education, and psychopharmacological management. Canadian Journal of Psychiatry, 48, 506–518. Bryson, S. E., Rogers, S. J., & Fombonne, E. (2003). Autism spectrum disorders: Early detection, intervention, education, and psychopharmacological management. Canadian Journal of Psychiatry, 48, 506–518.
go back to reference Chakrabarti, S., & Fombonne, E. (2001). Pervasive developmental disorders in preschool children. Journal of the American Medical Association, 285, 3093–3099. PubMedCrossRef Chakrabarti, S., & Fombonne, E. (2001). Pervasive developmental disorders in preschool children. Journal of the American Medical Association, 285, 3093–3099. PubMedCrossRef
go back to reference Chakrabarti, S., & Fombonne, E. (2005). Pervasive developmental disorders in preschool children: Confirmation of high prevalence. American Journal of Psychiatry, 162, 1133–1141. PubMedCrossRef Chakrabarti, S., & Fombonne, E. (2005). Pervasive developmental disorders in preschool children: Confirmation of high prevalence. American Journal of Psychiatry, 162, 1133–1141. PubMedCrossRef
go back to reference Charman, T. (2003). Why is joint attention a pivotal skill in autism? Philosophical Transactions of the Royal Society of London—Series B: Biological Sciences, 358, 315–324. PubMedCrossRef Charman, T. (2003). Why is joint attention a pivotal skill in autism? Philosophical Transactions of the Royal Society of London—Series B: Biological Sciences, 358, 315–324. PubMedCrossRef
go back to reference Charman, T., & Baird, G. (2002). Practitioner review: Diagnosis of autistic spectrum disorder in 2- and 3- year-old children. Journal of Child Psychology and Psychiatry and Allied Disciplines, 43, 289–305. CrossRef Charman, T., & Baird, G. (2002). Practitioner review: Diagnosis of autistic spectrum disorder in 2- and 3- year-old children. Journal of Child Psychology and Psychiatry and Allied Disciplines, 43, 289–305. CrossRef
go back to reference Cohen, J. (1988). Statistical Power Analysis for the Behavioural Sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates Inc. Cohen, J. (1988). Statistical Power Analysis for the Behavioural Sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates Inc.
go back to reference Conti-Ramsden, G., Simkin, Z., & Botting, N. (2006). The prevalence of autistic spectrum disorders in adolescents with a history of specific language impairment (SLI). Journal of Child Psychology and Psychiatry, 47, 621–628. PubMedCrossRef Conti-Ramsden, G., Simkin, Z., & Botting, N. (2006). The prevalence of autistic spectrum disorders in adolescents with a history of specific language impairment (SLI). Journal of Child Psychology and Psychiatry, 47, 621–628. PubMedCrossRef
go back to reference Cox, A., Klein, K., Charman, T., Baird, G., Baron-Cohen, S., Swettenham, J., Drew, A., & Wheelwright, S. (1999). Autistic spectrum disorders at 20 and 42 months of age: Stability of clinical and ADI-R diagnosis. Journal of Child Psychology and Psychiatry and Allied Disciplines, 40, 719–732. CrossRef Cox, A., Klein, K., Charman, T., Baird, G., Baron-Cohen, S., Swettenham, J., Drew, A., & Wheelwright, S. (1999). Autistic spectrum disorders at 20 and 42 months of age: Stability of clinical and ADI-R diagnosis. Journal of Child Psychology and Psychiatry and Allied Disciplines, 40, 719–732. CrossRef
go back to reference de Bildt, A., Systema, S., Ketelaars, C., Kraijer, D., Mulder, E., Volkmar, F., & Minderaa, R. (2004). Interrelationship between Autism Diagnostic Observation Schedule—Generic (ADOS-G), Autism Diagnostic Interview—Revised (ADI-R), and the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) classification in children and adolescents with mental retardation. Journal of Autism and Developmental Disorders, 34, 129–137. PubMedCrossRef de Bildt, A., Systema, S., Ketelaars, C., Kraijer, D., Mulder, E., Volkmar, F., & Minderaa, R. (2004). Interrelationship between Autism Diagnostic Observation Schedule—Generic (ADOS-G), Autism Diagnostic Interview—Revised (ADI-R), and the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) classification in children and adolescents with mental retardation. Journal of Autism and Developmental Disorders, 34, 129–137. PubMedCrossRef
go back to reference De Giacomo, A., & Fombonne, E. (1998). Parental recognition of developmental abnormalities in autism. European Child and Adolescent Psychiatry, 7, 131–136. PubMedCrossRef De Giacomo, A., & Fombonne, E. (1998). Parental recognition of developmental abnormalities in autism. European Child and Adolescent Psychiatry, 7, 131–136. PubMedCrossRef
go back to reference Dunn, G. (2000). Statistics in Psychiatry. London: Arnold. Dunn, G. (2000). Statistics in Psychiatry. London: Arnold.
go back to reference Filipek, P. A., Accardo, P. J., Baranek, G. T., Cook, E. H., Dawson, G., Gordon, B., Gravel, J. S., Johnson, C. P., Kallen, R. J., Levy, S. E., Minshew, N. J., Prizant, B. M., Rapen, I., Rogers, S. J., Stone, W. L., Teplin, S., Tuchman, R. F., & Volkmar, F. R. (1999). The screening and diagnosis of autistic spectrum disorders. Journal of Autism and Developmental Disorders, 29, 439–484. PubMedCrossRef Filipek, P. A., Accardo, P. J., Baranek, G. T., Cook, E. H., Dawson, G., Gordon, B., Gravel, J. S., Johnson, C. P., Kallen, R. J., Levy, S. E., Minshew, N. J., Prizant, B. M., Rapen, I., Rogers, S. J., Stone, W. L., Teplin, S., Tuchman, R. F., & Volkmar, F. R. (1999). The screening and diagnosis of autistic spectrum disorders. Journal of Autism and Developmental Disorders, 29, 439–484. PubMedCrossRef
go back to reference Gillberg, C., Ehlers, S., Schaumann, H., & Jakobsson, G. (1990). Autism under age 3 years: A clinical study of 28 cases referred for autistic symptoms in infancy. Journal of Child Psychology and Psychiatry and Allied Disciplines, 31, 921–934. CrossRef Gillberg, C., Ehlers, S., Schaumann, H., & Jakobsson, G. (1990). Autism under age 3 years: A clinical study of 28 cases referred for autistic symptoms in infancy. Journal of Child Psychology and Psychiatry and Allied Disciplines, 31, 921–934. CrossRef
go back to reference Gotham, K., Risi, S., Pickles, A., & Lord, C. (2006). The autism diagnostic observation schedule: Revised algorithms for improved diagnostic validity. Journal of Autism and Developmental Disorders, 37, 613–627. PubMedCrossRef Gotham, K., Risi, S., Pickles, A., & Lord, C. (2006). The autism diagnostic observation schedule: Revised algorithms for improved diagnostic validity. Journal of Autism and Developmental Disorders, 37, 613–627. PubMedCrossRef
go back to reference Gray, K. M., & Tonge, B. J. (2001). Are there early features of autism in infants and and preschool children? Journal of Paediatrics and Child Health, 37, 1365–1382. Gray, K. M., & Tonge, B. J. (2001). Are there early features of autism in infants and and preschool children? Journal of Paediatrics and Child Health, 37, 1365–1382.
go back to reference Honey, E., McConachie, H., Randle, V., Shearer, H., & Le Couteur, A. S. (2006). One-year change in repetitive behaviours in young children with communication disorders including autism. Journal of Autism and Developmental Disorders. (In Press), doi: 10.​1007/​s10803-006-0191-1 Honey, E., McConachie, H., Randle, V., Shearer, H., & Le Couteur, A. S. (2006). One-year change in repetitive behaviours in young children with communication disorders including autism. Journal of Autism and Developmental Disorders. (In Press), doi: 10.​1007/​s10803-006-0191-1
go back to reference Le Couteur, A. S. (2003) The National Autism Plan for Children. London: National Autistic Society, Royal College of Psychiatrists, Royal College of Paediatrics and Child Health, and the All Party Parliamentary Group on Autism. Le Couteur, A. S. (2003) The National Autism Plan for Children. London: National Autistic Society, Royal College of Psychiatrists, Royal College of Paediatrics and Child Health, and the All Party Parliamentary Group on Autism.
go back to reference Le Couteur, A., Lord, C., & Rutter, M. (2003). The Autism Diagnostic Interview—Revised (ADI-R). Los Angeles, CA: Western Psychological Services. Le Couteur, A., Lord, C., & Rutter, M. (2003). The Autism Diagnostic Interview—Revised (ADI-R). Los Angeles, CA: Western Psychological Services.
go back to reference Lord, C. (1995). Follow-up of two-year-olds referred for possible autism. Journal of Child Psychology and Psychiatry and Allied Disciplines, 36, 1365–1382. CrossRef Lord, C. (1995). Follow-up of two-year-olds referred for possible autism. Journal of Child Psychology and Psychiatry and Allied Disciplines, 36, 1365–1382. CrossRef
go back to reference Lord, C., Risi, S., Lambrecht, L., Cook, H. E., Leventhal, B. L., DiLavore, P. C., Pickles, A., & Rutter, M. (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, 205–223. PubMedCrossRef Lord, C., Risi, S., Lambrecht, L., Cook, H. E., Leventhal, B. L., DiLavore, P. C., Pickles, A., & Rutter, M. (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, 205–223. PubMedCrossRef
go back to reference Lord, C., Rutter, M., DiLavore, P. D., & Risi, S. (2001). Autism Diagnostic Observation Schedule. Los Angeles, CA: Western Psychological Services. Lord, C., Rutter, M., DiLavore, P. D., & Risi, S. (2001). Autism Diagnostic Observation Schedule. 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. PubMedCrossRef 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. PubMedCrossRef
go back to reference Mandell, D. S., Listerud, J., Levy, S. E., & Pinto-Martin, J. A. (2002). Race differences in the age at diagnosis among Medicaid-eligible children with autism. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1447–1453. PubMedCrossRef Mandell, D. S., Listerud, J., Levy, S. E., & Pinto-Martin, J. A. (2002). Race differences in the age at diagnosis among Medicaid-eligible children with autism. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1447–1453. PubMedCrossRef
go back to reference Mazefsky, C. A., & Oswald, D. P. (2006). The discriminative ability and diagnostic utility of the ADOS-G, ADI-R, and GARS for children in a clinical setting. Autism, 10, 533–549. PubMedCrossRef Mazefsky, C. A., & Oswald, D. P. (2006). The discriminative ability and diagnostic utility of the ADOS-G, ADI-R, and GARS for children in a clinical setting. Autism, 10, 533–549. PubMedCrossRef
go back to reference McConachie, H., Le Couteur, A., & Honey, E. (2005). Can a diagnosis of Asperger Syndrome be made in very young children with suspected autism spectrum disorder? Journal of Autism and Developmental Disorders, 35, 167–176. PubMedCrossRef McConachie, H., Le Couteur, A., & Honey, E. (2005). Can a diagnosis of Asperger Syndrome be made in very young children with suspected autism spectrum disorder? Journal of Autism and Developmental Disorders, 35, 167–176. PubMedCrossRef
go back to reference McConachie, H., Randle, V., Hammal, D., & Le Couteur, A. (2005). A controlled trial of a training programme for parents of children with suspected autism spectrum disorder. The Journal of Paediatrics, 147, 335–340. CrossRef McConachie, H., Randle, V., Hammal, D., & Le Couteur, A. (2005). A controlled trial of a training programme for parents of children with suspected autism spectrum disorder. The Journal of Paediatrics, 147, 335–340. CrossRef
go back to reference Michelotti, J., Charman, T., Slonims, V., & Baird, G. (2002). Follow-up of children with language delay and features of autism from preschool years to middle childhood. Developmental Medicine and Child Neurology, 44, 812–819. PubMedCrossRef Michelotti, J., Charman, T., Slonims, V., & Baird, G. (2002). Follow-up of children with language delay and features of autism from preschool years to middle childhood. Developmental Medicine and Child Neurology, 44, 812–819. PubMedCrossRef
go back to reference Miniscalco, C., Nygren, G., Hagberg, B., Kadesjö, B., & Gillberg, C. (2006). Neuropsychiatric and neurodevelopmental outcome of children at age 6 and 7 years who screened positive for language problems at 30 months. Developmental Medicine and Child Neurology, 48, 361–366. PubMedCrossRef Miniscalco, C., Nygren, G., Hagberg, B., Kadesjö, B., & Gillberg, C. (2006). Neuropsychiatric and neurodevelopmental outcome of children at age 6 and 7 years who screened positive for language problems at 30 months. Developmental Medicine and Child Neurology, 48, 361–366. PubMedCrossRef
go back to reference Moore, V., & Goodson, S. (2003). How well does early diagnosis of autism stand the test of time? Follow-up study of children assessed for autism at age 2 and development of an early diagnostic service. Autism, 7, 47–63. PubMed Moore, V., & Goodson, S. (2003). How well does early diagnosis of autism stand the test of time? Follow-up study of children assessed for autism at age 2 and development of an early diagnostic service. Autism, 7, 47–63. PubMed
go back to reference Mullen, E. (1995). Mullen Scales of Early Learning. Circle Pines, MS: American Guidance Service. Mullen, E. (1995). Mullen Scales of Early Learning. Circle Pines, MS: American Guidance Service.
go back to reference Noterdaeme, M., Mildenberger, K., Sitter, S., & Amarosa, H. (2002). Parent information and direct observation in the diagnosis of pervasive and specific developmental disorders. Autism, 6, 159–168. PubMedCrossRef Noterdaeme, M., Mildenberger, K., Sitter, S., & Amarosa, H. (2002). Parent information and direct observation in the diagnosis of pervasive and specific developmental disorders. Autism, 6, 159–168. PubMedCrossRef
go back to reference Ozonoff, S., Goodlin-Jones, B.L., & Solomon, M. (2005). Evidence-based assessment of autism spectrum disorders in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 523–540. PubMedCrossRef Ozonoff, S., Goodlin-Jones, B.L., & Solomon, M. (2005). Evidence-based assessment of autism spectrum disorders in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 523–540. PubMedCrossRef
go back to reference Risi, S., Lord, C., Gotham, K., Corsello, C., Chrysler, C., Szatmari, P., Cook, E. H. Jr., Leventhal, B. L., & Pickles, A. (2006). Combining information from multiple sources in the diagnosis of autism spectrum disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 1094–1103. PubMedCrossRef Risi, S., Lord, C., Gotham, K., Corsello, C., Chrysler, C., Szatmari, P., Cook, E. H. Jr., Leventhal, B. L., & Pickles, A. (2006). Combining information from multiple sources in the diagnosis of autism spectrum disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 1094–1103. PubMedCrossRef
go back to reference Robertson, J. M., Tanguay, P. E., L’Ecuyer, S., Sims, A., & Waltrip, C. (1999). Domains of social communication handicap in autism spectrum disorder. Journal of the American Academy of Child Adolescent Psychiatry, 38, 738–745. CrossRef Robertson, J. M., Tanguay, P. E., L’Ecuyer, S., Sims, A., & Waltrip, C. (1999). Domains of social communication handicap in autism spectrum disorder. Journal of the American Academy of Child Adolescent Psychiatry, 38, 738–745. CrossRef
go back to reference Shearer, H. (2001). Executive function and autistic symptomatology in very young children. Unpublished Ph.D. thesis, University of Durham. Shearer, H. (2001). Executive function and autistic symptomatology in very young children. Unpublished Ph.D. thesis, University of Durham.
go back to reference Stone, W. L., Lee, E. B., Ashford, L., Brissie, J., Hepburn, S. L., Coonrod, E. E., &Weiss, B. H. (1999). Can autism be diagnosed accurately in children under 3 years? Journal of Child Psychology and Psychiatry and Allied Disciplines, 40, 219–226. CrossRef Stone, W. L., Lee, E. B., Ashford, L., Brissie, J., Hepburn, S. L., Coonrod, E. E., &Weiss, B. H. (1999). Can autism be diagnosed accurately in children under 3 years? Journal of Child Psychology and Psychiatry and Allied Disciplines, 40, 219–226. CrossRef
go back to reference Tanguay, P. E. (2000). Pervasive developmental disorders: A 10- year review. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1079–1095. PubMedCrossRef Tanguay, P. E. (2000). Pervasive developmental disorders: A 10- year review. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1079–1095. PubMedCrossRef
go back to reference Ventola, P. E., Kleinman, J., Pandey, J., Barton, M., Allen, S., Green, J., Robins, D., & Fein, D. (2006). Agreement among four diagnostic instruments for Autism Spectrum Disorders in toddlers. Journal of Autism and Developmental Disorders, 36, 839–847. PubMedCrossRef Ventola, P. E., Kleinman, J., Pandey, J., Barton, M., Allen, S., Green, J., Robins, D., & Fein, D. (2006). Agreement among four diagnostic instruments for Autism Spectrum Disorders in toddlers. Journal of Autism and Developmental Disorders, 36, 839–847. PubMedCrossRef
go back to reference Volkmar, F. R., Charwarska, K., & Klin, A. (2005). Autism in infancy and early childhood. Annual Review of Psychology, 56, 315–336. PubMedCrossRef Volkmar, F. R., Charwarska, K., & Klin, A. (2005). Autism in infancy and early childhood. Annual Review of Psychology, 56, 315–336. PubMedCrossRef
go back to reference Wing, L. (1996). The Autistic Spectrum: A Guide for Parents and Professionals. UK: Constable and Robinson. Wing, L. (1996). The Autistic Spectrum: A Guide for Parents and Professionals. UK: Constable and Robinson.
go back to reference World Health Organization (1992). The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD-10). Geneva: Author. World Health Organization (1992). The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD-10). Geneva: Author.
Metagegevens
Titel
Diagnosing Autism Spectrum Disorders in Pre-school Children Using Two Standardised Assessment Instruments: The ADI-R and the ADOS
Auteurs
Ann Le Couteur
Gyles Haden
Donna Hammal
Helen McConachie
Publicatiedatum
01-02-2008
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 2/2008
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-007-0403-3