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24-07-2019 | Original Paper | Uitgave 9/2020

Improving the Diagnosis of Autism Spectrum Disorder in Fragile X Syndrome by Adapting the Social Communication Questionnaire and the Social Responsiveness Scale-2

Tijdschrift:: Journal of Autism and Developmental Disorders > Uitgave 9/2020

Auteurs:: Sharon A. Kidd, Elizabeth Berry-Kravis, Tse Hwei Choo, Chen Chen, Amy Esler, Anne Hoffmann, Howard F. Andrews, Walter E. Kaufmann

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Abstract

We carried out a psychometric assessment of the Social Communication Questionnaire (SCQ) and the Social Responsiveness Scale (SRS-2) in fragile X syndrome (FXS), relative to clinician DSM5-based diagnosis of autism spectrum disorder (ASD) in FXS. This was followed by instrument revisions that included: removal of non-discriminating and/or low face validity items for FXS; use of receiver operating characteristic (ROC) curves to determine optimal cut points for the original and revised measures; an exploratory factor analysis to outline subscales better representing ASD in FXS; and creation of a “triple criteria” diagnosis to better delineate ASD subgroups in FXS. These methods improved the sensitivity and/or specificity of the SCQ and SRS-2, but diagnostic accuracy of ASD remains problematic in FXS.

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Titel: Improving the Diagnosis of Autism Spectrum Disorder in Fragile X Syndrome by Adapting the Social Communication Questionnaire and the Social Responsiveness Scale-2
Auteurs:: Sharon A. Kidd
Elizabeth Berry-Kravis
Tse Hwei Choo
Chen Chen
Amy Esler
Anne Hoffmann
Howard F. Andrews
Walter E. Kaufmann
Publicatiedatum: 24-07-2019
DOI: https://doi.org/10.1007/s10803-019-04148-0
Uitgeverij: Springer US
Tijdschrift: Journal of Autism and Developmental Disorders
Uitgave 9/2020
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432

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Improving the Diagnosis of Autism Spectrum Disorder in Fragile X Syndrome by Adapting the Social Communication Questionnaire and the Social Responsiveness Scale-2

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