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Brief Report: “Quick and (not so) Dirty” Assessment of Change in Autism: Cross-Cultural Reliability of the Developmental Disabilities CGAS and the OSU Autism CGI

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Abstract

There are few evaluated economic tools to assess change in autism. This study examined the inter-rater reliability of the Developmental Disabilities Children’s Global Assessment Scale (DD-CGAS), and the OSU Autism Clinical Global Impression (OSU Autism CGI) in a European setting. Using these scales, 16 clinicians with multidisciplinary background and varying experience independently rated eight vignettes of autism spectrum disorder for severity and general psychosocial functioning at referral and discharge. Intraclass correlation coefficient (ICCs) for experienced clinicians were .75 for the DD-CGAS and .72 for the OSU Autism CGI. In inexperienced clinicians these ICCs were .58 and .59. Results confirm previous North American studies, and further extents the reliability of the instruments to untrained, less experienced clinicians with different professions.

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References

  • Abel, K. M., Dalman, C., Svensson, A. C., Susser, E., Dal, H., Idring, S., et al. (2013). Deviance in fetal growth and risk of autism spectrum disorder. American Journal of Psychiatry, 170, 391–398.

    Article  PubMed  Google Scholar 

  • APA. (2013). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5™). Washington, DC: American Psychiatric Publishing.

    Google Scholar 

  • Arnold, L. E., Aman, M. G., Martin, A., Collier-Crespin, A., Vitiello, B., Tierney, E., et al. (2000). Assessment in multisite randomized clinical trials of patients with autistic disorder: the Autism RUPP Network. Research Units on Pediatric Psychopharmacology. Journal of Autism and Developmental Disorders, 30, 99–111.

    Article  PubMed  Google Scholar 

  • Bölte, S. (2012). Brief report: The Social Responsiveness Scale for Adults (SRS-A): initial results in a German cohort. Journal of Autism and Developmental Disorders, 42, 1998–1999.

    Article  PubMed Central  PubMed  Google Scholar 

  • Bölte, S., Poustka, F., & Constantino, J. N. (2008). Assessing autistic traits: Cross-cultural validation of the social responsiveness scale (SRS). Autism Research, 1, 354–363.

    Article  PubMed  Google Scholar 

  • Charman, T., & Gotham, K. (2013). Measurement issues: Screening and diagnostic instruments for autism spectrum disorders—lessons from research and practice. Child Adolesc Ment Health, 18, 52–63.

    Article  PubMed Central  PubMed  Google Scholar 

  • Constantino, J. N., & Frazier, T. W. (2013). Commentary: The observed association between autistic severity measured by the Social Responsiveness Scale (SRS) and general psychopathology: A response to Hus et al. Journal of Child Psychology and Psychiatry, 54, 695–697.

    Article  PubMed  Google Scholar 

  • Constantino, J. N., & Gruber, C. P. (2012). Social Responsiveness Scale (2nd ed.). Los Angeles, CA: Western Psychological Services.

    Google Scholar 

  • de Bildt, A., Oosterling, I. J., van Lang, N. D., Sytema, S., Minderaa, R. B., van Engeland, H., et al. (2011). Standardized ADOS scores: measuring severity of autism spectrum disorders in a Dutch sample. Journal of Autism and Developmental Disorders, 41, 311–319.

    Article  PubMed Central  PubMed  Google Scholar 

  • Dyrborg, J., Larsen, F. W., Nielsen, S., Byman, J., Nielsen, B. B., & Gautre-Delay, F. (2000). The Children’s Global Assessment Scale (CGAS) and Global Assessment of Psychosocial Disability (GAPD) in clinical practice–substance and reliability as judged by intraclass correlations. European Child and Adolescent Psychiatry, 9, 195–201.

    Article  PubMed  Google Scholar 

  • Gotham, K., Pickles, A., & Lord, C. (2012). Trajectories of autism severity in children using standardized ADOS scores. Pediatrics, 130, e1278–e1284.

    Article  PubMed Central  PubMed  Google Scholar 

  • Guy, W. (Ed.). (1976). ECDEU assessment manual for psychopharmacology (pp. 218–222). Rockville, MD: US Department of Health, Education, and Welfare Public Health Service Alcohol, Drug Abuse, and Mental Health Administration.

  • Howlin, P., Magiati, I., & Charman, T. (2009). Systematic review of early intensive behavioral interventions for children with autism. American Journal on Intellectual and Developmental Disabilities, 114, 23–41.

    Article  PubMed  Google Scholar 

  • Howlin, P., & Moss, P. (2012). Adults with autism spectrum disorders. Canadian Journal of Psychiatry, 57, 275–283.

    Google Scholar 

  • Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.

    Article  PubMed  Google Scholar 

  • Lord, C., Carr, T., & Grzadzinski, R. (2013). Measuring emerging changes in social communication. Educational symposia at the International Meeting for Autism Research, San Sebastian.

  • Lord, C., Luyster, R., Guthrie, W., & Pickles, A. (2012). Patterns of developmental trajectories in toddlers with autism spectrum disorder. Journal of Consulting and Clinical Psychology, 80, 477–489.

    Article  PubMed Central  PubMed  Google Scholar 

  • 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 Developemtal Disorders, 24, 659–685.

    Article  Google Scholar 

  • Lundh, A., Kowalski, J., Sundberg, C. J., Gumpert, C., & Landen, M. (2010). Children’s Global Assessment Scale (CGAS) in a naturalistic clinical setting: Inter-rater reliability and comparison with expert ratings. Psychiatry Research, 177, 206–210.

    Article  PubMed  Google Scholar 

  • Lundh, A., Kowalski, J., Sundberg, C. J., & Landén, M. (2012). A comparison of seminar and computer based training on the accuracy and reliability of raters using the Children’s Global Assessment Scale (CGAS). Administration and Policy In Mental Health, 39, 458–465.

    Article  PubMed  Google Scholar 

  • Magnusson, P. K., Almqvist, C., Rahman, I., Ganna, A., Viktorin, A., Walum, H., et al. (2013). The Swedish Twin Registry: establishment of a biobank and other recent developments. Twin Research and Human Genetics, 16, 317–329.

    Article  PubMed  Google Scholar 

  • Oono, I. P., Honey, E. J., & McConachie, H. (2013). Parent-mediated early intervention for young children with autism spectrum disorders (ASD). Cochrane Database of Systematic Reviews, 4, CD009774.

  • Reichow, B., Steiner, A.M., Volkmar, F. (2012). Social skills groups for people aged 6 to 21 with autism. Cochrane Database of Systematic Reviews 2012, Issue 7. Art. No.: CD008511.

  • Rutter, M., LeCouteur, A., & Lord, C. (2003). Autism Diagnostic Interview-Revised (ADI-R). Los Angeles: Western Psychological Services.

    Google Scholar 

  • Shaffer, D., Gould, M. S., Brasic, J., Ambrosini, P., Fisher, P., Bird, H., et al. (1983). Children’s global assessment scale (CGAS). Archives of General Psychiatry, 40, 1228–1231.

    Article  PubMed  Google Scholar 

  • The OSU Research Unit on Pediatric Psychopharmacology. (2005). OSU Autism Rating Scale. Columbus, OH: Author. © by OSU Research Unit on Pediatric Psychopharmacology.

  • Tse, J., Strulovitch, J., Tagalakis, V., Meng, L., & Fombonne, E. (2007). Social skills training for adolescents with Asperger syndrome and high-functioning autism. Journal of Autism and Developmental Disorders, 37, 1960–1968.

    Article  PubMed  Google Scholar 

  • Wagner, A., Lecavalier, L., Arnold, L. E., Aman, M. G., Scahill, L., Stigler, K. A., et al. (2007). Developmental disabilities modification of the Children’s Global Assessment Scale. Biological Psychiatry, 61, 504–511.

    Article  PubMed Central  PubMed  Google Scholar 

  • Wood, J. J., Drahota, A., Sze, K., Van Dyke, M., Decker, K., Fujii, C., et al. (2009). Brief report: effects of cognitive behavioral therapy on parent-reported autism symptoms in school-age children with high-functioning autism. Journal of Autism and Developmental Disorders, 39, 1608–1612.

    Article  PubMed Central  PubMed  Google Scholar 

  • World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders. Clinical descriptions and guidelines. Geneva: WHO.

    Google Scholar 

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Correspondence to Sven Bölte.

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We sincerely thank the clinicians who participated in this study, as well as Stephanie Hansson for her support in the creation of vignettes. Sven Bölte was supported by the Swedish Research Council (Grant No. 523-2009-7054). Nora Choque Olsson and the current study were supported by Stiftelsen Sunnerdahls Handikappfond, Majblomman, Sällskapet Barnavård, and the Stockholm County Council.

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Choque Olsson, N., Bölte, S. Brief Report: “Quick and (not so) Dirty” Assessment of Change in Autism: Cross-Cultural Reliability of the Developmental Disabilities CGAS and the OSU Autism CGI. J Autism Dev Disord 44, 1773–1778 (2014). https://doi.org/10.1007/s10803-013-2029-y

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