The Autism Diagnostic Observation Schedule-Generic: A Standard Measure of Social and Communication Deficits Associated with the Spectrum of Autism
Psychometric data are presented for 223 children and adults with autism, pervasive developmental disorder not otherwise specified (PDDNOS), or nonspectrum diagnoses who took the Autism Diagnostic Observation Schedule-Generic. Within each module, diagnostic groups were equivalent on expressive langua...
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| Published in | Journal of autism and developmental disorders Vol. 30; no. 3; pp. 205 - 223 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Heidelberg
Springer
01.06.2000
Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0162-3257 1573-3432 |
| DOI | 10.1023/A:1005592401947 |
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| Abstract | Psychometric data are presented for 223 children and adults with autism, pervasive developmental disorder not otherwise specified (PDDNOS), or nonspectrum diagnoses who took the Autism Diagnostic Observation Schedule-Generic. Within each module, diagnostic groups were equivalent on expressive language levels. Results indicate substantial interrater and test-retest reliability and excellent internal consistency. (Contains references.) (Author/CR) |
|---|---|
| AbstractList | The Autism Diagnostic Observation Schedule-Generic (ADOS-G) is a semistructured, standardized assessment of social interaction, communication, play, and imaginative use of materials for individuals suspected of having autism spectrum disorders. The observational schedule consists of four 30-minute modules, each designed to be administered to different individuals according to their level of expressive language. Psychometric data are presented for 223 children and adults with Autistic Disorder (autism), Pervasive Developmental Disorder Not Otherwise Specified (PDDNOS) or nonspectrum diagnoses. Within each module, diagnostic groups were equivalent on expressive language level. Results indicate substantial interrater and test-retest reliability for individual items, excellent interrater reliability within domains and excellent internal consistency. Comparisons of means indicated consistent differentiation of autism and PDDNOS from nonspectrum individuals, with some, but less consistent, differentiation of autism from PDDNOS. A priori operationalization of DSM-IV/ICD-10 criteria, factor analyses, and ROC curves were used to generate diagnostic algorithms with thresholds set for autism and broader autism spectrum/PDD. Algorithm sensitivities and specificities for autism and PDDNOS relative to nonspectrum disorders were excellent, with moderate differentiation of autism from PDDNOS.The Autism Diagnostic Observation Schedule-Generic (ADOS-G) is a semistructured, standardized assessment of social interaction, communication, play, and imaginative use of materials for individuals suspected of having autism spectrum disorders. The observational schedule consists of four 30-minute modules, each designed to be administered to different individuals according to their level of expressive language. Psychometric data are presented for 223 children and adults with Autistic Disorder (autism), Pervasive Developmental Disorder Not Otherwise Specified (PDDNOS) or nonspectrum diagnoses. Within each module, diagnostic groups were equivalent on expressive language level. Results indicate substantial interrater and test-retest reliability for individual items, excellent interrater reliability within domains and excellent internal consistency. Comparisons of means indicated consistent differentiation of autism and PDDNOS from nonspectrum individuals, with some, but less consistent, differentiation of autism from PDDNOS. A priori operationalization of DSM-IV/ICD-10 criteria, factor analyses, and ROC curves were used to generate diagnostic algorithms with thresholds set for autism and broader autism spectrum/PDD. Algorithm sensitivities and specificities for autism and PDDNOS relative to nonspectrum disorders were excellent, with moderate differentiation of autism from PDDNOS. The ADOS-G is a semistructured, standardized assessment of social interaction, communication, play and imaginative use of materials for individuals suspected of having autism spectrum disorders. It consists of 4 30-minute modules, each designed to be administered to different individuals according to their level of expressive language. Presents psychometric data for 223 children and adults with Autistic Disorder (autism), Pervasive Developmental Disorder Not Otherwise Specified (PDDNOS) or nonspectrum diagnoses. Results indicate substantial interrater and test-retest reliability for individual items, excellent interrater reliability within domains and excellent internal consistency. (Original abstract - amended) The Autism Diagnostic Observation Schedule-Generic (ADOS-G) is a semistructured, standardized assessment of social interaction, communication, play, and imaginative use of materials for individuals suspected of having autism spectrum disorders. The observational schedule consists of four 30-minute modules, each designed to be administered to different individuals according to their level of expressive language. Psychometric data are presented for 223 children and adults with Autistic Disorder (autism), Pervasive Developmental Disorder Not Otherwise Specified (PDDNOS) or nonspectrum diagnoses. Within each module, diagnostic groups were equivalent on expressive language level. Results indicate substantial interrater and test-retest reliability for individual items, excellent interrater reliability within domains and excellent internal consistency. Comparisons of means indicated consistent differentiation of autism and PDDNOS from nonspectrum individuals, with some, but less consistent, differentiation of autism from PDDNOS. A priori operationalization of DSM-IV/ICD-10 criteria, factor analyses, and ROC curves were used to generate diagnostic algorithms with thresholds set for autism and broader autism spectrum/PDD. Algorithm sensitivities and specificities for autism and PDDNOS relative to nonspectrum disorders were excellent, with moderate differentiation of autism from PDDNOS. Psychometric data are presented for 223 children and adults with autism, pervasive developmental disorder not otherwise specified (PDDNOS), or nonspectrum diagnoses who took the Autism Diagnostic Observation Schedule-Generic. Within each module, diagnostic groups were equivalent on expressive language levels. Results indicate substantial interrater and test-retest reliability and excellent internal consistency. (Contains references.) (Author/CR) |
| Author | Lambrecht, Linda Pickles, Andrew Risi, Susan Leventhal, Bennett L Rutter, Michael Cook, Edwin H., Jr Lord, Catherine DiLavore, Pamela C |
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| Keywords | Human Evaluation Factor analysis Psychometrics Developmental disorder Revised drafting Test reliability Semidirective interview Intertrial interval Item analysis Test validation Autism Play Interrater agreement Language Social interaction Social aptitude Clinical investigation Communication |
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| References | 2768150 - J Am Acad Child Adolesc Psychiatry. 1989 Jul;28(4):542-8 7792363 - Psychol Med. 1995 Jan;25(1):63-77 9519632 - J Am Acad Child Adolesc Psychiatry. 1998 Mar;37(3):278-85 7814313 - J Autism Dev Disord. 1994 Oct;24(5):659-85 10789276 - Br J Psychiatry. 1999 Nov;175:444-51 2793783 - J Autism Dev Disord. 1989 Sep;19(3):363-87 1577895 - J Child Psychol Psychiatry. 1992 Mar;33(3):489-507 2745388 - J Autism Dev Disord. 1989 Jun;19(2):185-212 1383189 - J Autism Dev Disord. 1992 Sep;22(3):395-411 7789204 - Child Dev. 1995 Jun;66(3):843-55 6927682 - J Autism Dev Disord. 1980 Mar;10(1):91-103 843571 - Biometrics. 1977 Mar;33(1):159-74 7592249 - J Autism Dev Disord. 1995 Aug;25(4):355-79 |
| References_xml | – reference: 1577895 - J Child Psychol Psychiatry. 1992 Mar;33(3):489-507 – reference: 843571 - Biometrics. 1977 Mar;33(1):159-74 – reference: 7789204 - Child Dev. 1995 Jun;66(3):843-55 – reference: 6927682 - J Autism Dev Disord. 1980 Mar;10(1):91-103 – reference: 2768150 - J Am Acad Child Adolesc Psychiatry. 1989 Jul;28(4):542-8 – reference: 7792363 - Psychol Med. 1995 Jan;25(1):63-77 – reference: 1383189 - J Autism Dev Disord. 1992 Sep;22(3):395-411 – reference: 2745388 - J Autism Dev Disord. 1989 Jun;19(2):185-212 – reference: 7592249 - J Autism Dev Disord. 1995 Aug;25(4):355-79 – reference: 7814313 - J Autism Dev Disord. 1994 Oct;24(5):659-85 – reference: 2793783 - J Autism Dev Disord. 1989 Sep;19(3):363-87 – reference: 9519632 - J Am Acad Child Adolesc Psychiatry. 1998 Mar;37(3):278-85 – reference: 10789276 - Br J Psychiatry. 1999 Nov;175:444-51 |
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| Snippet | Psychometric data are presented for 223 children and adults with autism, pervasive developmental disorder not otherwise specified (PDDNOS), or nonspectrum... The Autism Diagnostic Observation Schedule-Generic (ADOS-G) is a semistructured, standardized assessment of social interaction, communication, play, and... The Autism Diagnostic Observation Schedule--Generic (ADOS-G) is a semistructured, standardized assessment of social interaction, communication, play, and... The ADOS-G is a semistructured, standardized assessment of social interaction, communication, play and imaginative use of materials for individuals suspected... |
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| SubjectTerms | Adults Algorithms Autism Autism Spectrum Disorders Autistic children Autistic Diagnostic Observation Schedule-Generic Autistic Disorder - complications Biological and medical sciences Child Child Behavior Disorders - complications Child Behavior Disorders - diagnosis Child Development Child, Preschool Children Classification Communication Communication Disorders - complications Communication Disorders - diagnosis Diagnostic Tests Differentiation Disability Identification Evaluation Methods Expressive Language Factor analysis Female Humans Individualized Instruction Interrater reliability Language Skills Language testing Longitudinal Studies Male Medical sciences Observation Pervasive developmental disorders Psychological Tests Psychology. Psychoanalysis. Psychiatry Psychometric properties Psychometrics. Diagnostic aid systems Psychopathology. Psychiatry Reproducibility of Results Social Behavior Social competence Social interaction Social Perception Socialization Techniques and methods Test Reliability Thresholds Young Children |
| Title | The Autism Diagnostic Observation Schedule-Generic: A Standard Measure of Social and Communication Deficits Associated with the Spectrum of Autism |
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