Using the autism diagnostic interview-revised and the autism diagnostic observation schedule with young children with developmental delay: Evaluating diagnostic validity

Kylie M. Gray, Bruce J. Tonge, Deborah J. Sweeney

Research output: Contribution to journalArticlepeer-review

Abstract

Few studies have focused on the validity of the ADI-R and ADOS in the assessment of preschool children with developmental delay. This study aimed to evaluate the diagnostic validity of the ADI-R and the ADOS in young children. Two-hundred and nine children aged 20-55 months participated in the study, 120 of whom received a diagnosis of autism. ADI-R and ADOS diagnostic classifications were compared to consensus clinical diagnoses. Children with a clinical diagnosis of autism scored significantly higher on all algorithm domains of the ADI-R and ADOS. The ADOS performed better than the ADI-R in comparison to consensus clinical diagnosis. Characteristics of the ADI-R and ADOS false positive and false negative cases are explored. Further research is recommended in terms of examining which items of the ADI-R best predict a diagnosis of autism for very young children with developmental problems.

Original languageEnglish
Pages (from-to)657-667
Number of pages11
JournalJournal of Autism and Developmental Disorders
Volume38
Issue number4
DOIs
Publication statusPublished - Apr 2008

Keywords

  • ADI-R
  • ADOS
  • Diagnostic validity
  • Preschool children

ASJC Scopus subject areas

  • Developmental and Educational Psychology

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