Validity of Social Cognition Measures in the Clinical Services for Autism Spectrum Disorder.
Theory of Mind
autism spectrum disorder
clinical utility
diagnostic process
receiver operating characteristic (ROC) curve
social cognition
Journal
Frontiers in psychology
ISSN: 1664-1078
Titre abrégé: Front Psychol
Pays: Switzerland
ID NLM: 101550902
Informations de publication
Date de publication:
2020
2020
Historique:
received:
29
10
2019
accepted:
03
01
2020
entrez:
3
3
2020
pubmed:
3
3
2020
medline:
3
3
2020
Statut:
epublish
Résumé
The current study evaluated three social cognition (SC) tests for their clinical utility in aiding autism diagnosis. To do so, we compared the performance of 86 children with autism spectrum disorder (ASD) and 68 typically developing (TD) children, all aged from 4 to 10 years old, on three SC tasks [the Social Information Processing Interview (SIPI), the Comic Strip Task (CST), and the children's version of the Eyes Task] and calculated threshold scores that best differentiated the two groups. While difficulties in these abilities appear to represent the "central core" of ASD, services have largely ignored SC tests when supporting autism diagnoses. Therefore, this study attempted to validate and evaluate the diagnostic potential of these three tasks for children with ASD. To investigate the accuracy of these SC tests, we used the receiver operating characteristic (ROC) curve. As expected, the ASD group performed worse than the TD group on the SIPI and CST, but contrary to our prediction, the groups did not significantly differ on the Eyes Task. Specifically, the overall area under the curve (AUC) for the SIPI was 0.87, with a sensitivity of 73.5% and a specificity of 83.9% at the best cutoff point (score range 0-36; best cutoff = 31). The overall AUC for the CST was 0.75, with a sensitivity of 71.1% and a specificity of 77.0% at the best cutoff point (score range 0-15; best cutoff = 11). The overall AUC for the Eyes Task was 0.51, with a sensitivity of 50.3% and a specificity of 40.2% at the best cutoff point (score range 0-54; best cutoff = 45). In conclusion, the results showed that the SIPI test has good predictive power for classifying children with ASD. It should provide substantial supplementary clinical information and help to consolidate diagnostic procedures based on standard tools. Moreover, the results of the study have substantial implications for clinical practice: the better the knowledge of SC functioning in children with ASD, the more effective the intervention program for rehabilitation.
Identifiants
pubmed: 32116882
doi: 10.3389/fpsyg.2020.00004
pmc: PMC7012901
doi:
Types de publication
Journal Article
Langues
eng
Pagination
4Informations de copyright
Copyright © 2020 Pino, Masedu, Vagnetti, Attanasio, Di Giovanni, Valenti and Mazza.
Références
PLoS One. 2015 Aug 27;10(8):e0136521
pubmed: 26313946
J Autism Dev Disord. 2014 Apr;44(4):846-59
pubmed: 24005986
Curr Biol. 2007 Sep 4;17(17):1508-12
pubmed: 17764946
Cognition. 1994 Apr-Jun;50(1-3):115-32
pubmed: 8039356
Neuropsychologia. 2007 Oct 1;45(13):3054-67
pubmed: 17640690
J Child Psychol Psychiatry. 2014 Jun;55(6):553-7
pubmed: 24963529
Cochrane Database Syst Rev. 2014 Mar 21;(3):CD008785
pubmed: 24652601
Cognition. 1985 Oct;21(1):37-46
pubmed: 2934210
Child Dev. 1995 Jun;66(3):843-55
pubmed: 7789204
J Child Psychol Psychiatry. 2005 Apr;46(4):409-19
pubmed: 15819650
Front Hum Neurosci. 2014 Oct 07;8:791
pubmed: 25339889
Front Psychol. 2019 Nov 19;10:2478
pubmed: 31798488
J Autism Dev Disord. 2017 Sep;47(9):2743-2756
pubmed: 28597142
Lancet. 2014 Mar 8;383(9920):896-910
pubmed: 24074734
Philos Trans R Soc Lond B Biol Sci. 2003 Mar 29;358(1431):459-73
pubmed: 12689373
Child Dev. 2007 Mar-Apr;78(2):622-46
pubmed: 17381794
J Exp Child Psychol. 2011 Aug;109(4):412-29
pubmed: 21420102
J Child Psychol Psychiatry. 2010 Nov;51(11):1188-97
pubmed: 20633070
Autism. 2010 Nov;14(6):605-18
pubmed: 20923892
J Autism Dev Disord. 2012 Nov;42(11):2505-12
pubmed: 22419380
J Deaf Stud Deaf Educ. 2016 Jul;21(3):326-38
pubmed: 27143715
Res Dev Disabil. 2014 May;35(5):1015-26
pubmed: 24636022
Autism Res. 2018 Jan;11(1):95-109
pubmed: 28945319
Autism Res. 2019 May;12(5):766-778
pubmed: 30770676
Cortex. 2010 May;46(5):668-77
pubmed: 19501818
Neuropsychol Rehabil. 2010 Oct;20(5):675-703
pubmed: 20714969
J Autism Dev Disord. 1994 Apr;24(2):129-54
pubmed: 8040158
J Autism Dev Disord. 2017 May;47(5):1369-1379
pubmed: 28213839
J Child Psychol Psychiatry. 2001 Feb;42(2):241-51
pubmed: 11280420
J Child Psychol Psychiatry. 1997 Oct;38(7):813-22
pubmed: 9363580
J Autism Dev Disord. 2011 Apr;41(4):512-7
pubmed: 20628800
Lingua. 2007 Nov;117(11):1858-1878
pubmed: 17973025
Res Autism Spectr Disord. 2017 Mar;35:25-34
pubmed: 28839456
J Autism Dev Disord. 2018 Nov;48(11):3945-3957
pubmed: 29971661
Neuroimage. 2004 Jul;22(3):1141-50
pubmed: 15219586