Predicting diagnostic outcome in adult autism spectrum disorder using the autism diagnostic observation schedule, second edition.
ADOS
ADOS-2
ASD
Adult ASD
Autism
Diagnostic assessment
Multidisciplinary
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
10 01 2021
10 01 2021
Historique:
received:
09
06
2020
accepted:
22
12
2020
entrez:
11
1
2021
pubmed:
12
1
2021
medline:
27
4
2021
Statut:
epublish
Résumé
The Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) module four assessment for diagnosing autism spectrum disorder in adults has shown good sensitivity and specificity in research settings. This study aimed to evaluate the predictive accuracy of the ADOS-2 module four by investigating the components of the assessment, in relation to diagnostic outcome in a clinical setting. Data from 88 service users referred to a Specialist Adult Autism Service was explored. ADOS-2 scores failed to predict the diagnostic outcome (overall sensitivity = 92%, specificity = 57%). Interestingly, scores from the 'restricted interests' component of the ADOS-2 have the potential to predict diagnostic outcome, despite this domain not been included in the scoring algorithm. Based on our findings, we recommend clinicians are cautious when interpreting results of the ADOS-2 assessment.
Sections du résumé
BACKGROUND
The Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) module four assessment for diagnosing autism spectrum disorder in adults has shown good sensitivity and specificity in research settings.
METHOD
This study aimed to evaluate the predictive accuracy of the ADOS-2 module four by investigating the components of the assessment, in relation to diagnostic outcome in a clinical setting. Data from 88 service users referred to a Specialist Adult Autism Service was explored.
RESULTS
ADOS-2 scores failed to predict the diagnostic outcome (overall sensitivity = 92%, specificity = 57%). Interestingly, scores from the 'restricted interests' component of the ADOS-2 have the potential to predict diagnostic outcome, despite this domain not been included in the scoring algorithm.
CONCLUSIONS
Based on our findings, we recommend clinicians are cautious when interpreting results of the ADOS-2 assessment.
Identifiants
pubmed: 33423664
doi: 10.1186/s12888-020-03028-7
pii: 10.1186/s12888-020-03028-7
pmc: PMC7798323
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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