Longitudinal Changes in Scores on the Autism Diagnostic Interview-Revised (ADI-R) in Pre-School Children with Autism: Implications for Diagnostic Classification and Symptom Stability

Autor/inn/en	Soke, Gnakub Norbert; Philofsky, Amy; Diguiseppi, Carolyn; Lezotte, Dennis; Rogers, Sally; Hepburn, Susan
Titel	Longitudinal Changes in Scores on the Autism Diagnostic Interview-Revised (ADI-R) in Pre-School Children with Autism: Implications for Diagnostic Classification and Symptom Stability
Quelle	In: Autism: The International Journal of Research and Practice, 15 (2011) 5, S.545-562 (18 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/1362361309358332
Schlagwörter	Autism; Preschool Children; Measures (Individuals); Interviews; Parents; Change; Scores; Clinical Diagnosis; Classification; Longitudinal Studies; Mullen Scales of Early Learning; Autism Diagnostic Observation Schedule + Suchen Sie Ihr Suchwort? Autismus; Pre-school age; Preschool age; Child; Children; Pre-school education; Preschool education; Vorschulalter; Kind; Kinder; Vorschulkind; Vorschulkinder; Vorschulerziehung; Vorschule; Messdaten; Interviewing; Interviewtechnik; Eltern; Wandel; Classification system; Klassifikation; Klassifikationssystem; Longitudinal study; Longitudinal method; Longitudinal methods; Längsschnittuntersuchung
Abstract	We prospectively examined mean changes in Autism Diagnostic Interview-Revised (ADI-R) Total and Domains scores and stability of the ADI-R diagnostic classification in 28 children with autism initially assessed at age 2-4 years and reassessed 2 years later. Mean Total, Social Interaction, and Communication scores decreased significantly from Time 1 to Time 2 Restricted/repetitive Domain mean scores did not change over time. The ADI-R diagnostic classification was stable in 67% of children using the current published criteria. The stability increased to 78% when a modified criterion was used in the Restricted/repetitive Domain and to 88% when the broader ASD criteria were used. Among pre-schoolers with autism, parent-reported symptoms decreased significantly at two-year follow-up in Social and Communication Domains but not in the Restricted/repetitive Domain. However, ADI-R diagnostic classification remained relatively stable over time. Revising ADI-R diagnostic criteria in the Restricted/repetitive Domain or including the broader ASD criteria may improve its sensitivity and diagnostic stability in younger children. (Contains 2 tables and 1 figure.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10