Assessment & Research

A scale to assist the diagnosis of autism and Asperger's disorder in adults (RAADS): a pilot study.

Ritvo et al. (2008) · Journal of autism and developmental disorders 2008
★ The Verdict

RAADS reliably flags autism traits in adults but will not separate autism from Asperger's, so add another tool for differential diagnosis.

✓ Read this if BCBAs who screen or refer adults for autism evaluations.
✗ Skip if Practitioners who work only with toddlers or preschoolers.

01Research in Context

01

What this study did

Ritvo et al. (2008) built a 78-question self-rating scale for adults. They call it RAADS. It asks about social habits, sensory issues, and narrow interests.

The team tested RAADS on adults who already had an autism or Asperger diagnosis. They wanted to see if the scale could spot these conditions and tell them apart.

02

What they found

RAADS caught most adults with autism or Asperger's. It also correctly ruled out most adults who did not have either condition.

The scale could not separate autism from Asperger's. Scores for both groups landed in the same range, so you still need other tools for that job.

03

How this fits with other research

Hirota et al. (2018) later looked at every adult autism screener. Only three tools had solid backup studies. RAADS was one of them, so the field still trusts it.

Riches et al. (2016) took the same idea to adults with intellectual disability. They paired DiBAS-R and ACL to boost accuracy, just like RAADS tries to do with its one long form.

Saemundsen et al. (2003) showed that even gold-standard tools like ADI-R and CARS only agree about two-thirds of the time. That context helps explain why RAADS cannot split autism from Asperger's—most tools struggle with fine lines.

04

Why it matters

If you assess adults who wonder if they are on the spectrum, RAADS gives a quick first signal. Use it as a screen, not a verdict. Pair it with an interview or observation tool when you need to tell autism from Asperger's or rule out social anxiety. The scale saves clinic time and helps clients feel heard.

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Hand the RAADS form to any adult client who says, 'I think I might be on the spectrum,' and use the score to decide if a full evaluation is needed.

02At a glance

Intervention
not applicable
Design
other
Sample size
94
Population
autism spectrum disorder
Finding
positive

03Original abstract

An empirically based 78 question self-rating scale based on DSM-IV-TR and ICD-10 criteria was developed to assist clinicians' diagnosis of adults with autism and Asperger's Disorder-the Ritvo Autism and Asperger's Diagnostic Scale (RAADS). It was standardized on 17 autistic and 20 Asperger's Disorder and 57 comparison subjects. Both autistic and Asperger's groups scored significantly higher than comparison groups with no overlap; sensitivity, specificity, and content validity equaled one. Cronbach's alpha coefficients of internal consistency of three subscales were satisfactory. Gender, age, and diagnostic categories were not significantly associated factors. The RAADS can be administered and scored in less than an hour and may be useful as a clinical scale to assist identification of autism and Asperger's Disorder in adults. The RAADS does not distinguish between autism and Asperger's Disorder.

Journal of autism and developmental disorders, 2008 · doi:10.1007/s10803-007-0380-6