Assessment & Research

The Asperger Syndrome (and high-functioning autism) Diagnostic Interview (ASDI): a preliminary study of a new structured clinical interview.

Gillberg et al. (2001) · Autism : the international journal of research and practice 2001
★ The Verdict

The ASDI interview gives near-perfect agreement across raters and days when diagnosing Asperger Syndrome and high-functioning autism.

✓ Read this if BCBAs who diagnose or refer verbally fluent teens or adults with suspected ASD.
✗ Skip if Clinicians working only with non-speaking or very young children.

01Research in Context

01

What this study did

The team built a new interview called the ASDI. It asks about Asperger traits and high-functioning autism.

They tried it on a small group of people. Two raters gave the interview twice to check if answers stayed the same.

02

What they found

The interview scored better than 0.90 on kappa for both raters and time points. That means almost perfect agreement.

It also matched other trusted tools, so it looks like a valid way to spot Asperger Syndrome and high-functioning autism.

03

How this fits with other research

Lord et al. (1997) did the same kind of work on the ADI-R. The ASDI follows their recipe but zooms in on the high-functioning slice.

Cederlund et al. (2010) later gave the ASDI to older males. They found teens and parents often answered differently, while the ASDI still worked. This extends the 2001 data to a new age band.

Ferreri et al. (2011) showed two short parent checklists matched the long ADI-R over 90% of the time. Their result seems to clash with the ASDI idea that you need a long interview, but the two studies tested different ages and tools. Both agree that parent input is key.

04

Why it matters

If you assess bright clients who talk well, the ASDI gives you a structured script and shows top-notch reliability. Pair it with parent forms for a fuller picture, and always ask yourself whose report you trust most when answers differ.

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→ Action — try this Monday

Add the ASDI questions to your intake folder and test-retest one client with two staff to see the high kappa yourself.

02At a glance

Intervention
not applicable
Design
case series
Population
autism spectrum disorder
Finding
strongly positive

03Original abstract

The development of the Asperger Syndrome (and high-functioning autism) Diagnostic Interview (ASDI) is described. Preliminary data from a clinical study suggest that inter-rater reliability and test-retest stability may be excellent, with kappas exceeding 0.90 in both instances. The validity appears to be relatively good. No attempt was made in the present study to validate the instrument as regards the distinction between Asperger syndrome and high-functioning autism.

Autism : the international journal of research and practice, 2001 · doi:10.1177/1362361301005001006