Utility of the Asperger Syndrome Diagnostic Scale in the Assessment of Autism Spectrum Disorders.
The Asperger Syndrome Diagnostic Scale is a decent sidekick, not the star—use it with ADOS-2.
01Research in Context
What this study did
Camodeca et al. (2020) checked how well the Asperger Syndrome Diagnostic Scale (ASDS) works. They gave the scale to kids with autism and to typically developing kids. Then they ran numbers on how consistent the items were and how often the scale got the diagnosis right.
What they found
The scale items hung together fairly well. When they set a cut-off score, the tool flagged most kids who had an ASD diagnosis and ruled out most who did not. Still, the authors say it should only be a helper tool, not the main test.
How this fits with other research
Matson et al. (2008) did the same kind of math on the ASD-DA in adults with intellectual disability. Both papers found decent agreement with DSM criteria and both call their tool 'supplemental,' even though the age groups differ.
Smit et al. (2019) also ran psychometrics on the DANVA-2 in high-functioning children. Like Amy et al., they got good internal consistency, but they too warn that test scores do not line up with parent reports of real-world social problems.
Lopata et al. (2020) looked at a teacher checklist for social skills in the same age band. All three studies—ASDS, DANVA-2, and Adapted Skillstreaming—end with the same note: the measure is sound, yet you still need other data to make decisions.
Why it matters
If you test kids for ASD, you now have fresh evidence that the ASDS is okay as a quick screener, but it is not a stand-alone ticket to diagnosis. Pair it with the ADOS-2 and good developmental history. That one extra step keeps your conclusions solid and saves families from false positives.
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02At a glance
03Original abstract
Investigated internal consistency reliability and criterion validity of the Asperger Syndrome Diagnostic Scale (ASDS) in a well-characterized sample of 120 children ([Formula: see text] = 9.91; autism [AUT] n = 54; non-autism [NOT] n = 66) who completed comprehensive outpatient evaluations with a gold-standard measure, the Autism Diagnostic Observation Schedule-2. With the exception of a low Cognitive alpha in the AUT group, internal consistency reliabilities ranged from moderate to high. Significant between-group mean differences were observed for all scores. Receiver operating characteristic analyses indicated Area Under the Curve in the fair range (.71). Cutoff points and interpretation are discussed. The ASDS appears most useful in cases of either low or high scores or as an adjuvant to gold-standard measures.
Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-019-04272-x