ERIC Number: EJ1152590
Record Type: Journal
Publication Date: 2017-Sep
Abstractor: As Provided
The Accuracy of the ADOS-2 in Identifying Autism among Adults with Complex Psychiatric Conditions
Maddox, Brenna B.; Brodkin, Edward S.; Calkins, Monica E.; Shea, Kathleen; Mullan, Katherine; Hostager, Jack; Mandell, David S.; Miller, Judith S.
Journal of Autism and Developmental Disorders, v47 n9 p2703-2709 Sep 2017
The Autism Diagnostic Observation Schedule, Second Edition (ADOS-2), Module 4 is considered a "gold-standard" instrument for diagnosing autism spectrum disorder (ASD) in adults. Although the ADOS-2 shows good sensitivity and specificity in lab-based settings, it is unknown whether these results hold in community clinics that serve a more psychiatrically impaired population. This study is the first to evaluate the diagnostic accuracy of the ADOS-2 among adults in community mental health centers (n = 75). The ADOS-2 accurately identified all adults with ASD; however, it also had a high rate of false positives among adults with psychosis (30%). Findings serve as a reminder that social communication difficulties measured by the ADOS-2 are not specific to ASD, particularly in clinically complex settings.
Descriptors: Diagnostic Tests, Autism, Observation, Pervasive Developmental Disorders, Adults, Mental Disorders, Accuracy, Community Health Services, Clinical Diagnosis, Psychosis, Comorbidity
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Sponsor: National Institute of Mental Health (DHHS/NIH)
Authoring Institution: N/A
Identifiers - Assessments and Surveys: Autism Diagnostic Observation Schedule
Grant or Contract Numbers: R34MH100356