The Autism Diagnostic Observation Schedule, Module 4: Application of the Revised Algorithms in an Independent, Well-Defined, Dutch Sample (n = 93)

Annelies de Bildt, Sjoerd Sytema, Harma Meffert, Jojanneke A.C.J. Bastiaansen

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

This study examined the discriminative ability of the revised Autism Diagnostic Observation Schedule module 4 algorithm (Hus and Lord in J Autism Dev Disord 44(8):1996–2012, 2014) in 93 Dutch males with Autism Spectrum Disorder (ASD), schizophrenia, psychopathy or controls. Discriminative ability of the revised algorithm ASD cut-off resembled the original algorithm ASD cut-off: highly specific for psychopathy and controls, lower sensitivity than Hus and Lord (2014; i.e. ASD.61, AD.53). The revised algorithm AD cut-off improved sensitivity over the original algorithm. Discriminating ASD from schizophrenia was still challenging, but the better-balanced sensitivity (.53) and specificity (.78) of the revised algorithm AD cut-off may aide clinicians’ differential diagnosis. Findings support using the revised algorithm, being conceptually conform the other modules, thus improving comparability across the lifespan.

Original languageEnglish (US)
Pages (from-to)21-30
Number of pages10
JournalJournal of Autism and Developmental Disorders
Volume46
Issue number1
DOIs
StatePublished - Jan 1 2016

Keywords

  • Adults
  • Assessment
  • Autism Spectrum Disorder
  • Classification
  • Psychopathy
  • Schizophrenia

ASJC Scopus subject areas

  • Developmental and Educational Psychology

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