UiT-The Arctic University of Norway, Tromsø, Norway.
Yale University, New Haven, CT, USA.
J Atten Disord. 2020 May;24(7):1078-1084. doi: 10.1177/1087054716642518. Epub 2016 Apr 13.
The social disability associated with ADHD often makes diagnostic and treatment decision making challenging. This protocol investigates the test performance of the Autism Mental Status Exam (AMSE) in detecting autism spectrum disorder (ASD) in a sample of 45 children with ADHD and ASD symptomatology. The AMSE is a brief ASD diagnostic assessment administered in the context of a clinical exam. All participants received a developmental evaluation, including the AMSE, followed by independent gold standard diagnostic assessments including the Autism Diagnostic Observation Schedule (ADOS) and the Autism Diagnostic Interview-Revised (ADI-R). Receiver operating characteristics (ROC) curve analysis indicated strong sensitivity and specificity in this population. Optimal cutoff scores are provided. The AMSE holds promise as a brief ASD assessment tool for children with ADHD and ASD symptomatology and as a guide for treatment and referral decisions at the point of care.
多动症相关的社会功能障碍常常使诊断和治疗决策变得具有挑战性。本方案研究了自闭症精神状态检查（AMSE）在检测 45 名具有多动症和自闭症谱系障碍（ASD）症状的儿童样本中的自闭症谱系障碍（ASD）的测试性能。AMSE 是一种简短的 ASD 诊断评估，在临床检查的背景下进行。所有参与者都接受了发育评估，包括 AMSE，然后进行了独立的黄金标准诊断评估，包括自闭症诊断观察量表（ADOS）和自闭症诊断访谈修订版（ADI-R）。受试者工作特征（ROC）曲线分析表明，该人群具有很强的敏感性和特异性。提供了最佳截断分数。AMSE 有望成为多动症和 ASD 症状儿童的 ASD 简短评估工具，并作为护理点治疗和转介决策的指南。
