Graduate School of Applied & Professional Psychology, Rutgers University-New Brunswick, 607 Allison Road, Smithers Hall, Piscataway, NJ, 08854-8001, USA.
Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, MI, USA.
J Autism Dev Disord. 2020 Mar;50(3):719-729. doi: 10.1007/s10803-019-04302-8.
Few measures are appropriate to assess autism symptoms in minimally verbal adolescents and adults. The Autism Diagnostic Observation Schedule, 2nd Edition (ADOS-2, Lord et al., in Autism diagnostic observation schedule-2nd edition (ADOS-2). Western Psychological Services, Los Angeles, 2012) Modules 1 and 2 were designed and validated with children whose spoken language ranges from few- to- no words to phrase speech. This study describes the development and initial validation of the Adapted-ADOS (A-ADOS), which includes tasks, materials and behavioral codes modified to be suitable for assessing older minimally verbal individuals. A-ADOS algorithms exhibit comparable sensitivity and improved specificity relative to ADOS-2 Modules 1 and 2. Although further validation is needed, the A-ADOS will facilitate research to further understanding of minimally verbal adults and symptom trajectories across the lifespan.
评估极少言语的青少年和成年人的自闭症症状时,几乎没有合适的方法。自闭症诊断观察量表第二版(ADOS-2,Lord 等人,在自闭症诊断观察量表-第二版(ADOS-2)中。西方心理服务,洛杉矶,2012 年)模块 1 和 2 是专为口语语言从少数词到短语语言的儿童设计和验证的。本研究描述了适应自闭症诊断观察量表(A-ADOS)的开发和初步验证,该量表包括经过修改以适合评估年龄较大的语言能力极低的个体的任务、材料和行为代码。A-ADOS 算法相对于 ADOS-2 模块 1 和 2 具有相似的敏感性和更高的特异性。尽管需要进一步验证,但 A-ADOS 将有助于研究,以进一步了解语言能力极低的成年人和整个生命周期的症状轨迹。