Journal of Autism and Developmental Disorders

, Volume 23, Issue 4, pp 639–652

A structured parent interview for identifying young children with autism

  • Wendy L. Stone
  • Kerry L. Hogan


This study evaluated the psychometric properties of the Parent Interview for Autism (PIA), a structured interview for gathering diagnostic information from parents of young children with autism. Internal consistency was evaluated in a sample of 165 children under 6 years old, and test-retest reliability and construct validity were evaluated in subsamples of the original group. Results revealed internal consistency and test-retest reliability above. 60 for 9 of the 11 dimensions constituting the PIA, as well as significant correlations between the PIA and other measures of autism. Six of the PIA dimensions differentiated a group of young children with autism from a developmentally comparable group with mental retardation. Implications of these findings and suggestions for future research are discussed.


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  1. Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity.Psychological Bulletin, 101, 213–232.Google Scholar
  2. Aitken, K. (1991). Diagnostic issues in autism—Are we measuring the emperor for another suit of clothes?Developmental Medicine and Child Neurology, 33, 1015–1020.Google Scholar
  3. American Psychiatric Association. (1987).Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.Google Scholar
  4. Borden, M. C., & Ollendick, T. H. (1992). The development and differentiation of social subtypes in autism. In B. B. Lahey & A. E. Kazdin (Eds.),Advances in clinical child psychology (Vol. 11, pp. 61–106). New York: Plenum Press.Google Scholar
  5. Campbell, S. B., Szumwski, E. K., Ewing, L. J., Gluck, D. S., & Breaux, A. M. (1982). A multidimensional assessment of parent-identified behavior problem toddlers.Journal of Abnormal Child Psychology, 10, 569–592.Google Scholar
  6. Dahlgren, S. O., & Gillberg, C. (1989). Symptoms in the first two years of life.European Archives of Psychiatry and Neurological Science, 238, 169–174.Google Scholar
  7. Dulcan, M. K., Costello, E. J., Costello, A. J., Edelbrock C., Brent, D., & Janiszwski, S. (1990). The pediatrician as gatekeeper to mental health care for children: Do parents' concerns open the gate?Journal of the American Academy of Child, and Adolescent Psychiatry, 29, 453–458.Google Scholar
  8. Gillberg, C., Ehlers, S., Schaumann, H., Jakobsson, G., Dahlgren, S. O., Lindbolm, R., Bagenholm, A., Tjuus, T., & Blidner, E. (1990). Autism under age 3 years: A clinical study of 28 cases referred for autistic symptoms in infancy.Journal of Child Psychology and Psychiatry, 31, 921–934.Google Scholar
  9. Glascoe, F. P., MacLean, W. E., & Stone, W. L. (1991). The importance of parents' concerns about their child's behavior.Clinical Pediatrics, 30, 8–11.Google Scholar
  10. Hobson, R. P. (1991). What is autism?Psychiatric Clinics of North America, 14, 1–17.Google Scholar
  11. Hoshino, Y., Kumashiro, H., Yashima, Y., Tachibana, R., Watanabe, M., & Furukawa, H. (1982). Early symptoms of autistic children and its diagnostic significance.Folia Psychiatrica et Neurologica, 36, 367–374.Google Scholar
  12. Hoyson, M., Jamieson, B., & Strain, P. S. (1984, Summer). Individualized group instruction of normally developing and autistic-like children: The LEAP curriculum model.Journal of the Division for Early Childhood, 157–172.Google Scholar
  13. Krug, D. A., Arick, J. R., & Almond, P. J. (1980). Behavior checklist for identifying severely handicapped individuals with high levels of autistic hehavior.Journal of Child Psychology and Psychiatry, 21, 221–229.Google Scholar
  14. Le Couteur, A., Rutter, M., Lord, C., Rios, P., Robertson, S., Holdgrafer, M., & McLennan, J. (1989). Autism Diagnostic Interview: A standardized investigator-based instrument.Journal of Autism and Developmental Disorders, 19, 363–387.Google Scholar
  15. Lord, C. (1991a). Methods and measures of behavior in the diagnosis of autism and related disorders.Psychiatric Clinics of North America, 14, 69–80.Google Scholar
  16. Lord, C. (1991b, April).Follow-ups of two-years-olds referred for possible autism. Paper presented at the meeting of the Society for Research in Child Development, Seattle, WA.Google Scholar
  17. Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children.Journal of Consulting and Clinical Psychology, 55, 3–9.Google Scholar
  18. Marcus, L., & Baker, A. (1986). Assessment of autistic children. In R. J. Simeonsson (Ed.),Psychological and developmental assessment of special children (pp. 279–304)., Boston: Allyn & Bacon.Google Scholar
  19. Mednick, S. A., & Schaffer, J. B. (1963). Mothers' retrospective reports in child-rearing research.American Journal of Orthopsychiatry, 33, 457–461.Google Scholar
  20. Morgan, S. (1988). Diagnostic assessment of autism: A review of objective scales.Journal of Psychoeducational Assessment, 6, 139–151.Google Scholar
  21. Ohta, M., Nagai, Y., Hara, H., & Sasaki, M. (1987). Parental perception of behavioral symptoms in Japanese autistic children.Journal of Autism and Developmental Disorders, 17, 549–563.Google Scholar
  22. Ornitz E. M., Guthrie, D., & Farley, A. J. (1978). The early symptoms of childhood autism. In G. Serban (Ed.),Cognitive defects in the development of mental illness (pp. 24–42). New York: Brunner/Mazel.Google Scholar
  23. Parks, S. L. (1983). The assessment of autistic children: A selective review of available instruments.Journal of Autism and Developmental Disorders, 13, 255–267.Google Scholar
  24. Rimland, B. (1971). The differentiation of childhood psychoses: An analysis of checklists for 2,218 psychotic children.Journal of Autism and Childhood Schizophrenia, 1, 161–174.Google Scholar
  25. Robbins, L. C. (1963). The accuracy of parental recall of aspects of child development and of child rearing practices.Journal of Abnormal and Social Psychology, 66, 261–270.Google Scholar
  26. Rogers, S. J., & Lewis, H. (1989). An effective day treatment model for young children with pervasive developmental disorders.Journal of the American Academy of Child and Adolescent Psychiatry, 28, 207–214.Google Scholar
  27. Rutter, M. (1978). Diagnosis and definition of childhood autism.Journal of Autism and Developmental Disorders, 8, 139–161.Google Scholar
  28. Rutter, M., & Schopler, E. (1987). Autism and pervasive developmental disorders: Concepts and diagnostic issues.Journal of Autism and Developmental Disorders, 17, 159–186.Google Scholar
  29. Schopler, E. (1983). New developments in the definition and diagnosis of autism. In B. B. Lahey & A. E. Kazdin (Eds.)Advances in clinical child psychology (Vol. 6, pp. 93–127). New York: Plenum Press.Google Scholar
  30. Schopler, E., Reichler, R. J. & Renner, B. R. (1986).The Childhood Autism Rating Scale (CARS) for diagnostic screening and classification of autism. New York: Irvington.Google Scholar
  31. Schreibman, L., & Charlop, M. H. (1987). Autism. In V. B. Van Hasselt & M. Hersen (Eds.),Psychological evaluation of the developmentally and physically disabled (pp. 155–177). New York: Plenum Press.Google Scholar
  32. Sevin, J. A., Matson, J. L., Coe, D. A., Fee, V. E. & Sevin, B. M. (1991). A comparison of three commonly used autism scales.Journal of Autism and Developmental Disorders, 21, 417–432.Google Scholar
  33. Siegel, B., Pliner, C., Eschler, J., & Elliott, G. R. (1988). How children with autism are diagnosed: Difficulties in identification of children with multiple developmental delays.Developmental and Behavioral Pediatrics, 9, 199–204.Google Scholar
  34. Siegel, B., Vukicevic, J., & Spitzer, R. L. (1990). Using signal detection methodology to revise DSM-III-R: Re-analysis of the DSM-III-R national field trials for autistic disorder.Journal of Psychiatric Research, 24, 293–311.Google Scholar
  35. Stone, W. L. (1987). Cross-disciplinary perspectives on autism.Journal of Pediatric Psychology, 12, 615–630.Google Scholar
  36. Stone, W. L., & Rosenbaum, J. L. (1988). A comparison of teacher and parent views of autism.Journal of Autism and Developmental Disorders, 18, 403–414.Google Scholar
  37. Strain, P. S., Hoyson, M., & Jamieson, B. (1985). Normally developing preschoolers as intervention agents for autistic-like children: Effects on class deportment and social interaction.Journal of the Division for Early Childhood, Spring, 105–115.Google Scholar
  38. Sturmey, P., Matson, J. L., & Sevin, J. A. (1992). Brief report: Analysis of the internal consistency of three autism scales.Journal of Autism and Developmental Disorders, 22, 321–328.Google Scholar
  39. Teal, M. B., & Wiebe, M. J. (1986). A validity analysis of selected instruments used to assess autism.Journal of Autism and Developmental Disorders, 16, 485–494.Google Scholar
  40. Wing, L. (1969). The handicaps of autistic children—A comparative study.Journal of Child Psychology and Psychiatry, 10, 1–40.Google Scholar
  41. Wing, L. (1981). Language, social, and cognitive impairments in autism and severe mental retardation.Journal of Autism and Developmental Disorders, 11, 31–44.Google Scholar
  42. Wing, L. & Gould, J. (1979). Severe impairments of social interaction and associated abnormalities in children: Epidemiology and classification.Journal of Autism and Developmental Disorders, 9, 11–29.Google Scholar
  43. Wolf, E. G., Friedman, E., & Cohen, I. (1982).Autism Descriptors Checklist. Unpublished manuscript, Institute for Basic Research in Developmental Disabilities, Staten Island, NY.Google Scholar
  44. Zahner, G. E. P., & Pauls, D. L. (1987). Epidemiological surveys of infantile autism. In D. J. Cohen & A. M. Donnellan (Eds.),Handbook of autism and pervasive developmental disorders (pp. 199–207) Silver Spring, MD: Winston.Google Scholar

Copyright information

© Plenum Publishing Corporation 1993

Authors and Affiliations

  • Wendy L. Stone
    • 1
  • Kerry L. Hogan
    • 1
  1. 1.Vanderbilt University School of MedicineUSA
  2. 2.Child Development CenterVanderbilt University Medical Center SouthNashville

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