Child Psychiatry & Human Development

, Volume 50, Issue 6, pp 987–1001 | Cite as

Description of Criterion Validity of the Autism Spectrum Rating Scales 6–18 Parent Report: Initial Exploration in a Large Community Sample

  • Amy CamodecaEmail author
Original Article


Research regarding psychometric properties of autism spectrum disorder questionnaires is lacking. This study explored the criterion validity of the ASRS 6–18 parent report (ASRS-6–18-P) in a large, well-characterized, real-world clinical sample of 422 children (\(\bar{X}_{\text{age}} = 10.04;\) autism [AUT] n = 139; non-autism [NOT] n = 283) evaluated with the Autism Diagnostic Observation Schedule-2, a gold-standard measure. Significant mean differences were observed for DSM-5, social, and unusual behaviors. Total, DSM-5, social, and unusual behaviors demonstrated significant correlations with ADOS-2 comparison scores (modules 1–3), but not with module 4 (raw) scores. DSM-5 and Unusual Behaviors demonstrated significant but poor AUCs (0.60). Findings with/without covariates (IQ/age) were overall similar. Sensitivity and specificity could not be optimized. The suggested cutpoint (T-score = 60) demonstrated unacceptably high false positive rates (> 76.33%). While findings suggest limited diagnostic utility of the ASRS-6–18-P, the sample’s complex psychiatric presentation and measurement error inherent in cutoff score application should be considered when generalizing results. Further research is recommended.


Autism spectrum disorder Parent report Validity ROC analyses 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with animals performed by any of the authors. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required.

Supplementary material

10578_2019_899_MOESM1_ESM.docx (36 kb)
Supplementary material 1 (DOCX 36 kb)


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Authors and Affiliations

  1. 1.The Pennsylvania State UniversityMonacaUSA

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