Journal of Autism and Developmental Disorders

, Volume 38, Issue 3, pp 419–427

Clinical Utility of Autism Spectrum Disorder Scoring Algorithms for the Child Symptom Inventory-4

  • Kenneth D. Gadow
  • Joseph Schwartz
  • Carla DeVincent
  • Greg Strong
  • Simone Cuva
Original Paper

Abstract

Few studies examine the clinical utility of autism spectrum disorder (ASD) rating scales for screening referrals to child psychiatry clinics. Parents/teachers from Long Island, NY, completed the Child Symptom Inventory-4, a DSM-IV-referenced rating scale for 6- to 12-year-old clinical referrals with an ASD (N = 317) or nonASD psychiatric (N = 191) diagnosis. Two separate groups of children attending public school, regular education classes in the same geographic area were also rated by their parents (N = 446) and teachers (N = 464). Stepwise forward regression generated a scoring algorithm based on a subset of all CSI-4 items that best differentiated ASD from nonASD children. ROC analyses indicated high levels of sensitivity/specificity for recommended ASD cutoff scores for parent and teacher ratings.

Keywords

Autism spectrum disorder Child Symptom Inventory-4 Autism Asperger’s syndrome PDD-NOS Pervasive developmental disorder 

References

  1. Aman, M. G., Lam, K. S. L., & Van Bourgondien, M. E. (2005). Medication patterns in patients with autism: Temporal, regional, and demographic influences. Journal of Child and Adolescent Psychopharmacology, 15, 116–126.PubMedCrossRefGoogle Scholar
  2. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.) (DSM-IV). Washington, DC: American Psychiatric Association.Google Scholar
  3. Berkson, J. (1946). Limitations of the application of the fourfold table analysis to hospital data. Biometrics, 2, 47–53.CrossRefGoogle Scholar
  4. Bird, H. R., Gould, M. S., & Staghezza, B. (1992). Aggregating data from multiple informants in child psychiatry epidemiological research. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 78–85.PubMedCrossRefGoogle Scholar
  5. Buitelaar, J. K., Van der Gaag, R., Klin, A., & Volkmar, F. (1999). Exploring the boundaries of pervasive developmental disorder not otherwise specified: Analyses of data from the DSM-IV autistic disorder field trial. Journal of Autism and Developmental Disorders, 29, 33–43.PubMedCrossRefGoogle Scholar
  6. Chen, W. J., Faraone, S. V., Biederman, J., & Tsuang, M. T. (1994). Diagnostic accuracy of the child behavior checklist scales for attention-deficit hyperactivity disorder: A receiver-operating characteristic analysis. Journal of Consulting and Clinical Psychology, 62, 1017–1025.PubMedCrossRefGoogle Scholar
  7. Cicchetti, D. V., Volkmar, F., Klin, A., & Showalter, D. (1995). Diagnosing autism using ICD-10 criteria: A comparison of neural networks and standard multivariate procedures. Child Neuropsychology, 1, 26–37.CrossRefGoogle Scholar
  8. Constantino, J. N., & Todd, R. D. (2003). Autistic traits in the general population. Archives of General Psychiatry, 60, 524–530.PubMedCrossRefGoogle Scholar
  9. Derks, E. M., Hudziak, J. J., Dolan, C. V., Ferdinand, R. F., & Boomsma, D. I. (2006). The relations between DISC-IV DSM diagnoses of ADHD and multi-informant CBCL-AP syndrome scores. Comprehensive Psychiatry, 47, 116–122.PubMedCrossRefGoogle Scholar
  10. DeVincent, C. J., Gadow, K. D., Delosh, D., & Geller, L. (2007). Sleep disturbance and its relation to DSM-IV psychiatric symptoms in preschool-aged children with pervasive developmental disorder and community controls. Journal of Child Neurology, 22, 161–169.CrossRefGoogle Scholar
  11. Drabick, D. A. G., Gadow, K. D., Carlson, G. A., & Bromet, E. J. (2004). ODD and ADHD symptoms in Ukrainian children: External validators and comorbidity. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 735–743.PubMedCrossRefGoogle Scholar
  12. Frick, P. J., Lahey, B. B., Applegate, B., Kerdyck, L., Ollendick, T., Hynd, G. W., Garfinkel, B., Greenhill, L., Biederman, J., Barkley, R. A., McBurnett, K., Newcorn, J., & Waldman, I. (1994). DSM-IV field trials for the disruptive behavior disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 529–539.PubMedCrossRefGoogle Scholar
  13. Gadow, K. D., & DeVincent, C. J. (2005). Clinical significance of tics and attention-deficit hyperactivity disorder (ADHD) in children with pervasive developmental disorder. Journal of Child Neurology, 20, 481–488.PubMedGoogle Scholar
  14. Gadow, K. D., DeVincent, C. J., & Pomeroy, J. (2006). ADHD symptom subtypes in children with pervasive developmental disorder. Journal of Autism and Developmental Disorders, 36, 271–283.PubMedCrossRefGoogle Scholar
  15. Gadow, K. D., DeVincent, C. J., Pomeroy, J., & Azizian, A. (2004). Psychiatric symptoms in preschool children with PDD and clinic and comparison samples. Journal of Autism and Developmental Disorders, 34, 379–393.PubMedCrossRefGoogle Scholar
  16. Gadow, K. D., DeVincent, C. J., Pomeroy, J., & Azizian, A. (2005). Comparison of DSM-IV symptoms in elementary school-aged children with PDD versus clinic and community samples. Autism, 9, 392–415.PubMedCrossRefGoogle Scholar
  17. Gadow, K. D., Drabick, D. A. G., Loney, J., Sprafkin, J., Salisbury, H., Azizian, A., & Schwartz, J. (2004). Comparison of ADHD symptom subtypes as source-specific syndromes. Journal of Child Psychology and Psychiatry, 45, 1135–1149.PubMedCrossRefGoogle Scholar
  18. Gadow, K. D., & Nolan, E. E. (2002). Differences between preschool children with ODD, ADHD, and ODD + ADHD symptoms. Journal of Child Psychology and Psychiatry, 43, 191–201.PubMedCrossRefGoogle Scholar
  19. Gadow, K. D., Nolan, E. E., Litcher, L., Carlson, G. A., Panina, N., Golovakha, E., Sprafkin, J., & Bromet, E. J. (2000). Comparison of attention-deficit/hyperactivity disorder symptom subtypes in Ukrainian schoolchildren. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1520–1527.PubMedCrossRefGoogle Scholar
  20. Gadow, K. D., Nolan, E. E., Sprafkin, J., & Schwartz, J. (2002). Tics and psychiatric comorbidity in children and adolescents. Developmental Medicine and Child Neurology, 44, 330–338.PubMedCrossRefGoogle Scholar
  21. Gadow, K. D., & Sprafkin, J. (1994). Child symptom inventories manual. Stony Brook, NY: Checkmate Plus.Google Scholar
  22. Gadow, K. D., & Sprafkin, J. (2002). Child symptom inventory-4 screening and norms manual. Stony Brook, NY: Checkmate Plus.Google Scholar
  23. Gadow, K. D., & Sprafkin, J. (2005). The symptom inventories: An annotated bibliography [On-line]. Retrived from www.checkmateplus.com.Google Scholar
  24. Gadow, K. D., Sprafkin, J., & Nolan, E. E. (2001). DSM-IV symptoms in community and clinic preschool children. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1383–1392.PubMedCrossRefGoogle Scholar
  25. Gilmour, J., Hill, B., Place, M., & Skuse, D. H (2004). Social communication deficits in conduct disorder: A clinical and community survey. Journal of Child Psychology and Psychiatry, 45, 967–978.PubMedCrossRefGoogle Scholar
  26. Hollingshead, A. B. (1975). Four factor index of social status. New Haven, CT: Department of Sociology, Yale University.Google Scholar
  27. Klin, A., Lang, J., Cicchetti, D. V., & Volkmar, F. R. (2000). Brief report: Interrater reliability of clinical diagnoses and DSM-IV criteria for autistic disorder: Results of the DSM-IV autism field trial. Journal of Autism and Developmental Disorders, 30, 163–167.PubMedCrossRefGoogle Scholar
  28. Klin, A., Pauls, D., Schultz, R., & Volkmar, F. (2005). Three diagnostic approaches to asperger syndrome: Implications for research. Journal of Autism and Developmental Disorders, 35, 221–234.PubMedCrossRefGoogle Scholar
  29. Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Jr., Leventhal, B. L., DiLavore, P. C., Pickles, A., & Rutter, M. (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205–223.PubMedCrossRefGoogle Scholar
  30. Mayes, L., Volkmar, F., Hooks, M., & Cicchetti, D. (1993). Differentiating pervasive developmental disorder not otherwise specified from autism and language disorders. Journal of Autism and Developmental Disorders, 23, 79–90.PubMedCrossRefGoogle Scholar
  31. Mattison, R. E., Gadow, K. D., Sprafkin, J., & Nolan, E. E. (2002). Discriminant validity of a DSM-IV-based teacher checklist: Comparison of regular and special education students. Behavioral Disorders, 27, 304–316.Google Scholar
  32. Mattison, R. E., Gadow, K. D., Sprafkin, J., Nolan, E. E., & Schneider, J. (2003). A DSM-IV-referenced teacher rating scale for use in clinical management. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 442–449.PubMedGoogle Scholar
  33. Newschaffer, C. J., Falb, M. D., & Gurney, J. G. (2005). National autism prevalence trends from United States special education data. Pediatrics, 115, e277–e282.PubMedCrossRefGoogle Scholar
  34. Nolan, E. E., Gadow, K. D., & Sprafkin, J. (2001). Teacher reports of DSM-IV ADHD, ODD, and CD symptoms in schoolchildren. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 241–249.PubMedCrossRefGoogle Scholar
  35. Offord, D. R., Boyle, M. H., Racine, Y., Szatmari, P., Fleming, J. E., Sanford, M., & Lipman, E. L. (1996). Integrating assessment data from multiple informants. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1078–1085.PubMedCrossRefGoogle Scholar
  36. Posserud, M. -B., Lundervold, A. J., & Gillberg, C. (2006). Autistic features in a total population of 7-9-year-old children assessed by the ASSQ (Autism spectrum screening questionnaire). Journal of Child Psychology and Psychiatry, 47, 167–175.PubMedCrossRefGoogle Scholar
  37. Sprafkin, J., Volpe, R. J., Gadow, K. D., Nolan, E. E., & Kelly, K. (2002). A DSM-IV-referenced screening instrument for preschool children: The early childhood inventory-4. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 604–612.PubMedCrossRefGoogle Scholar
  38. Szatmari, P., Bartolucci, G., & Brenner, R. (1989). Asperger’s syndrome and autism: Comparison of early history and outcome. Developmental Medicine and Child Neurology, 31, 709–720.PubMedCrossRefGoogle Scholar
  39. Weisbrot, D. M., Gadow, K. D., DeVincent, C. J., & Pomeroy, J. (2005). The presentation of anxiety in children with pervasive developmental disorders. Journal of Child and Adolescent Psychopharmacology, 15, 477–496.PubMedCrossRefGoogle Scholar
  40. Wiggins, L. D., Baio, J., & Rice, C. (2006). Examination of the time between first evaluation and first autism spectrum diagnosis in a population-based sample. Developmental and Behavioral Pediatrics, 27, S79–S87.CrossRefGoogle Scholar
  41. Woodbury-Smith, M., Klin, A., & Volkmar, F. (2005). Asperger’s syndrome: A comparison of clinical diagnoses and those made according to ICD-10 and DSM-IV. Journal of Autism and Developmental Disorders, 35, 235–240.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Kenneth D. Gadow
    • 1
  • Joseph Schwartz
    • 1
  • Carla DeVincent
    • 2
  • Greg Strong
    • 3
  • Simone Cuva
    • 4
  1. 1.Department of Psychiatry and Behavioral Science, Putnam Hall-South CampusState University of New York at Stony BrookStony BrookUSA
  2. 2.Department of PediatricsState University of New York at Stony BrookStony BrookUSA
  3. 3.Department of PsychologyState University of New York at Stony BrookStony BrookUSA
  4. 4.University of L’AquilaL’AquilaItaly

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