Abstract
The ADOS characterizes socio-communicative deficits in autism spectrum disorders (ASD). In this study the effect of module choice on ADOS classification was examined. For 74 participants (52 autism, 22 PDD-NOS), Module 1 and Module 2 were administered in a single session. Fifty-one participants maintained ADOS classification, with 17 more impaired on M2 and 6 more impaired on M1. For 64 participants (25 autism, 39 PDD-NOS), Module 2 and Module 3 were administered. Thirty-nine participants maintained classification, with 24 more impaired on M3 and 1 more impaired on M2. As expected, more impairment was indicated when a module with more language and task demands was administered. Clinical judgment of the most appropriate module for administration was found to be important.
Similar content being viewed by others
Notes
These findings should be interpreted with caution because AE scores have significant psychometric weaknesses, and in this case the scores are from multiple measures which introduces additional error. Ratio IQ values are based on AE. Nonetheless, a preliminary sense of the role of verbal and nonverbal abilities on choice of module can be gained from this analysis.
References
DiLavore, P., Lord, C., & Rutter, M. (1995). Pre-linguistic autism diagnostic observation schedule. Journal of Autism and Developmental Disorders, 25, 355–379.
Happe, F. G. E. (1995). The role of age and verbal ability in the theory of mind task performance of subjects with autism. Child Development, 66, 843–855.
Kobayashi, R., Murata, T., & Yoshinaga, K. (1992). A follow-up study of 201 children with autism in Kyushu and Yamaguchi areas, Japan. Journal of Autism and Developmental Disorders, 22, 395–412.
Le Couteur, A., Lord, C., & Rutter, M. (2003). The Autism Diagnostic Interview – Revised (ADI-R). Los Angeles, CA: Western Psychological Services.
Lord, C., Rutter, M., DiLavore, P., & Risi, S. (1999). Autism Diagnostic Observation Schedule (ADOS) manual. Los Angeles, CA: Western Psychological Services.
Lord, C., Rutter, M., Goode, S., Heemsbergen, J., Jordon, H., Mawhood, L., & Schopler, E. (1989). Autism diagnostic observation schedule: A standardized observation of communicative and social behavior. Journal of Autism and Developmental Disorders, 19, 185–212.
Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism & Developmental Disorders, 24(5), 659–685.
Mahoney, W., Szatmari, P., Maclean, J., Bryson, S., Bartolucci, G., Walter, S., Hoult, L., & ones, M. (1998). Reliability and accuracy of differentiating pervasive developmental disorder subtypes. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 278–285.
Mesibov, G. B., Schopler, E., & Hearsey, K. A. (1994). Structured teaching. Behavioral issues in autism: Current issues in autism. New York: Plenum.
Sparrow, S. S., Balla, D. A., & Cicchetti, D. V. (1984). Vineland Adaptive Behavior Scales – Interview Edition. Circle Pines, MN: American Guidance Service.
Tanguay, P. E. (2000). Pervasive developmental disorders: A 10-year review. Journal of the American Academy of Child & Adolescent Psychiatry, 39, 1079–1095.
Tanguay, P. E. (2004). Commentary: Categorical versus spectrum approaches to classification in pervasive developmental disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 181–182.
Venter, A., Lord, C., & Schopler, E. (1992). A follow-up study of high-functioning autistic children. Journal of Child Psychology and Psychiatry, 33, 489–507.
Walker, D. R., Thompson, A., Zwaigenbaum, L., Goldberg, J., Bryson, S. E., Mahoney, S. J., Strawbridge, C. P., & Szatmari, P. (2004). Specifying PDD-NOS: A comparison of PDD-NOS, Asperger Syndrome, and Autism. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 172–180.
Acknowledgments
This research was supported by Grants NIMH RO1 MH066469 and 1 K05 MH01196-01 to Catherine Lord. We also wish to thank the children and their families for their participation. Portions of this research were presented at the 2005 International Meeting for Autism Research in Boston, MA.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Klein-Tasman, B.P., Risi, S. & Lord, C.E. Effect of Language and Task Demands on the Diagnostic Effectiveness of the Autism Diagnostic Observation Schedule: The Impact of Module Choice. J Autism Dev Disord 37, 1224–1234 (2007). https://doi.org/10.1007/s10803-006-0266-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10803-006-0266-z