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

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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.

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Acknowledgment

This study was supported, in part, by a grant from the Matt and Debra Cody Center for Autism and Developmental Disorders.

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Correspondence to Kenneth D. Gadow.

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Gadow, K.D., Schwartz, J., DeVincent, C. et al. Clinical Utility of Autism Spectrum Disorder Scoring Algorithms for the Child Symptom Inventory-4. J Autism Dev Disord 38, 419–427 (2008). https://doi.org/10.1007/s10803-007-0408-y

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  • DOI: https://doi.org/10.1007/s10803-007-0408-y

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