Abstract
The Autism Mental Status Examination (AMSE) described here is an eight-item observational assessment that prompts the observation and recording of signs and symptoms of autism spectrum disorders (ASD). The AMSE is intended to take place seamlessly in the context of a clinical exam and produces a total score. Subjects were independently administered the AMSE and the Autism Diagnostic Observation Schedule (ADOS). The ADOS was used to estimate the most effective criterion cut-off on the AMSE. A score of five or greater produced excellent sensitivity and good specificity in a high-risk sample. Internal consistency was acceptable and inter-rater reliability was good to excellent. Preliminary findings indicate excellent classification accuracy and suggest that the AMSE provides a rapid and reliable observational assessment in a high-risk population.
References
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
Cicchetti, D. (1994). Guielines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment, 6, 284–290.
Constantino, J. N. (2002). The social responsiveness scale. Los Angeles: Western Psychological Services.
Dosreis, S., Weiner, C. L., Johnson, L., & Newschaffer, C. J. (2006). Autism spectrum disorder screening and management practices among general pediatric providers. Journal of Developmental and Behavioral Pediatrics, 27, 88–94.
Gotham, K., Pickles, A., & Lord, C. (2009). Standardizing ADOS scores for a measure of severity in autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 693–705.
Grodberg, D., Weinger, P., Soorya, L., Kolevzon, A., Erlanger, D., & Buxbaum, J. (2010). The autism mental status examination (AMSE): Preliminary development of an autism focused exam. New York, NY: Poster session presented at the annual meeting of the American Academy of Child and Adolescent Psychiatry.
Johnson, C. P., Myers, S. M., & American Academy of Pediatrics Council on Children with Disabilities. (2007). Identification and evaluation of children with autism spectrum disorders. Pediatrics, 120, 1183–1215.
Klin, A., Saulnier, C., Tsatsanis, K., & Volkmar, F. R. (2005). Clinical evaluation in autism spectrum disorders: Psychological assessment within a transdisciplinary framework. In F. R. Volkmar, R. Paul, A. Klin, & D. Cohen (Eds.), Handbook of autism and pervasive developmental disorders (3rd ed., pp. 772–798). New York: Wiley & Sons.
Lord, C., Risi, S., Lambrecht, L., Cook, E. H. J., Leventhal, B. L., DiLavore, P. C., et al. (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.
Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2002). Autism diagnostic observation schedule. Los Angeles: Western Psychological Services.
Risi, S., Lord, C., Gotham, K., Corsello, C., Chrysler, C., Szatmari, P., et al. (2006). Combining information from multiple sources in the diagnosis of autism spectrum disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 1094–1103.
Robins, D. L., Fein, D., Barton, M. L., & Green, J. A. (2001). The modified checklist for autism in toddlers: an initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31, 131–144.
Rutter, M., Bailey, A., & Lord, C. (2003a). SCQ: The social communication questionnaire. Manual. Los Angeles, CA: Western Psychological Services.
Rutter, M., Le Couteur, A., & Lord, C. (2003b). ADI-R: The autism diagnostic interview-revised. Los Angeles, CA: Western Psychologoical Services.
Shattuck, P. T., & Grosse, S. D. (2007). Issues related to the diagnosis and treatment of autism spectrum disorders. Mental Retardation and Developmental Disabilities Research, 13, 129–135.
Acknowledgments
We would like to thank all of our participants and their families. We would also like to acknowledge the psychologists and research coordinators who assisted with data collection. Many thanks to Vance Zemon for his assistance. This study was supported by the Beatrice and Samuel A. Seaver Foundation.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Grodberg, D., Weinger, P.M., Kolevzon, A. et al. Brief Report: The Autism Mental Status Examination: Development of a Brief Autism-Focused Exam. J Autism Dev Disord 42, 455–459 (2012). https://doi.org/10.1007/s10803-011-1255-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10803-011-1255-4