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J Autism Dev Disord. 2017 Nov;47(11):3370-3379. doi: 10.1007/s10803-017-3258-2.

Diagnosing ASD in Adults Without ID: Accuracy of the ADOS-2 and the ADI-R.

Author information

1
Department of Brain and Behavioral Sciences, University of Pavia, via Bassi 21, 27100, Pavia, Italy. laura.fusarpoli@gmail.com.
2
Department of Brain and Behavioral Sciences, University of Pavia, via Bassi 21, 27100, Pavia, Italy.

Abstract

Diagnosing autism spectrum disorder (ASD) in adulthood often represents a challenge in clinical practice. The aim of the present study was to evaluate the sensitivity and specificity of the ADOS and ADI-R in diagnosing ASD in adults. 113 subjects with an IQ of 70 or above were assessed through an extensive clinical evaluation. The ADOS-2 Module 4 and the ADI-R were separately administered by staff members blind to clinical judgment. Our results cautiously confirm the accuracy of ADOS-2 Module 4, while suggest that ADI-R might not be reliable in adults without intellectual disability. Clinicians' training and experience remains of primary importance while assessing adults who could potentially belong to the autism spectrum.

KEYWORDS:

ADI-R; ADOS; Adult; Autism; DSM-5; Diagnosis

PMID:
28755032
DOI:
10.1007/s10803-017-3258-2
[Indexed for MEDLINE]

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