Skip to main content
Log in

Diagnosing Autism: Analyses of Data from the Autism Diagnostic Interview

  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

Results from ROC curves of items from two scales, the Autism Diagnostic Interview (ADI) and Autism Diagnostic Interview-Revised (ADI-R), operationalizing DSM-IV criteria for autism are presented for 319 autistic and 113 other subjects from 8 international autism centers. Analyses indicate that multiple items were necessary to attain adequate sensitivity and specificity if samples with varying levels of language were considered separately. Although considering only current behavior was generally sufficient when a combination cutoff and additive model was employed, predictive power was highest when history was taken into account. A single set of criteria, as operationalized by individually structured questions in the ADI/ADI-R, was effective in differentiating autism from mental handicap and language impairment in subjects with a range of chronological ages and developmental levels.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

REFERENCES

  • American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author

    Google Scholar 

  • American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (DSM-III-R) (3rd ed., Rev.). Washington, DC: Author

    Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Arthur, G. (1952). The Arthur adaptation of the Leiter International Performance Scale. Chicago: The Psychological Service Center Press.

    Google Scholar 

  • Baker, R. J. & Nelder, J. A. (1978/1982). In A. L. Baldwin, R. E. Cole, & C. P. Baldwin (Eds.), The GLIM system manual, release 3. Oxford, U.K.: Numerical Algorithms Group.

    Google Scholar 

  • Fombonne, E. (1992). Diagnostic assessment in a sample of autistic and developmentally delayed adolescents. Journal of Autism and Developmental Disorders, 22, 563–582.

    Google Scholar 

  • Fombonne, E. (1995). Troubles sévères du dévelopement. In Le bilan a l'adolescence (p. 262). Paris: éditions du CTNERHI.

    Google Scholar 

  • Kraemer, H. C. (1988). Assessment of 2 × 2 associations: Generalization of signal detection methodology. American Statistician, 42, 37–49.

    Google Scholar 

  • Le Couteur, A., Rutter, M., Lord, C., Rios, P. Robertson, S., Holdgrafer, M., & McLennan, J. D. (1989). Autism Diagnostic Interview: A semistructured interview for parents and caregivers of autistic persons. Journal of Autism and Developmental Disorders, 19, 363–387.

    Google Scholar 

  • 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 and Developmental Disorders, 24, 659–685.

    Google Scholar 

  • Lord, C., Storoschuk, S., Rutter, M., & Pickles, A. (1993). Using the ADI-R to diagnose autism in preschool children. Infant Mental Health Journal, 14, 234–252.

    Google Scholar 

  • Raven, J. C. (1956). Guide to using the Coloured Progressive Matrices. London: H. K. Lewis.

    Google Scholar 

  • Rutter, M. (1978). Diagnosis and definition. In M. Rutter & E. Schopler (Eds.), Autism: A reappraisal of concepts and treatment (pp. 1–26). New York: Plenum Press.

    Google Scholar 

  • Siegel, B., Vukicevic, J., Elliott, G., & Kraemer, H. (1989). The use of signal detection theory to assess DSM-III-R criteria for autistic disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 542–548.

    Google Scholar 

  • Sparrow, S., Balla, D., & Cicchetti, D. (1984). Vineland Adaptive Behavior Scales. Circle Pines, MN: American Guidance Service.

    Google Scholar 

  • Stutsman, R. (1931). Guide for administering the Merrill-Palmer Scale of Mental Tests. In L. M. Terman (Ed.), Mental measurement of preschool children (pp. 139–262). New York: Harcourt, Brace & World.

    Google Scholar 

  • Volkmar, F. R., Klin, A., Siegal, B., Szatmari, P., Lord, C., Campbell, M., Freeman, B. J., Cicchetti, D. V., & Rutter, M., Kline, W., Buitelaar, J., Hattab, Y, Fombonne, E., Fuentes, J., Werry, J., Stone, W., Kerbeshian, J., Hoshino, Y., Bregman, J., Loveland, K., Szymanski, L., & Towbin, K. (1994). Field trial for autistic disorder in DSM-IV. American Journal of Psychiatry, 151, 1361–1367.

    Google Scholar 

  • Wechsler, D. (1974). Manual for the Wechsler Intelligence Scale for Children-Revised. San Antonio, TX: Psychological Corp.

    Google Scholar 

  • Wechsler, D. (1981). Wechsler Adult Intelligence Scale-Revised. New York: Psychological Corp.

    Google Scholar 

  • World Health Organization. (1987). ICD-I0 1986 draft of chapter 5 categories F00–F99. Mental, behavioural and developmental disorders. Geneva: Author.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lord, C., Pickles, A., McLennan, J. et al. Diagnosing Autism: Analyses of Data from the Autism Diagnostic Interview. J Autism Dev Disord 27, 501–517 (1997). https://doi.org/10.1023/A:1025873925661

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1025873925661

Keywords

Navigation