Diagnostic Utility of the ADI-R and DSM-5 in the Assessment of Latino Children and Adolescents

Magaña, Sandra; Vanegas, Sandra B.

doi:10.1007/s10803-017-3043-2

Cited by 21 publications

(12 citation statements)

References 25 publications

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“…To illustrate, a study amongst a Somali population living in the UK (Fox, Aabe, Turner, Redwood, & Rai, 2016) reported findings that echo reports from populations resident in the horn or East of Africa (Gona et al, 2016;Tekola et al, 2016;Tilahun et al, 2016) regarding the perceptions of autism, experiences of stigma and unmet needs. Ethnic minority groups in high-income countries tend to be under-diagnosed for ASD and under-represented in autism research populations (Decoteau, 2017;Kawa et al, 2016;Sandy Magaña & Vanegas, 2017).…”

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confidence: 99%

A Conceptual Framework for Understanding the Cultural and Contextual Factors on Autism Across the Globe

2020

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Autism research is heavily skewed towards western high-income countries. Culturally appropriate screening and diagnostic instruments for autism are lacking in most low-and middle-income settings where the majority of the global autism population lives. To date, a clear overview of the possible cultural and contextual factors that may affect the process of identifying and diagnosing individuals with ASD is missing. This study aims to outline these factors by proposing a conceptual framework. A multidisciplinary review approach was applied to inform the development of the conceptual framework, combining a systematic review of the relevant autism research literature with a wider literature search spanning key texts in global mental health, cultural psychiatry, cross-cultural psychology and intellectual disability research. The resulting conceptual framework considers the identification, helpseeking and diagnostic process at four interrelated levels: i) the expression, ii) recognition, iii) interpretation and iv) reporting of autism symptoms, and describes the cultural and contextual factors associated with each of these levels, including cultural norms of typical and atypical behaviour, culture-specific approaches to parenting, mental health literacy, cultural beliefs, attitudes and stigma, as well as the affordability, availability, accessibility and acceptability of services. This framework, mapping out the cultural and contextual factors that can affect the identification, help-seeking and diagnosis of ASD, may function as a springboard for the development of culturally appropriate autism screening and diagnostic instruments, and inform future cross-cultural autism research directions. The framework also has relevance for clinicians and policy makers aiming to improve support for underserved autism populations worldwide. Lay summaryThe vast majority of autism research is conducted in western high-income settings. We therefore know relatively little of how culture and context can affect the identification, helpseeking and diagnosis of autism across the globe. This paper synthesises what is known from the autism research literature and a broader literature and maps out how culture and context may affect i) the expression, ii) recognition, iii) interpretation and iv) reporting of autism symptoms.

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confidence: 99%

A Conceptual Framework for Understanding the Cultural and Contextual Factors on Autism Across the Globe

2020

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“…There are equivalence inconsistencies even with gold standard instruments such as ADI-R and ADOS-G. Specifically, Latino adolescents and adults with autism show lower levels of restrictive-and-repetitive behaviors compared to Caucasians [31,32]. Vanegas in 2016, showed that the communication domain from the Spanish-language ADI-R did not distinguish between Latino children with ASD and children with developmental disabilities [32], affecting rates of sensitivity and specificity.…”

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confidence: 99%

Validity of the Diagnostic Interview CRIDI -Autism Spectrum Disorders as a Gold Standard for the Assessment of Autism in Latinos and Mexicans

Albores-Gallo¹,

Lopez²,

Suárez³

et al. 2019

Neuropsychiatry

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“…Conversely, those whom DSM-5 identifies as Level 1 ASD (previously labelled as Asperger's syndrome) will have verbal communication but poor social communication and some repetitive behaviour but the symptoms only became apparent after 12 months. A further study could usefully examine the correspondence between the algorithm items used in Iran and the indicators of ASD derived from DSM-5 as has been undertaken by Magaña and Vanegas (2017) for Latino children in the United States. This would also provide further evidence for the criterion validity of the ADI-R.…”

Section: Discussionmentioning

confidence: 99%

Identifying children with autism spectrum disorders in Iran using the Autism Diagnostic Interview–Revised

Samadi

McConkey

Mahmoodizadeh³

2020

Autism

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The assessment instruments for diagnosing children with autism spectrum disorder have been developed mostly in affluent, English-speaking countries. Among the most popular has been the Autism Diagnostic Interview–Revised. This article reports its use in Iran with the dual aims of confirming the factor structure of the revised Autism Diagnostic Interview when used to assess Iranian children for autism spectrum disorder and to identify the algorithms that best distinguish children with autism spectrum disorder from those who are developing typically and from those with intellectual disability. Study 1 contrasted the Autism Diagnostic Interview–Revised ratings given to 420 children with autism spectrum disorder from those of 110 typically developing children. In Study 2, the Autism Diagnostic Interview–Revised ratings of 720 children with autism spectrum disorder were compared with those of 172 children with intellectual disability, and from those with intellectual disability. Exploratory factor analyses identified one main factor that merged the social interaction and communication items of Autism Diagnostic Interview–Revised, but replicated the repetitive behaviour and verbal factors. Receiver operating characteristic analyses identified suitable cut-off points on the revised factor scores. Also, the age at which symptoms became apparent increased the sensitivity of the algorithm in distinguishing children with autism spectrum disorder from those with intellectual disability. These findings are in line with the Diagnostic and Statistical Manual of Mental Disorders (5th ed.), recommendations and suggest a commonality in autism spectrum disorder presentations across different nations. The methodology used in this research could guide similar adaptations of assessment instruments for use in other cultures. Lay abstract The diagnosis of autism spectrum disorder is a challenging task. Most of the current assessment scales have been developed in the West. The present study examines the applicability of one of the most used scales (the Autism Diagnostic Interview–Revised) in a Middle-Eastern culture. Two studies were undertaken. In the first, the Autism Diagnostic Interview–Revised ratings given to 420 children with autism spectrum disorder, aged 4–11 years, and 110 typically developing children were contrasted. In Study 2, the Autism Diagnostic Interview–Revised ratings of 720 children with autism spectrum disorder were compared with those of 172 children with intellectual disabilities to find out whether the Autism Diagnostic Interview–Revised scale would discriminate between these two types of developmental disabilities. The studies confirmed the acceptability of the scale to Iranian parents and assessors. However, the summary scores used to determine whether a child was likely to have autism spectrum disorder were recalculated on the two domains of social communication and repetitive behaviours, which were identified in the statistical analyses that are recommended for the evaluation of assessment scales. Thus the translated scale with the modified domain scoring proved very suitable for identifying Iranian children with autism spectrum disorder. Having a common tool such as Autism Diagnostic Interview–Revised will strengthen the opportunities to undertake cross-cultural research into the impact of autism spectrum disorder on the child and families.

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Diagnostic Utility of the ADI-R and DSM-5 in the Assessment of Latino Children and Adolescents

Cited by 21 publications

References 25 publications

A Conceptual Framework for Understanding the Cultural and Contextual Factors on Autism Across the Globe

A Conceptual Framework for Understanding the Cultural and Contextual Factors on Autism Across the Globe

Validity of the Diagnostic Interview CRIDI -Autism Spectrum Disorders as a Gold Standard for the Assessment of Autism in Latinos and Mexicans

Identifying children with autism spectrum disorders in Iran using the Autism Diagnostic Interview–Revised

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