Cross-cultural differences in the Parent Rated Social Responsiveness Scale (SRS)? Evaluation of the Finnish version among high-functioning school aged males with and without autism spectrum disorder

Jussila, Katja; Kuusikko‐Gauffin, Sanna; Mattila, Marja‐Leena; Loukusa, Soile; Pollock-Wurman, Rachel; Joskitt, Leena; Moilanen, Irma; Pauls, David L.; Hurtig, Tuula

doi:10.1016/j.rasd.2014.09.008

Cited by 11 publications

(7 citation statements)

References 26 publications

(42 reference statements)

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“…Our primary aim was to examine family patterns of the broader autistic phenotype by measuring QAT in the first-degree relatives of children with ASD with the use of the SRS questionnaire. We have previously found the Finnish SRS to be a valid measure for differentiating children with ASD from a normative peer sample; it demonstrates strong convergent validity with the ASSQ, which is an ASD trait questionnaire used in Finland in clinical settings with high-functioning school-aged children (29). The present study demonstrates the aggregation of autistic traits among the family members of children with ASD.…”

Section: Discussionsupporting

confidence: 58%

Familiality of Quantitative Autism Traits

Jussila¹,

Lyall²,

Kuusikko‐Gauffin³

et al. 2014

Scandinavian Journal of Child and Adolescent Psychiatry and Psychology

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Background: Autistic traits exist along a continuum that extends into social functioning in the general population, and they aggregate in the family members of children with autism spectrum disorder (ASD). Quantitative measures are therefore essential when investigating the patterns of familiality of these traits. Prior studies have suggested differential inheritance patterns of autistic traits that depend on the cognitive level of the child with ASD as well as the family type. Objective: Our goal was to examine the family patterns of quantitative autism traits (QAT) in a group of simplex autism families of high-functioning children with ASD. Method: We used the Social Responsiveness Scale (SRS) to evaluate QAT in 47 ASD families and 46 control families. SRS assessments (parental/spousal evaluations) were collected for the children with ASD, their siblings, and their parents as well as for the control children and their parents. Results The SRS was able to distinguish individuals with ASD from the control children and from their unaffected siblings. Significant group differences were also found when comparing the fathers of ASD families to control fathers and when comparing the brothers of individuals with ASD to control boys, with male members of ASD families having higher SRS scores. Gender differences were observed in the group of siblings of children with ASD and the group of parents of children with ASD, with males having higher scores than females. In ASD families, a positive trend between child and father QAT was found, whereas mothers' scores were not associated with child outcomes. By contrast, in control families, mothers' QAT correlated more strongly with child QAT. Conclusions: Autistic traits aggregate in the fathers and brothers of children with ASD in simplex autism families. The QAT levels of the family members should be taken into consideration when planning the rehabilitation of the child or adolescent with ASD and when designing family interventions.

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Section: Discussionsupporting

confidence: 58%

Familiality of Quantitative Autism Traits

Jussila¹,

Lyall²,

Kuusikko‐Gauffin³

et al. 2014

Scandinavian Journal of Child and Adolescent Psychiatry and Psychology

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“…Since the initial development of the standard SRS [Constantino & Gruber, ], a growing body of research evidence from around the world has highlighted its cross‐cultural validity as an instrument to quantitatively assess autistic symptoms or traits in schoolchildren [Aldridge et al, ; Bölte et al, ; Fombonne et al, ; Jussila et al, ; Kanne et al, ; Schanding et al, ; Wang et al, ; Wigham, McConachie, Tandos, Le Couteur; Gateshead Millennium Study core team, ]. Although a preschool version (the SRS‐P) was subsequently designed, it was not widely disseminated.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Autistic Traits in Children Aged 2 to 4½ Years With the Preschool Version of the Social Responsiveness Scale (SRS‐P): Findings from Japan

et al. 2017

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The recent development and use of autism measures for the general population has led to a growing body of evidence which suggests that autistic traits are distributed along a continuum. However, as most existing autism measures were designed for use in children older than age 4, to date, little is known about the autistic continuum in children younger than age 4. As autistic symptoms are evident in the first few years, to address this research gap, the current study tested the preschool version of the Social Responsiveness Scale (SRS-P) in children aged 2 to 4 1 =2 years in clinical (N 5 74, average age 40 months, 26-51 months) and community settings (N 5 357, average age 39 months, 25-50 months) in Japan. Using information obtained from different raters (mothers, other caregivers, and teachers) it was found that the scale demonstrated a good degree of internal consistency, inter-rater reliability and test-retest reliability, and a satisfactory degree of convergent validity for the clinical sample when compared with scores from diagnostic "gold standard" autism measures. Receiver operating characteristic analyses and the group comparisons also showed that the SRS-P total score discriminated well between children with autism spectrum disorder (ASD) and those without ASD. Importantly, this scale could identify autistic symptoms or traits distributed continually across the child population at this age irrespective of the presence of an ASD diagnosis. These findings suggest that the SRS-P might be a sensitive instrument for case identification including subthreshold ASD, as well as a potentially useful research tool for exploring ASD endophenotypes. Autism Res 2017, 10: 852-865.

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“…The SRS measures autistic traits in children aged 4–18 years and comprises 65 items rated on a 4-point Likert scale ranging from 0 (never true) to 3 (almost always true), and its psychometric properties are well established. 52 – 55 General population norms are available from German, British, Dutch, and Finnish samples in Europe, 54 – 57 and for USA by the authors of the SRS. 52 As the cutoff scores in the original SRS manual have been higher than those in German, Dutch, Finnish and Japanese samples, the original norms were used to minimize false positives.…”

Section: Methodsmentioning

confidence: 99%

Prevalence of autism traits and attention-deficit hyperactivity disorder symptoms in a clinical sample of children and adolescents with chronic pain

Lipsker

Bölte

Hirvikoski

et al. 2018

JPR

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PurposeRecent research has suggested that autism spectrum disorder (ASD) and attention-deficit hyperactivity disorder (ADHD) may be comorbid to pediatric chronic pain, but the empirical support is yet scarce. Therefore, the current study aimed to investigate the occurrence of traits and symptoms consistent with clinically significant ASD and ADHD in a group of children and adolescents with chronic debilitating pain and examine potential differences in pain and demographic variables between children with and without clinically significant traits and symptoms of ASD and ADHD.Patients and methodsThis cross-sectional study included 146 parent–child dyads (102 girls, 111 mothers, children 8–17 years) consecutively referred to a tertiary pain clinic. Parents completed the Social Responsiveness Scale to assess autistic traits, and Conners-3 to measure symptoms of ADHD in their children. Children completed the Lübeck Pain Questionnaire to evaluate experienced pain.ResultsAmong children, 20 (13.7%) received scores consistent with clinically significant ASD and 29 (19.9%) received scores consistent with clinically significant ADHD, with a combined prevalence of clinically significant ASD/ADHD traits and symptoms of 26% of the total sample. Only 4.8% of children were previously diagnosed with either disorder. Among children with clinically significant ASD traits, girls were more prevalent, parents reported lower health, and the pain was more likely triggered by being in school. Among children with clinically significant ADHD symptoms, there were no gender differences and pain was more likely triggered by the family situation and new situations. No differences regarding pain intensity, duration, or frequency were found between children with and without clinically significant ASD traits or ADHD symptoms.ConclusionChildren with debilitating chronic pain, particularly girls, may present with an elevated risk of having a comorbid, possibly high-functioning, neurodevelopmental disorder. Results suggest that clinical assessment of pediatric chronic pain should include screening for neurodevelopmental disorders.

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Cross-cultural differences in the Parent Rated Social Responsiveness Scale (SRS)? Evaluation of the Finnish version among high-functioning school aged males with and without autism spectrum disorder

Cited by 11 publications

References 26 publications

Familiality of Quantitative Autism Traits

Familiality of Quantitative Autism Traits

Assessment of Autistic Traits in Children Aged 2 to 4½ Years With the Preschool Version of the Social Responsiveness Scale (SRS‐P): Findings from Japan

Prevalence of autism traits and attention-deficit hyperactivity disorder symptoms in a clinical sample of children and adolescents with chronic pain

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