Validating the Autism Diagnostic Interview-Revised in the Korean Population

Oh, Miae; Song, Da-Yea; Bong, Guiyoung; Yoon, Nan He; Kim, So Yoon; Kim, Joo Hyun; Kim, Jongmyeong; Yoo, Hee Jeong

doi:10.30773/pi.2020.0337

Cited by 9 publications

(12 citation statements)

References 41 publications

(70 reference statements)

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“…Another study by the author has also demonstrated the high validity of the Korean ADI-R in ASD detection in comparison with the OD group. 42 Furthermore, the significant difference in SRS mean scores was maintained in the subgroup analysis of children aged below 30 months. The result supports that the SRS preschool form may sustain its diagnostic efficacy in Korean children population even below its original indicated age group, and can thus aid in prescreening procedures for children below 30 months.…”

Section: Discussionmentioning

confidence: 83%

“…This may suggest that SRS may be employed not only as a screening instrument to differentiate ASD and non-ASD, but may also aid in the in-depth screening and diagnosis of ASD, supporting the endeavor to detect and differentiate ASD from other development disorders. Another study by the author has also demonstrated the high validity of the Korean ADI-R in ASD detection in comparison with the OD group [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

“…Compared to the original cut-off score of 15, the optimal cut-off scores were 12 points for children aged 48 months and above, and 10 points for children below 47 months based on Korean data [ 38 ]. The consistent lower cut-off scores in Korean data across various screening tools which depend on self-reports may indicate relatively lower recognition of the symptoms or risk signs of ASD [ 42 ], or the tendency of Korean caregivers to report the children’s status in a more positive manner and with more caution due to the negative social stigma surrounding behavioral and mental health problems [ 11 ]; conversely, they may have a more lenient standards in evaluating the children’s behavior. The findings suggest that the risk of false negative diagnoses is even higher in the Korean children population since the diagnosis is made solely based on the caregivers’ self-reports.…”

Section: Discussionmentioning

confidence: 99%

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Validation of Social Responsiveness Scale for Korean Preschool Children With Autism

Chun

Bong

Han

et al. 2021

Psychiatry Investig

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Objective This cross-cultural study aims to examine the psychometric properties of the Social Responsiveness Scale (SRS) and to determine the best-estimate-cut-off scores for the diagnosis of autism spectrum disorder (ASD) in Korean preschool children.Methods A total of 563 children was recruited from multiple sources, including Seoul National University Bundang Hospital. Participants were assessed by a multidisciplinary research team using multiple diagnostic tools based on DSM-5 diagnostic criteria. Discriminative validity was tested by comparing the difference in SRS scores between ASD and non-ASD groups. Convergent validity was tested by examining correlations between SRS scores with other diagnostic instruments. A receiver operation characteristic curve analysis was conducted to test the sensitivity and specificity of SRS and to determine the best-estimate-cut-off scores for screening ASD in Korean preschool children.Results There were significant differences in the total SRS scores between the ASD (n=242) and non-ASD group (n=321) (p<0.01, 95% confidence interval [CI]: 14.08–17.24). The differences were significant even after adjusting for age. SRS scores were significantly correlated with other prescreening diagnostic tools for ASD. The best-estimate cut-off score to screen ASD was 55 (area under curve=0.88, sensitivity 78.1%, specificity 86.6%).Conclusion The SRS is a valid and reliable instrument to screen and aid in the diagnosis of ASD in Korean preschool children. The adjusted cut-off scores, notably lower than in the original U.S. version, may yield a more accurate diagnosis by reflecting transcultural differences.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Validation of Social Responsiveness Scale for Korean Preschool Children With Autism

Chun

Bong

Han

et al. 2021

Psychiatry Investig

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“…Speci cally, some parents may have di culties reporting their child's social interaction abilities because young children's social dynamics tend to be passive or exclusively with adults [57]. Caregivers' beliefs, characteristics, acceptance, and awareness of autism may in uence how they interpret their child's behaviors [58,59].…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Validity of Autism Diagnostic Observation Schedule, Second Edition (K-ADOS-2) in the Korean Population

Kim

Bong

et al. 2022

Preprint

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Background Although the Korean version of the Autism Diagnostic Observation Schedule-2 (K-ADOS-2) is widely being used to diagnose autism in South Korea, no previous study has examined the validity and reliability of all modules of K-ADOS-2 across a wide age range, particularly older children, adolescents, and adults. Method Data from 2,177 participants were included (mean age = 79.2 months; 73.5% male); 1480 participants with autism and 697 participants without autism (Module-T, n = 296; Module-1, n = 654; Module-2 n = 574; Module-3 n = 411; Module-4, n = 233). Participants completed a battery of tests, including the K-ADOS or K-ADOS-2 and other existing diagnostic instruments. Sensitivity, specificity, area under the receiver operating characteristic (ROC) curve, positive predictive value (PPV), negative predictive value (NPV), Cohen’s kappa (k), and agreement with existing diagnostic instruments were computed. Cronbach’s α values were also calculated. Results All five modules of the K-ADOS-2 showed sufficient ranges of sensitivity 98.2–100.0%; specificity, 83.1–93.5%; area under the ROC curve, .91-.97; PPV, 88.1–97.6%; NPV, 87.3–100.0%; and k values, .83–.92. The kappa agreement with existing diagnostic instruments ranged from .20 to .90. Cronbach’s α values ranged from .83 to .90 across all modules. Limitation : The best-estimate clinical diagnoses made in this study were not independent of the K-ADOS-2 scores. Some modules did not include balanced numbers of participants in terms of gender and diagnostic status. Conclusion The K-ADOS-2 is a valid and reliable instrument in diagnosing autism in South Korea. Future studies exploring the effectiveness of the K-ADOS-2 in capturing restricted, repetitive behaviors and differentiating autism from other developmental disabilities are needed.

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“…11 The ADI-R can be administered for children and adults, as long as their mental age is above 18 months. The ADI-R has been translated to 19 languages 12 and used in non-English countries such as Brazil, 13 Greek, 14 Japan, 15 Korea, 16 Taiwan 17 and so on. The case numbers of the validation studies varied from study to study.…”

Section: Introductionmentioning

confidence: 99%

Validation of the Chinese Version of the Autism Diagnostic Interview-Revised in Autism Spectrum Disorder

Huang¹,

Lin²,

Chiu³

et al. 2022

NDT

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Background The Autism Diagnostic Interview-Revised (ADI-R) is an essential semi-structured diagnostic tool for autism spectrum disorder (ASD). This study aims to validate the Chinese version of the ADI-R in Taiwan. Methods The Chinese version of the ADI-R was translated and back-translated by professional translators and was approved by the original authors. A group of child psychiatrists and psychologists corrected medical terminology for the final version. Then, a total of 74 participants with ASD (male, 59, 79.73%) and 33 control participants without ASD (male, 16, 48.48%) were recruited. All participants were between 3 years 4 months to 41 years old (mean: 14.63 ± 7.93 years). Exploratory factor analysis (EFA) was used to measure the factor structure. Results Cronbach’s α showed good to excellent internal consistency (0.78–0.98) over the three core symptom domains of the Chinese version of the ADI-R. Pearson’s correlation analysis revealed very high test–retest reliability (Pearson’s correlation coefficients ranging from 0.95 to 0.99). EFA supported three categories of factors. For correct diagnosis of ASD, the Chinese version of the ADI-R had high sensitivity (97.30%), specificity (100%), positive predictive value (PPV) (100%), and negative predictive value (NPV) (94.29%). All domains also showed excellent area under the curves (0.991–1), sensitivity (94.59–98.65%), specificity (96.97–100%), Youden index (94.59–98.65%), PPV (97.78–100%), NPV (89.19–100%), positive likelihood ratio (32.55–33.00%) and negative likelihood ratio (0.00–0.05) after statistical examination. Conclusion The Chinese version of the ADI-R is a reliable and valid diagnostic tool for the diagnosis of ASD in Clinical settings in Taiwan.

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Validating the Autism Diagnostic Interview-Revised in the Korean Population

Cited by 9 publications

References 41 publications

Validation of Social Responsiveness Scale for Korean Preschool Children With Autism

Validation of Social Responsiveness Scale for Korean Preschool Children With Autism

Diagnostic Validity of Autism Diagnostic Observation Schedule, Second Edition (K-ADOS-2) in the Korean Population

Validation of the Chinese Version of the Autism Diagnostic Interview-Revised in Autism Spectrum Disorder

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