Systematic Review and Meta-Analysis of the Clinical Utility of the ADOS-2 and the ADI-R in Diagnosing Autism Spectrum Disorders in Children

被引：58
作者：
Lebersfeld, Jenna B. [1 ]
Swanson, Marissa [1 ]
Clesi, Christian D. [1 ]
O'Kelley, Sarah E. [1 ]
机构：
[1] Univ Alabama Birmingham, 1720 7th Ave S, Birmingham, AL 35233 USA
来源：
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS | 2021年 / 51卷 / 11期
关键词：
Autism spectrum disorder; ADOS-2; ADI-R; Meta-analysis; Diagnosis; HSROC; OBSERVATION-SCHEDULE ADOS; COMBINING INFORMATION; BEHAVIOR CHECKLIST; MULTIPLE SOURCES; TEST ACCURACY; INTERVIEW; INSTRUMENTS; ADOLESCENTS; STABILITY; RELIABILITY;
D O I：
10.1007/s10803-020-04839-z
中图分类号：
B844 [发展心理学（人类心理学）];
学科分类号：
040202 ;
摘要：
The Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) and the Autism Diagnostic Interview, Revised (ADI-R) have high accuracy as diagnostic instruments in research settings, while evidence of accuracy in clinical settings is less robust. This meta-analysis focused on efficacy of these measures in research versus clinical settings. Articles (n = 22) were analyzed using a hierarchical summary receiver operating characteristics (HSROC) model. ADOS-2 performance was stronger than the ADI-R. ADOS-2 sensitivity and specificity ranged from .89-.92 and .81-.85, respectively. ADOS-2 accuracy in research compared with clinical settings was mixed. ADI-R sensitivity and specificity were .75 and .82, respectively, with higher specificity in research samples (Research = .85, Clinical = .72). A small number of clinical studies were identified, indicating ongoing need for investigation outside research settings.
引用
收藏
页码：4101 / 4114
页数：14
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