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Autism Diagnostic Interview-Revised and the Childhood Autism Rating Scale: convergence and discrepancy in diagnosing autism.

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Authors
Saemundsen, Evald
Magnusson, Pall
Smari, Jakob
Sigurdardottir, Solveig
Issue Date
2003-06-01

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Citation
J Autism Dev Disord. 2003, 33(3):319-28
Abstract
The agreement between the Autism Diagnostic Interview-Revised (ADI-R) and the Childhood Autism Rating Scale (CARS) was investigated in the diagnostic assessment of 54 children aged 22-114 months referred for possible autism. The observed agreement between the two systems was 66.7% (Cohen's kappa = .40) when the ADI-R definition for autism was applied (i.e., scores reaching cutoff in three domains on the ADI-R), but increased considerably with less stringent criteria; that is, scores reaching cutoffs in two domains and in one domain on the ADI-R. As predicted, the CARS identified more cases of autism than the ADI-R. Children classified as autistic according to both instruments had significantly lower IQ/DQ and more severe autistic symptomatology than those classified with the CARS only.
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http://dx.doi.org/10.1023/A:1024410702242
ae974a485f413a2113503eed53cd6c53
10.1023/A:1024410702242
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