title: Clinical utility of autism spectrum disorder scoring algorithms for the child symptom inventory-4.
abstract: Few studies examine the clinical utility of autism spectrum disorder (ASD) rating scales for screening referrals to child psychiatry clinics. Parents/teachers from Long Island, NY, completed the Child Symptom Inventory-4, a DSM-IV-referenced rating scale for 6- to 12-year-old clinical referrals with an ASD (N = 317) or nonASD psychiatric (N = 191) diagnosis. Two separate groups of children attending public school, regular education classes in the same geographic area were also rated by their parents (N = 446) and teachers (N = 464). Stepwise forward regression generated a scoring algorithm based on a subset of all CSI-4 items that best differentiated ASD from nonASD children. ROC analyses indicated high levels of sensitivity/specificity for recommended ASD cutoff scores for parent and teacher ratings.
authors.affiliation: Department of Psychiatry and Behavioral Science, Putnam Hall-South Campus, State University of New York at Stony Brook, Stony Brook, NY 11794-8790, USA. kenneth.gadow@stonybrook.edu
authors.forename: Kenneth D
authors.initials: KD
authors.lastname: Gadow
authors.forename: Joseph
authors.initials: J
authors.lastname: Schwartz
authors.forename: Carla
authors.initials: C
authors.lastname: Devincent
authors.forename: Greg
authors.initials: G
authors.lastname: Strong
authors.forename: Simone
authors.initials: S
authors.lastname: Cuva
mesh_terms: D000465:Algorithms; D020817:Asperger Syndrome / Q000175:diagnosis / Q000453:epidemiology; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis / Q000453:epidemiology; D001321:Autistic Disorder / Q000175:diagnosis* / Q000453:epidemiology; D002648:Child; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008297:Male; D015588:Observer Variation; D011594:Psychometrics; D012372:ROC Curve; D011795:Surveys and Questionnaires