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Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz

2014, Number 6

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Salud Mental 2014; 37 (6)

Confiabilidad interevaluador del K-SADS-PL-2009/trastornos del espectro autista (TEA)

Zavaleta-Ramírez P, Náfate-López O, Villarreal-Valdés G, Ulloa-Flores RE, Albores-Gallo L

Language: Spanish
References: 37
Page: 461-466
PDF size: 268.71 Kb.


ABSTRACT

Autism spectrum disorders (ASD) have demonstrated an increase in prevalence and are no longer considered a rare condition. The Autism Diagnostic Interview-Revised (ADI-R) and the Autism Diagnostic Observation Schedule-Generic (ADOS-G) have been gold standard instruments to diagnose ASD, but neither of these tools identifies associated comorbidity. The new Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Present and Life time version (K-SADS-PL-2009) added a supplement for assessing ASD.
Objective. The purpose of this study was to translate, adapt and analyze the interrater reliability of the KIDDIE SADS-PL-2009/ASD.
Method. The sample consisted of 40 children and adolescents, both male and female, with an age range between four and 17 years old, and presumptive ASD diagnosis. The original ASD screen and supplement interview was translated in to Spanish by two of the authors and retranslated by a certified translator blind to the study.
Results. Inter-rater reliability: Intraclass correlation coefficients varied from moderate to excellent for the following diagnosis both in the present and the past: Autism 0.79, 0.74; Asperger 0.85, 1.0; PDDNOS 0.72, 0.41. Kappa coefficients for expert evaluations in the present and the past were as following: Autism 0.89, 0.87; Asperger 0.77, 1.00; PDDNOS 0.69, 0.64. Diagnostic concordance between the initial clinical diagnosis and the following diagnosis through the interview was: 37.5%, with a 67.5% error margin.
Conclusions. In this study, the K-SADS-PL-2009/ASD showed moderate inter-rater reliability indicating that it can be used for clinical or research purposes in Mexican children and adolescents.


REFERENCES

  1. Dawson G. Early behavioral intervention, brain plasticity, and the prevention of autism spectrum disorder. Dev Psychopathol 2008;20:775– 803.

  2. Albores-Gallo L, Hernández-Guzmán L, Díaz-Pichardo JA, Cortes- Hernández B. Dificultades en la evaluación y diagnóstico del autismo: Una discusión. Salud Mental 2008;31:37–44.

  3. Albores-Gallo L, Roldán-Ceballos O, Villarreal-Valdés G, Betanzos- Cruz BX et al. M-CHAT Mexican version validity and reliability and some cultural considerations. ISRN Neurol 2012:408694.

  4. Living-Varela K. Confiabilidad y validez del inventario de comportamiento autista (ABC) en niños con trastornos del espectro autista. 2012. Available at: https://sites.google.com/site/hpicomisioninvestigacion/ psiquiatria-infantil-y-de-la-adolescencia.

  5. Robins DL. Screening for autism spectrum disorders in primary care settings. Autism Int J Res Pract 2008;12:537–556.

  6. Inada N, Koyama T, Inokuchi E, Kuroda M et al. Reliability and validity of the Japanese version of the Modified Checklist for autism in toddlers (M-CHAT). Res Autism Spectr Disord 2011;5:330–336.

  7. Wong V, Hui L-HS, Lee W-C, Leung L-SJ et al. A modified screening tool for autism (Checklist for Autism in Toddlers [CHAT-23]) for Chinese children. Pediatrics 2004;114:e166–176.

  8. Lord C, Risi S, Lambrecht L, Cook Jr EH et al. The Autism Diagnostic Observation Schedule—Generic: A standard measure of social and communication deficits associated with the spectrum of autism. J Autism Dev Disord 2000;30:205–223.

  9. Lord C, Rutter M, Couteur A Le. Autism Diagnostic Interview-Revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. J Autism Dev Disord 1994;24:659–685.

  10. Angold A, Costello EJ. The Child and Adolescent Psychiatric Assessment (CAPA). J Am Acad Child Adolesc Psychiatry 2000;39:39–48.

  11. Egger HL, Erkanli A, Keeler G, Potts E et al. Test-Retest Reliability of the Preschool Age Psychiatric Assessment (PAPA). J Am Acad Child Adolesc Psychiatry 2006;45:538–549.

  12. Gjevik E, Eldevik S, Fjæran-Granum T, Sponheim E. Kiddie-SADS reveals high rates of DSM-IV disorders in children and adolescents with autism spectrum disorders. J Autism Dev Disord 2010;41:761–769.

  13. Ivarsson T, Melin K. Autism spectrum traits in children and adolescents with obsessive-compulsive disorder (OCD). J Anxiety Disord 2008;22:969–978.

  14. Sinzig J, Walter D, Doepfner M. Attention Deficit/hyperactivity disorder in children and adolescents with autism spectrum disorder: Symptom or syndrome? J Atten Disord 2009;13:117–126.

  15. Lee DO, Ousley OY. Attention-deficit hyperactivity disorder symptoms in a clinic sample of children and adolescents with pervasive developmental disorders. J Child Adolesc Psychopharmacol 2006;16:737–746.

  16. Leyfer OT, Folstein SE, Bacalman S, Davis NO et al. Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. J Autism Dev Disord 2006;36:849–861.

  17. Ulloa RE, Ortiz S, Higuera F, Nogales I et al. [Interrater reliability of the Spanish version of schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (KSADS- PL)]. Actas Esp Psiquiatr 2006;34:36–40.

  18. Kaufman J, Birmaher B, Brent D, Rao U et al. Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 1997;36:980–988. Zavaleta-Ramírez et al. 466 Vol. 37, No. 6, noviembre-diciembre 2014

  19. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Washington, DC.: 2000.

  20. Birmaher B, Ehmann M, Axelson DA, Goldstein BI et al. Schedule for affective disorders and schizophrenia for school-age children (KSADS- PL) for the assessment of preschool children-a preliminary psychometric study. J Psychiatr Res 2009;43:680–686.

  21. Rescorla L, Alley A. Validation of the language development survey (LDS): a parent report tool for identifying language delay in toddlers. J Speech Lang Hear Res JSLHR 2001;44:434–445.

  22. Cox A, Klein K, Charman T, Baird G et al. Autism spectrum disorders at 20 and 42 months of age: stability of clinical and ADI-R diagnosis. J Child Psychol Psychiatry 1999;40:719–732.

  23. Gilchrist A, Green J, Cox A, Burton D et al. Development and current functioning in adolescents with Asperger syndrome: a comparative study. J Child Psychol Psychiatry 2001;42:227–240.

  24. Lord C, Rutter M, Couteur A Le. Autism Diagnostic Interview-Revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. J Autism Dev Disord 1994;24:659–685.

  25. Gilchrist A, Green J, Cox A, Burton D et al. Development and current functioning in adolescents with Asperger syndrome: a comparative study. J Child Psychol Psychiatry 2001;42:227–240.

  26. Cicchetti DV, Lord C, Koenig K, Klin A et al. Reliability of the ADIR: multiple examiners evaluate a single case. J Autism Dev Disord 2008;38:764–770.

  27. American Psychiatric Association AP. Diagnostic and Statistical Manual of Mental Disorders. Quinta edición. Washington, D.C: American Psychiatric Publishing; 2013.

  28. Szatmari P, Bryson SE, Boyle MH, Streiner DL et al. Predictors of outcome among high functioning children with autism and Asperger syndrome. J Child Psychol Psychiatry 2003;44:520–528.

  29. Szatmari P, Bryson S, Duku E, Vaccarella L et al. Similar developmental trajectories in autism and Asperger syndrome: from early child-hood to adolescence. J Child Psychol Psychiatry 2009;50:1459–1467.

  30. Reaven JA, Hepburn SL, Ross RG. Use of the ADOS and ADI-R in children with psychosis: importance of clinical judgment. Clin Child Psychol Psychiatry 2008;13:81–94.

  31. Jeans LM, Santos RM, Laxman DJ, McBride BA et al. Early predictors of ASD in young children using a nationally representative data set. J Early Interv 2014. Available at: http://jei.sagepub.com/cgi/doi/10.1177/ 1053815114523319. Última visita el 12 de agosto, 2014.

  32. Herlihy L, Knoch K, Vibert B, Fein D. Parents’ first concerns about toddlers with autism spectrum disorder: Effect of sibling status. Autism Int J Res Pract 2013.

  33. Kozlowski AM, Matson JL, Horovitz M, Worley JA et al. Parents’ first concerns of their child’s development in toddlers with autism spectrum disorders. Dev Neurorehabilitation 2011;14:72–78.

  34. Mazefsky CA, Kao J, Oswald DP. Preliminary evidence suggesting caution in the use of psychiatric self-report measures with adolescents with high-functioning autism spectrum disorders. Res Autism Spectr Disord 2011;5:164–174.

  35. Emerson E, Brigham P. The developmental health of children of parents with intellectual disabilities: cross sectional study. Res Dev Disabil 2014;35:917–921.

  36. Bildt A de, Sytema S, Ketelaars C, Kraijer D et al. Interrelationship between Autism Diagnostic Observation Schedule-Generic (ADOSG), Autism Diagnostic Interview-Revised (ADI-R), and the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) classification in children and adolescents with mental retardation. J Autism Dev Disord 2004;34:129–137.

  37. Bölte S, Poustka F. [Diagnostic Observation Scale for Autistic Disorders: initial results of reliability and validity]. Z Für Kinder- Jugendpsychiatrie Psychother 2004;32:45–50.




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