C García-López1, J Narbona2. 1. Unidad de Neurología Pediátrica, Clínica Universidad de Navarra, Pamplona, España. Electronic address: cristigarlop@gmail.com. 2. Unidad de Neurología Pediátrica, Clínica Universidad de Navarra, Pamplona, España.
Abstract
INTRODUCTION: Observational scales are useful to estimate the severity of symptoms in PDD as well as to monitor their evolution. OBJECTIVES: a) To analyze the concordance between diagnoses based on the Autism Spectrum Inventory (Inventario del Espectro Autista, IDEA)) and the Childhood Autism Rating Scale (CARS), compared to DSM-IV-TR criteria, in subjects with a suspicion of pervasive developmental disorders (PDD), and b) to study the discrimination power of both scales to differentiate between a clinical diagnosis situated in the autism spectrum. PATIENTS AND METHODS: Fifty-six children and adolescents, between 2 and 20 years-old, who attended our Neuropediatric Unit due to suspicion of PDD. Independently, two clinicians evaluated the presence of PDD symptoms; one of them according to DSM-IV-TR criteria and the other one based on the application of IDEA and CARS. RESULTS: The concordance of IDEA and CARS when compared to DSM-IV-TR classification was 73 and 82%, respectively, with a sensitivity of 1 and 0,83 and a specificity of 0,61 and 0,82, respectively. Both scales correctly discriminated between autistic disorder and other clinical diagnoses. CONCLUSIONS: Both IDEA and CARS are useful instruments to detect and monitor autism symptoms in the context of routine clinical practice.
INTRODUCTION: Observational scales are useful to estimate the severity of symptoms in PDD as well as to monitor their evolution. OBJECTIVES: a) To analyze the concordance between diagnoses based on the Autism Spectrum Inventory (Inventario del Espectro Autista, IDEA)) and the Childhood Autism Rating Scale (CARS), compared to DSM-IV-TR criteria, in subjects with a suspicion of pervasive developmental disorders (PDD), and b) to study the discrimination power of both scales to differentiate between a clinical diagnosis situated in the autism spectrum. PATIENTS AND METHODS: Fifty-six children and adolescents, between 2 and 20 years-old, who attended our Neuropediatric Unit due to suspicion of PDD. Independently, two clinicians evaluated the presence of PDD symptoms; one of them according to DSM-IV-TR criteria and the other one based on the application of IDEA and CARS. RESULTS: The concordance of IDEA and CARS when compared to DSM-IV-TR classification was 73 and 82%, respectively, with a sensitivity of 1 and 0,83 and a specificity of 0,61 and 0,82, respectively. Both scales correctly discriminated between autistic disorder and other clinical diagnoses. CONCLUSIONS: Both IDEA and CARS are useful instruments to detect and monitor autism symptoms in the context of routine clinical practice.
Authors: Babu George; M S Razeena Padmam; M K C Nair; M L Leena; G L Prasanna; Paul Swamidhas Sudhakar Russell Journal: Indian J Pediatr Date: 2014-11-28 Impact factor: 1.967
Authors: Martha Cecilia Inga Jácome; Lilia Maria Morales Chacòn; Hector Vera Cuesta; Carlos Maragoto Rizo; Mabel Whilby Santiesteban; Lesyanis Ramos Hernandez; Elena Noris García; Maria Elena González Fraguela; Caridad Ivette Fernandez Verdecia; Yamilé Vegas Hurtado; Dario Siniscalco; Carlos Alberto Gonçalves; Maria de Los Angeles Robinson-Agramonte Journal: Behav Sci (Basel) Date: 2016-12-14