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Published in: European Child & Adolescent Psychiatry 8/2009

01-08-2009 | Original Contribution

When does the Autism Spectrum Screening Questionnaire (ASSQ) predict autism spectrum disorders in primary school-aged children?

Authors: Marja-Leena Mattila, Katja Jussila, Sanna Kuusikko, Marko Kielinen, Sirkka-Liisa Linna, Hanna Ebeling, Risto Bloigu, Leena Joskitt, David Pauls, Irma Moilanen

Published in: European Child & Adolescent Psychiatry | Issue 8/2009

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Abstract

The aims of this study were, firstly, to study the association between parents’ and teachers’ ratings for the Finnish version of the Autism Spectrum Screening Questionnaire (ASSQ), secondly, to find out whether the original cut-off scores of the ASSQ identify primary school-aged children with Asperger syndrome (AS) or autism by using the Finnish ASSQ, and thirdly, to evaluate the validity of the ASSQ. Parents and/or teachers of higher-functioning (full-scale intelligence quotient ≥ 50) 8-year-old total population school children (n = 4,408) and 7–12-year-old outpatients with AS/autism (n = 47) completed the Finnish version of the ASSQ. Agreement between informants was slight. In the whole total population, low positive correlation was found between parents’ and teachers’ ratings, while in the sample of high-scoring children the correlation turned out to be negative. A cut-off of 30 for parents’ and teacher's summed score and 22 for teachers’ single score is recommended. A valid cut-off for parents’ single score could not been estimated. The clinicians are reminded that the ASSQ is a screening instrument, not a diagnosing instrument. The importance of using both parents’ and teachers’ ratings for screening in clinical settings is underlined.
Literature
1.
go back to reference Achenbach TM, McConaughy SH, Howell CT (1987) Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull 101:213–232PubMedCrossRef Achenbach TM, McConaughy SH, Howell CT (1987) Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull 101:213–232PubMedCrossRef
2.
go back to reference American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington, DC American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington, DC
3.
go back to reference Baird G, Simonoff E, Pickles A, Chandler S, Loucas T, Meldrum D, Charman T (2006) Prevalence of disorders of the autism spectrum in a population cohort of children in South Thames: the Special Needs and Autism Project (SNAP). Lancet 15:210–215CrossRef Baird G, Simonoff E, Pickles A, Chandler S, Loucas T, Meldrum D, Charman T (2006) Prevalence of disorders of the autism spectrum in a population cohort of children in South Thames: the Special Needs and Autism Project (SNAP). Lancet 15:210–215CrossRef
4.
go back to reference Baron-Cohen S, Allen J, Gillberg C (1992) Can autism be detected at 18 months? The needle, the haystack, and the CHAT. Br J Psychiatry 161:839–843PubMedCrossRef Baron-Cohen S, Allen J, Gillberg C (1992) Can autism be detected at 18 months? The needle, the haystack, and the CHAT. Br J Psychiatry 161:839–843PubMedCrossRef
5.
go back to reference Baron-Cohen S, Cox A, Baird G, Swettenham J, Nightingale N, Morgan K, Drew A, Charman T (1996) Psychological markers in the detection of autism in infancy in a large population. Br J Psychiatry 168:158–163PubMedCrossRef Baron-Cohen S, Cox A, Baird G, Swettenham J, Nightingale N, Morgan K, Drew A, Charman T (1996) Psychological markers in the detection of autism in infancy in a large population. Br J Psychiatry 168:158–163PubMedCrossRef
6.
go back to reference Baron-Cohen S, Wheelwright S, Skinner R, Martin J, Clubley E (2001) The autism-spectrum quotient (AQ): evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. J Autism Dev Disord 31:5–17PubMedCrossRef Baron-Cohen S, Wheelwright S, Skinner R, Martin J, Clubley E (2001) The autism-spectrum quotient (AQ): evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. J Autism Dev Disord 31:5–17PubMedCrossRef
7.
go back to reference Berument SK, Rutter M, Lord C, Pickles A, Bailey A (1999) Autism screening questionnaire: diagnostic validity. Br J Psychiatry 175:444–451PubMedCrossRef Berument SK, Rutter M, Lord C, Pickles A, Bailey A (1999) Autism screening questionnaire: diagnostic validity. Br J Psychiatry 175:444–451PubMedCrossRef
8.
go back to reference Constantino JN, Davis SA, Todd RD, Schindler MK, Gross MM, Brophy SL, Metzger LM, Shoushtari CS, Splinter R, Reich W (2003) Validation of a brief quantitative measure of autistic traits: comparison of the social responsiveness scale with the autism diagnostic interview-revised. J Autism Dev Disord 33:427–433PubMedCrossRef Constantino JN, Davis SA, Todd RD, Schindler MK, Gross MM, Brophy SL, Metzger LM, Shoushtari CS, Splinter R, Reich W (2003) Validation of a brief quantitative measure of autistic traits: comparison of the social responsiveness scale with the autism diagnostic interview-revised. J Autism Dev Disord 33:427–433PubMedCrossRef
9.
go back to reference Ehlers S, Gillberg C (1993) The epidemiology of Asperger syndrome. A total population study. J Child Psychol Psychiatr 34:1327–1350CrossRef Ehlers S, Gillberg C (1993) The epidemiology of Asperger syndrome. A total population study. J Child Psychol Psychiatr 34:1327–1350CrossRef
10.
go back to reference Ehlers S, Gillberg C, Wing L (1999) A screening questionnaire for Asperger syndrome and other high-functioning autism spectrum disorders in school age children. J Autism Dev Disord 29:129–141PubMedCrossRef Ehlers S, Gillberg C, Wing L (1999) A screening questionnaire for Asperger syndrome and other high-functioning autism spectrum disorders in school age children. J Autism Dev Disord 29:129–141PubMedCrossRef
11.
go back to reference Howlin P, Asgharian A (1999) The diagnosis of autism and Asperger syndrome: findings from a survey of 770 families. Dev Med Child Neurol 41:834–839PubMedCrossRef Howlin P, Asgharian A (1999) The diagnosis of autism and Asperger syndrome: findings from a survey of 770 families. Dev Med Child Neurol 41:834–839PubMedCrossRef
12.
go back to reference Kadesjo B, Gillberg C, Hagberg B (1999) Brief report: autism and Asperger syndrome in seven year-old children: a total population study. J Autism Dev Disord 29:327–331PubMedCrossRef Kadesjo B, Gillberg C, Hagberg B (1999) Brief report: autism and Asperger syndrome in seven year-old children: a total population study. J Autism Dev Disord 29:327–331PubMedCrossRef
13.
go back to reference Krug DA, Arick J, Almond P (1980) Behavior checklist for identifying severely handicapped individuals with high levels of autistic behavior. J Child Psychol Psychiatr 21:221–229CrossRef Krug DA, Arick J, Almond P (1980) Behavior checklist for identifying severely handicapped individuals with high levels of autistic behavior. J Child Psychol Psychiatr 21:221–229CrossRef
14.
go back to reference Kumpulainen K, Rasanen E, Henttonen I, Moilanen I, Piha J, Puura K, Tamminen T, Almqvist F (1999) Children’s behavioural/emotional problems: a comparison of parents’ and teachers’ reports for elementary school-aged children. Eur Child Adolesc Psychiatry 8:41–47PubMedCrossRef Kumpulainen K, Rasanen E, Henttonen I, Moilanen I, Piha J, Puura K, Tamminen T, Almqvist F (1999) Children’s behavioural/emotional problems: a comparison of parents’ and teachers’ reports for elementary school-aged children. Eur Child Adolesc Psychiatry 8:41–47PubMedCrossRef
15.
go back to reference Lesinskiene S (2000) Vilniaus miesto vaiku autizmas, Vilniaus Universitetas, Daktaro disetacijos santrauka, Biomedicinos mokslai, medicina 07B, psichiatrija B650. Vilnius, Lithuania Lesinskiene S (2000) Vilniaus miesto vaiku autizmas, Vilniaus Universitetas, Daktaro disetacijos santrauka, Biomedicinos mokslai, medicina 07B, psichiatrija B650. Vilnius, Lithuania
16.
go back to reference Lord C, Rutter M, Le Couteur A (1994) Autism Diagnostic Interview-Revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. J Autism Dev Disord 24:659–685PubMedCrossRef Lord C, Rutter M, Le Couteur A (1994) Autism Diagnostic Interview-Revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. J Autism Dev Disord 24:659–685PubMedCrossRef
17.
go back to reference Lord C, Risi S, Lambrecht L, Cook EH Jr, Leventhal BL, DiLavore PC, Pickles A, Rutter M (2000) The autism diagnostic observation schedule-generic: a standard measure of social and communication deficits associated with the spectrum of autism. J Autism Dev Disord 30:205–223PubMedCrossRef Lord C, Risi S, Lambrecht L, Cook EH Jr, Leventhal BL, DiLavore PC, Pickles A, Rutter M (2000) The autism diagnostic observation schedule-generic: a standard measure of social and communication deficits associated with the spectrum of autism. J Autism Dev Disord 30:205–223PubMedCrossRef
18.
go back to reference Mattila ML, Kielinen M, Jussila K, Linna SL, Bloigu R, Ebeling H, Moilanen I (2007) An epidemiological and diagnostic study of Asperger syndrome according to four sets of diagnostic criteria. J Am Acad Child Adolesc Psychiatry 46:636–646PubMedCrossRef Mattila ML, Kielinen M, Jussila K, Linna SL, Bloigu R, Ebeling H, Moilanen I (2007) An epidemiological and diagnostic study of Asperger syndrome according to four sets of diagnostic criteria. J Am Acad Child Adolesc Psychiatry 46:636–646PubMedCrossRef
19.
go back to reference Posserud MB, Lundervold AJ, Gillberg C (2006) Autistic features in a total population of 7–9-year-old children assessed by the ASSQ (Autism Spectrum Screening Questionnaire). J Child Psychol Psychiatry 47:167–175PubMedCrossRef Posserud MB, Lundervold AJ, Gillberg C (2006) Autistic features in a total population of 7–9-year-old children assessed by the ASSQ (Autism Spectrum Screening Questionnaire). J Child Psychol Psychiatry 47:167–175PubMedCrossRef
20.
go back to reference Risi S, Lord C, Gotham K, Corsello C, Chrysler C, Szatmari P, Cook EH Jr, Leventhal BL, Pickles A (2006) Combining information from multiple sources in the diagnosis of autism spectrum disorders. J Am Acad Child Adolesc Psychiatry 45:1094–1103PubMedCrossRef Risi S, Lord C, Gotham K, Corsello C, Chrysler C, Szatmari P, Cook EH Jr, Leventhal BL, Pickles A (2006) Combining information from multiple sources in the diagnosis of autism spectrum disorders. J Am Acad Child Adolesc Psychiatry 45:1094–1103PubMedCrossRef
21.
go back to reference Rutter M, Bailey A, Lord C (2003) SCQ: social communication questionnaire. Western Psychological Services, Los Angeles, CA Rutter M, Bailey A, Lord C (2003) SCQ: social communication questionnaire. Western Psychological Services, Los Angeles, CA
22.
go back to reference Scott FJ, Baron-Cohen S, Bolton P, Brayne C (2002) The CAST (Childhood Asperger Syndrome Test): preliminary development of a UK screen for mainstream primary-school-age children. Autism 6:9–31PubMedCrossRef Scott FJ, Baron-Cohen S, Bolton P, Brayne C (2002) The CAST (Childhood Asperger Syndrome Test): preliminary development of a UK screen for mainstream primary-school-age children. Autism 6:9–31PubMedCrossRef
23.
go back to reference Sponheim E, Skjeldal O (1998) Autism and related disorders: epidemiological findings in a Norwegian study using ICD-10 diagnostic criteria. J Autism Dev Disord 28:217–227PubMedCrossRef Sponheim E, Skjeldal O (1998) Autism and related disorders: epidemiological findings in a Norwegian study using ICD-10 diagnostic criteria. J Autism Dev Disord 28:217–227PubMedCrossRef
24.
go back to reference Szatmari P, Archer L, Fisman S, Streiner DL (1994) Parent and teacher agreement in the assessment of pervasive developmental disorders. J Autism Dev Disord 24:703–717PubMedCrossRef Szatmari P, Archer L, Fisman S, Streiner DL (1994) Parent and teacher agreement in the assessment of pervasive developmental disorders. J Autism Dev Disord 24:703–717PubMedCrossRef
25.
go back to reference Wechsler D (1991) Wechsler Intelligence Scale for Children, 3rd edition (WISC-III). Psychological Corporation, New York Wechsler D (1991) Wechsler Intelligence Scale for Children, 3rd edition (WISC-III). Psychological Corporation, New York
26.
go back to reference Williams JG, Allison C, Scott FJ, Bolton PF, Baron-Cohen S, Matthews FE, Brayne C (2008) The Childhood Autism Spectrum Test (CAST): sex differences. J Autism Dev Disord 38:1731–1739PubMedCrossRef Williams JG, Allison C, Scott FJ, Bolton PF, Baron-Cohen S, Matthews FE, Brayne C (2008) The Childhood Autism Spectrum Test (CAST): sex differences. J Autism Dev Disord 38:1731–1739PubMedCrossRef
27.
go back to reference Williams J, Scott F, Stott C, Allison C, Bolton P, Baron-Cohen S, Brayne C (2005) The CAST (Childhood Asperger Syndrome Test): test accuracy. Autism 9:45–68PubMedCrossRef Williams J, Scott F, Stott C, Allison C, Bolton P, Baron-Cohen S, Brayne C (2005) The CAST (Childhood Asperger Syndrome Test): test accuracy. Autism 9:45–68PubMedCrossRef
28.
go back to reference World Health Organisation (1993) International Classification of Mental and Behavioural Disorders (ICD-10). Diagnostic criteria for research. WHO, Geneva World Health Organisation (1993) International Classification of Mental and Behavioural Disorders (ICD-10). Diagnostic criteria for research. WHO, Geneva
Metadata
Title
When does the Autism Spectrum Screening Questionnaire (ASSQ) predict autism spectrum disorders in primary school-aged children?
Authors
Marja-Leena Mattila
Katja Jussila
Sanna Kuusikko
Marko Kielinen
Sirkka-Liisa Linna
Hanna Ebeling
Risto Bloigu
Leena Joskitt
David Pauls
Irma Moilanen
Publication date
01-08-2009
Publisher
D. Steinkopff-Verlag
Published in
European Child & Adolescent Psychiatry / Issue 8/2009
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI
https://doi.org/10.1007/s00787-009-0044-5

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