Table 3.
Selected methods for autism diagnosis and categorisation
| Description | 0–3 years | 3–5 years | SA | Adult | Administration time (min) |
|
|---|---|---|---|---|---|---|
| Checklist or inventory | ||||||
| Screening method | ||||||
| Quantitative checklist for autism in toddlers29 | Parent questionnaire, 25 questions | X | ·· | ·· | ·· | 5–10 |
| Modified checklist for autism in toddlers30 | Questionnaire 23 questions | X | ·· | ·· | ·· | 10 |
| First year inventory31 | Parent report 60 questions | X | ·· | ·· | ·· | NS |
| Early childhood inventory-432 | Parent rating scale 108 items Teacher rating scale, 87 items |
·· | X | ·· | ·· | <20 |
| Child symptom inventory-433 | Parent rating scale 97 items, teacher rating scale 77 items | ·· | ·· | X | ·· | Variable |
| Social communication questionnaire34 | Parent interview or questionnaire 40 items | ·· | X | X | ·· | 10–15 |
| Asperger’s syndrome diagnostic scale35 | Parent or teacher rating scale 50 items | ·· | ·· | X | ·· | 10–15 |
| Krug Asperger diagnostic index36 | Parent, caregiver, or teacher questionnaire 32 items | ·· | ·· | X | ·· | 10–15 |
| Autism spectrum quotient37 | Parent questionnaire, for child, adolescent, and adult 50 questions |
·· | ·· | X | X | NS |
| Autism behaviour checklist38 | Parent or teacher questionnaire 57 items | ·· | X | X | ·· | 10–20 |
| Pervasive developmental disorder rating scale39 | Rating scale 51 items | X | X | ·· | ·· | NS |
| Pervasive developmental disorder in mental retardation scale40 | Clinician and teacher observation instrument 12 items | ·· | X | X | ·· | 10–20 |
| Dimensional assessment | ||||||
| Developmental behaviour checklist,41 and developmental behaviour checklist—early screen42 |
Questionnaire; 96 items and 17 items | X | X | ·· | ·· | 10–15 |
| Pervasive developmental disorder behaviour inventory43 | Parent, caregiver, or teacher rating scale 8–10 subscales (124–188 items) |
X | X | X | ·· | 20–45 |
| Aberrant behaviour checklist44 | Parent rating scale 58 items | ·· | X | X | ·· | 20–30 |
| Child communication checklist45 | Parent rating scale 70 items | ·· | X | X | ·· | 5–15 |
| Social responsiveness scale46 | Parent and caregiver questionnaire 65 items | ·· | X | X | X | 15–20 |
| Repetitive behaviour scale—revised47 | Parent and caregiver questionnaire 43 items | X | X | X | X | 15–20 |
| Social and communication disorders checklist48 | Parent and caregiver rating scale 12 items | ·· | ·· | X | X | 10–15 |
| Structured interview | ||||||
| Diagnostic method | ||||||
| Parent interview for autism49 | Parent interview 118 items | X | ·· | ·· | ·· | 20–30 |
| Diagnosis of social and communication disorder schedule50 | Semistructured caregiver interview schedule 2–4 h administration, more than 300 items |
·· | X | X | ·· | 180 |
| Autism diagnostic interview—revised51 | Semistructured, investigator-based interview for caregivers | X* | X | X | X | 90–180 |
| Diagnostic method, dimensional assessment | ||||||
| Developmental, dimensional, and diagnostic interview (3di)52 | Caregiver computerised interview 183 items (demographics), 266 items (ASD related), 291 items (current mental state) |
X | X | X | X | 45–90 |
| Observational measures | ||||||
| Screening method | ||||||
| Checklist for autism in toddlers53 | Caregiver rating scale plus observations | X | ·· | ·· | ·· | 10 |
| Screening tool for autism in children aged 2 years54 | Clinician observation 12 items | X | ·· | ·· | ·· | 20† |
| Diagnostic method, dimensional assessment | ||||||
| Autism observation schedule for infants55 | Clinician observation 18 item | X | ·· | ·· | ·· | 20† |
| Autism diagnostic observation schedule—modules 1–456 | Standardised observation method | X | X | X | X | 40–60† |
| Diagnostic method | ||||||
| Childhood autism rating scale57 | History and observation 15 items (Likert scale) | X | X | X | X | 20–30 |
SA=school-aged children. NS=not specified. ASD=austistic spectrum disorder. X=appropriate method
Mental age older than 2 years.
Training needed to administer this method.