Cross-cultural evaluation of the Autism Detection in Early Childhood (ADEC) in Mexico

Autism. 2010 Mar;14(2):93-112. doi: 10.1177/1362361309347676.

Abstract

A Spanish translation of the Autism Detection in Early Childhood (ADEC-SP) was administered to 115 children aged 15-73 months in Mexico. In Phase 1, children with Autistic Disorder (AD), a non-Pervasive Developmental Disorder (PDD) diagnosis or typical development were assessed with the ADEC-SP by a clinician blind to the child's diagnostic status. In Phase 2, a referred sample of children was assessed with the ADEC-SP, Childhood Autism Rating Scale (CARS), Autism Diagnostic Interview - Revised (ADI-R) and Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV), and typically developing children were assessed with the ADEC-SP and CARS. Psychometric properties relating to validity and reliability were addressed. Sensitivity and specificity levels for the ADEC-SP ranged from .79-.94 and .88-1.00 respectively. In a subgroup of toddlers aged 19 to 36 months the ADEC-SP correctly identified 17 of the 18 children with a diagnosis of a PDD, and no child without a PDD diagnosis was misdiagnosed. The ADEC-SP shows promise as a Level 2 screening instrument for use in Mexico.

Publication types

  • Evaluation Study

MeSH terms

  • Age Distribution
  • Analysis of Variance
  • Autistic Disorder / diagnosis*
  • Child
  • Child Development Disorders, Pervasive / diagnosis
  • Child, Preschool
  • Cross-Cultural Comparison
  • Female
  • Humans
  • Infant
  • Language
  • Male
  • Mexico
  • Observer Variation
  • Odds Ratio
  • Pilot Projects
  • Predictive Value of Tests
  • Psychometrics
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Sex Distribution