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Discrepancies When Assessing Interpersonal Problem-Solving Skills in Autism Spectrum Disorder: A Diagnostic Indicator
M Mar Gómez-Pérez1, Sara Mata2,3, M Dolores Calero1
1Centro de Investigación Mente, Cerebro y Comportamiento (CIMCYC), Facultad de Psicología, Universidad de Granada, Granada, Spain.
Discrepancies between direct assessments and third-party reports are unique to children with autism spectrum disorder (ASD). These differences highlight distinct evaluated constructs and are crucial for accurate ASD diagnosis.
Area of Science:
- Neurodevelopmental disorders
- Child psychology
- Diagnostic assessment
Background:
- Children with autism spectrum disorder (ASD) often show differences between self-reported and observed behaviors.
- Understanding these discrepancies is key to improving diagnostic accuracy for ASD.
Purpose of the Study:
- To investigate discrepancies between direct assessments and third-party reports in children with ASD.
- To determine if these discrepancies can serve as a diagnostic indicator for ASD.
- To compare these discrepancies across children with ASD, those at high familial risk, and typically developing children.
Main Methods:
- A study involving 91 children aged 7-13.
- Participants included 28 children with ASD, 36 at high familial risk, and 27 typically developing controls.
- Data collected via direct performance measures and third-party reports.
Main Results:
- Significant discrepancies between direct assessment and third-party reports were observed exclusively in the ASD group.
- Both direct measures and third-party reports effectively discriminated between the study groups.
- The findings suggest that these measures assess different underlying constructs in children with ASD.
Conclusions:
- Discrepancies between direct performance and third-party reports are a characteristic feature in children with autism spectrum disorder.
- Both types of assessment are valuable and necessary for comprehensive diagnostic evaluations in ASD.
- These differing perspectives are essential for a nuanced understanding and accurate diagnosis of ASD.
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