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Using the Visual World Paradigm to Study Sentence Comprehension in Mandarin-Speaking Children with Autism
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Validating the Autism Diagnostic Interview-Revised in the Korean Population.

Miae Oh1, Da-Yea Song2, Guiyoung Bong2

  • 1Department of Psychiatry, Kyung Hee University Hospital, Seoul, Republic of Korea.

Psychiatry Investigation
|March 18, 2021
PubMed
Summary

The Korean version of the Autism Diagnostic Interview-Revised (K-ADI-R) is a valid tool for diagnosing autism spectrum disorder (ASD). It shows high accuracy in identifying individuals with ASD across diverse populations.

Keywords:
Autism Diagnostic Interview-RevisedAutism spectrum disorderK-ADI-RValidation

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Area of Science:

  • Psychiatry
  • Developmental Psychology
  • Clinical Psychology

Background:

  • Autism spectrum disorder (ASD) diagnosis relies on standardized assessments.
  • The Autism Diagnostic Interview-Revised (ADI-R) is a widely used diagnostic tool.
  • Validation of translated diagnostic instruments is crucial for cross-cultural applicability.

Purpose of the Study:

  • To validate the Korean version of the Autism Diagnostic Interview-Revised (K-ADI-R).
  • To assess the K-ADI-R's efficacy in identifying individuals with ASD in a Korean population.
  • To evaluate the psychometric properties of the K-ADI-R.

Main Methods:

  • Data were collected from 1,271 participants between 2008 and 2017.
  • The K-ADI-R was administered and scored by trained, reliable examiners.
  • Validity was assessed using sensitivity, specificity, positive predictive values (PPV), negative predictive values (NPV), and Cohen's kappa.

Main Results:

  • The K-ADI-R demonstrated high psychometric properties: sensitivity (86.06-99.27%), specificity (84.75-99.55%), PPV (92.33-99.72%), and NPV (79.43-98.64%).
  • Significant differences in item scores were observed across the diagnostic algorithm, irrespective of age or sex (p<0.001).
  • Agreement with other ASD measurements ranged from good to excellent.

Conclusions:

  • The K-ADI-R is a valid and reliable diagnostic instrument for ASD in the Korean population.
  • The study supports the use of K-ADI-R across language and cultural boundaries.
  • K-ADI-R shows promise as a valuable tool for ASD diagnosis.