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The Autism-Spectrum Quotient (AQ) Adolescent's Version in Turkey: Factor Structure, Reliability and Validity
Elif Cetinoglu1,2, Sahbal Aras3
1Department of Child and Adolescent Psychiatry, Batman Training and Research Hospital, Batman, Turkey. eliff_uysal@hotmail.com.
The Turkish Autism Spectrum Quotient-Adolescent (AQ-Adolescent) is a reliable and valid tool for identifying autism spectrum disorder in adolescents. It effectively differentiates individuals with Asperger syndrome/high-functioning autism from healthy controls and those with other psychiatric disorders.
Area of Science:
- Psychiatry
- Developmental Psychology
- Clinical Psychology
Background:
- Autism Spectrum Quotient (AQ) is a widely used self-report measure for assessing autistic traits.
- Adolescent versions are crucial for early identification and intervention.
- Validation of translated versions ensures cross-cultural applicability and diagnostic accuracy.
Purpose of the Study:
- To evaluate the reliability and validity of the Turkish translation of the Autism Spectrum Quotient-Adolescent (AQ-Adolescent).
- To determine the diagnostic accuracy of the Turkish AQ-Adolescent in distinguishing adolescents with Asperger syndrome/high-functioning autism (AS/HFA) from controls.
Main Methods:
- Cross-sectional study involving three groups of adolescents aged 11-18: AS/HFA (n=80), other psychiatric disorders (PDs; n=71), and healthy controls (n=249).
- Reliability assessed using Cronbach's alpha and ordinal alpha.
- Validity examined through factor analysis and test-retest correlation.
- Diagnostic accuracy determined by sensitivity and specificity at a specific cut-off score.
Main Results:
- The AS/HFA group scored significantly higher on the Turkish AQ-Adolescent than both healthy controls and the PD group.
- High internal consistency was demonstrated (Cronbach's α = 0.829, ordinal α = 0.90).
- Factor analysis supported a four-factor structure, and test-retest correlations were strongly significant, indicating good stability.
- A cut-off score of 24 achieved high sensitivity (0.975) and specificity (0.991) in distinguishing the AS/HFA group.
Conclusions:
- The Turkish version of the AQ-Adolescent is a reliable and valid instrument for assessing autistic traits in Turkish adolescents.
- The AQ-Adolescent demonstrates excellent diagnostic accuracy for identifying AS/HFA in this population.
- This validated tool can aid in the early identification and diagnosis of autism spectrum disorder in Turkish-speaking adolescents.
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