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Psychometric Evaluation of Two Adult Autism Screening Tools in Brazil
Louise do Nascimento Marques1, Christopher Murray2, Lucas Fortaleza3
1Department of Psychology, Catholic University of Rio de Janeiro, Rio de Janeiro, Brazil.
Summary
New screening tools, Screening for Autism in Adults (SfA-A) and Screening for Autism in Females (SfA-F), show promise for identifying autism spectrum disorder (ASD) in Brazilian adults. These instruments aim to reduce underdiagnosis, particularly among women.
Area of Science:
- Neurodevelopmental Disorders
- Psychometrics
- Global Health
Background:
- Autism spectrum disorder (ASD) is increasingly diagnosed globally, yet underdiagnosis persists in low- and middle-income countries like Brazil.
- Women with ASD often exhibit subtle symptoms and camouflaging behaviors, leading to potential misdiagnosis or delayed identification.
Purpose of the Study:
- To evaluate two novel screening instruments, the Screening for Autism in Adults (SfA-A) and Screening for Autism in Females (SfA-F), for improved ASD detection in Brazilian adults.
- To address critical gaps in adult ASD screening within the Brazilian population.
Main Methods:
- Utilized Exploratory Structural Equation Modeling (ESEM) on large samples of Brazilian adults (N=3302 for SfA-A, N=7738 for SfA-F).
- Assessed reliability using Cronbach's alpha, McDonald's omega, and test-retest methods.
- Determined criterion validity against the AQ-10 and other autism-related questions, establishing percentile-based norms.
Main Results:
- Both SfA-A and SfA-F demonstrated strong model fit through factor analyses.
- Instruments exhibited high internal consistency (Cronbach's alpha > 0.8) and initial criterion validity.
- Norms were successfully established based on percentile rankings for the Brazilian adult population.
Conclusions:
- The SfA-A and SfA-F are validated tools designed to enhance ASD screening for adults in Brazil.
- These instruments show significant potential for identifying individuals with ASD symptoms, facilitating further diagnostic evaluation.
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