Examen des tendances diagnostiques et des différences entre les sexes dans l’ADOS-II

Titre original en anglais : Examining Diagnostic Trends and Gender Differences in the ADOS-II

Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». un auteur·ice de cette publication est identifié·e comme autiste dans le projet.

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Tien, I. S., Johnson, A. R., Kim, J., & Wood, J. J. (2023). Examining Diagnostic Trends and Gender Differences in the ADOS-II. Journal of Autism and Developmental Disorders, 55(1), 1-9. https://doi.org/10.1007/s10803-023-06191-4

Publication date: 08/12/2023 Ajout dans AutiHub: 17/09/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
4
Auteur·ices de la publication identifié·es comme autistes
1 / 4 (25,0 %)
  1. Ingrid S. Tien *
  2. Amanda R. Johnson
  3. Junok Kim
  4. Jeffrey J. Wood

Résumé

Environ 3 à 4 garçons pour chaque fille répondent aux critères cliniques de l’autisme dans les études sur les schémas diagnostiques communautaires et les études sur l’autisme utilisant des échantillons de convenance. Cependant, il a été émis l’hypothèse que les filles autistes sont sous-diagnostiquées, peut-être parce qu’elles peuvent présenter des profils symptomatiques différents de ceux des garçons. Cette analyse secondaire de données a utilisé la National Database of Autism Research (NDAR) pour examiner comment le sexe et les profils symptomatiques sont associés l’un à l’autre dans une évaluation de référence des symptômes de l’autisme, l’Autism Diagnostic Observation Schedule II (ADOS-II; Lord, C., Luyster, R., Guthrie, W., & Pickles A. (2012a). Patterns of developmental trajectories in toddlers with autism spectrum disorder. Journal of Consulting and Clinical Psychology, 80(3):477-489. https://doi.org/10.1037/a0027214 . Epub 2012 Apr 16. PMID: 22506796, PMCID: PMC3365612). Les scores ADOS-II de 6183 enfants âgés de 6 à 14 ans issus de 78 études différentes dans la NDAR ont indiqué que le sexe était un prédicteur significatif des scores de sévérité du total de l’algorithme, des comportements restrictifs et répétitifs, et des difficultés de communication sociale. Ces résultats suggèrent que les différences entre les sexes dans les scores ADOS sont fréquentes dans de nombreux échantillons et peuvent avoir des implications pour les pratiques diagnostiques actuelles.

Approximately 3-4 boys for every girl meet the clinical criteria for autism in studies of community diagnostic patterns and studies of autism using samples of convenience. However, girls with autism have been hypothesized to be underdiagnosed, possibly because they may present with differing symptom profiles as compared to boys. This secondary data analysis used the National Database of Autism Research (NDAR) to examine how gender and symptom profiles are associated with one another in a gold standard assessment of autism symptoms, the Autism Diagnostic Observation Schedule II (ADOS-II; Lord, C., Luyster, R., Guthrie, W., & Pickles A. (2012a). Patterns of developmental trajectories in toddlers with autism spectrum disorder. Journal of Consulting and Clinical Psychology, 80(3):477-489. https://doi.org/10.1037/a0027214 . Epub 2012 Apr 16. PMID: 22506796, PMCID: PMC3365612). ADOS-II scores from 6183 children ages 6-14 years from 78 different studies in the NDAR indicated that gender was a significant predictor of total algorithm, restrictive and repetitive behavioral, and social communicative difficulties composite severity scores. These findings suggest that gender differences in ADOS scores are common in many samples and may reflect on current diagnostic practices.

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Vue d’ensemble de la bibliographie citée

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Références citées
51
Avec un DOI
45
Sans DOI, à partir du texte brut de la bibliographie
4
3 / 51 (5,9 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
5 / 51 (9,8 %)
Références avec noms d’auteurices détectés
48 / 51 (94,1 %)
Sans nom d’auteurice détecté
3
Sans titre structuré
5
Sans identifiant stable
4
Références avec noms bruts d’auteurices restant à vérifier
3
Références avec problème de récupération des métadonnées externes
0
Ces indicateurs portent sur les références citées affichées sur cette page, après fusion des doublons techniques. Une référence sans DOI peut quand même soutenir les statistiques d’auteurices lorsqu’un titre et des noms d’auteurices sont disponibles.
Noms d’auteurices détectés dans la bibliographie citée
257
À partir du DOI ou de métadonnées externes
257
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
5
79 / 257 (30,7 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 178 / 257 (69,3 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
3 / 257 (1,2 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 3 / 79 (3,8 %). Personnes distinctes identifiées comme autistes : 3 / 221 (1,4 %).
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