getting a diagnosis
Fred R. Volkmar
Search for more papers by this authorLisa A. Wiesner
Search for more papers by this authorFred R. Volkmar
Search for more papers by this authorLisa A. Wiesner
Search for more papers by this authorSummary
This chapter covers aspects related to getting a diagnosis of autism spectrum disorders (ASDs). It discusses the uses and limitations of diagnosis, as well as what a good diagnostic evaluation consists of and some of the more common ways that parents and professionals become concerned about the child and the kinds of behaviors that very young children with autism exhibit. Some probable or possible risk factors have been identified for autism. The strong risk factors are genetic ones. The psychological assessment is concerned with helping to establish the child's overall levels of cognitive ability, as well as describing their profiles of strengths and weaknesses. Speech–communication assessments are important for all children with autism and related conditions, regardless of their level of functioning. Occupational therapists and physical therapists may be involved either as members of the assessment team and/or in the school-based intervention program.
*Indicates particularly recommended reading
-
American Psychiatric Association
. (
2013
)
Diagnostic and statistical manual of mental disorders
(
5th
ed.).
10.1176/appi.books.9780890425596 Google Scholar
- Baranek , G. T. , David , F. J. , Poe , M. D. , Stone , W. L. , & Watson , L. R. ( 2006 ). Sensory experiences questionnaire: Discriminating sensory features in young children with autism, developmental delays, and typical development . Journal of Child Psychology and Psychiatry , 47 ( 6 ), 591 – 601 .
-
Baranek , G. T.
,
Little , L. M.
,
Parham , L. D.
,
Ausderau , K. K.
, &
Sabatos-DeVito , M. G.
(
2014
).
Sensory features in autism spectrum disorders
. In
F. R. Volkmar
,
S. J. Rogers
,
R. Paul
, &
K. A. Pelphrey
(Eds.),
Handbook of autism/ASD and pervasive developmental disorders
(
4th
ed., pp.
378
–
407
).
Wiley
.
10.1002/9781118911389.hautc16 Google Scholar
- Beery , K. E. , Buktenica , N. A. & Beery , N. ( 2010 ). Beery-Buktenica developmental test of visual–motor integration ( 6th ed., Beery VMI). Pearson .
- Bolton , P. F. , Carcani-Rathwell , I. , Hutton , J. , Goode , S. , Howlin , P. , & Rutter , M. ( 2011 ). Epilepsy in autism: Features and correlates . British Journal of Psychiatry , 198 ( 4 ), 289 – 294 . http://doi.org/10.1192/bjp.bp.109.076877
- * Campi , E. , Lord , C. , & Grzadzinski , R. ( 2020 ). Screening for autism spectrum disorder and developmental delays in infants and toddlers . In K. Chwarska & F. Volkmar (Eds.) Autism spectrum disorder in the first years of life: Research, assessment, and treatment . Guilford Press .
- Carrow-Woolfolk , E. ( 1999 ). Comprehensive assessment of spoken language . American Guidance Service .
- Chawarska , K. , & Volkmar F. R. ( 2020 ) Autism spectrum disorder in the first years of life . Guilford .
- Constantino JN , Gruber CP ( 2012 ). Social Responsiveness Scale, Second Edition (SRS-2) . Torrance, CA : Western Psychological Services .
-
Coonrod , E. E.
, &
Stone , W. L.
(
2005
).
Screening for autism in young children
. In
F. Volkmar
,
A. Klin
,
R. Paul
, &
D. J. Cohen
(Eds.),
Handbook of autism and pervasive developmental disorders
(
3rd
ed., in press).
Wiley
.
10.1002/9780470939352.ch1 Google Scholar
- Dunn , L. M. , & Dunn , D. M. ( 2007 ). Peabody picture vocabulary test . 4 th rf. (PPVT-4). Pearson .
- Dunn , W. ( 2014 ). Sensory profile 2 . Pearson .
- Elliot , C. D. ( 2007 ). Differential abilities scale-II (DAS-2) . Pearson .
- Folio , M. R. , & Fewell , R. R. ( 2000 ). Peabody developmental motor scales ( 2nd ed.) (PDMS –2). Pearson .
- Gardener , H. , Spiegelman , D. , & Buka , S. L. ( 2009 ). Prenatal risk factors for autism: Comprehensive meta-analysis . British Journal of Psychiatry , 195 ( 1 ), 7 – 14 . http://doi.org/10.1192/bjp.bp.108.051672
- Gilliam , J. ( 2013 ) Gilliam autism rating scale , ( 3rd ed.) (GARS-3). Pearson .
- Goldstein , S. , Naglieri , J. A. , & Ozonoff , S. ( 2018 ). Assessment of autism/ASD spectrum disorders . Guilford Press .
- * Hogan , T. P. ( 2002 ). Psychological testing: A practical introduction . Wiley .
- Huerta , M. , Bishop , S. L. , Duncan , A. , Hus , V. , & Lord , C. ( 2012 ). Application of DSM-5 criteria for autism spectrum disorder to three samples of children with DSM-IV diagnoses of pervasive developmental disorders . American Journal of Psychiatry , 169 ( 10 ), 1056 – 1064 . https://doi.org/10.1176/appi.ajp.2012.12020276
- Ibanez , L. V. , Stone , W. L. , & Coonrod , E. E. ( 2014 ). Screening for autism in young children . In F. R. Volkmar , S. J. Rogers , R. Paul , & K. A. Pelphrey (Eds.), Handbook of autism and pervasive developmental disorders (Vol. 2 , pp. 585 – 604 ). Wiley .
-
*
Jackson , S. L.
, &
Volkmar , F. R.
(
2019
).
Diagnosis and definition of autism and other pervasive developmental disorders
. In
F. Volkmar
(Ed.),
Autism and the pervasive developmental disorders
(pp.
1
–
24
).
Cambridge University Press
.
10.1017/9781108297769.002 Google Scholar
- Kaufman , A. S. , & Kaufman , N. L. ( 2018 ). Kaufman assessment battery for children , 2nd edition normative update. WPS .
- King , T. M. , Tandon , S. D. , Macias , M. M. , Healy , J. A. , Duncan , P. M. , Swigonski , N. L. , Skipper , S. M. , & Lipkin , P. H. ( 2010 ). Implementing developmental screening and referrals: Lessons learned from a national project . Pediatrics , 125 ( 2 ), 350 – 360 . http://doi.org/10.1542/peds.2009-0388
-
*
Lord , C.
,
Corsello , C.
, &
Grzadzinski , R.
(
2014
).
Diagnostic instruments in autistic spectrum disorders
. In
F. R. Volkmar
,
S. J. Rogers
,
R. Paul
, &
K. A. Pelphrey
(Eds.),
Handbook of autism and developmental disorders
(
4th
ed., Vol.
2
, pp.
610
–
650
).
Wiley
.
10.1002/9781118911389.hautc25 Google Scholar
- Lord , C. , Rutter , M. , & Le Couteur , A. ( 1994 ). Autism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders . Journal of Autism and Developmental Disorders , 24 ( 5 ), 659 – 685 . https://doi.org/10.1007/BF02172145
-
Lord , C.
,
Rutter , M.
,
DiLavore , P. C.
, &
Risi , S.
(
1999
).
Autism Diagnostic Observation Schedule--Generic (ADOS-G)
[Database record].
APA PsycTests
.
https://doi.org/10.1037/t17256-000
10.1037/t17256-000 Google Scholar
- Lord , C. , Wagner , A. , Rogers , S. , Szatmari , P. , Aman , M. , Charman , T. , & Yoder , P. ( 2005 ). Challenges in evaluating psychosocial interventions for autistic spectrum disorders . Journal of Autism & Developmental Disorders , 35 ( 6 ), 695 – 708 ; discussion 709–611. http://doi.org/10.1007/s10803-005-0017-6
- Mandell , D. S. , Ittenbach , R. F. , Levy , S. E. , & Pinto-Martin , J. A. ( 2007 ). Disparities in diagnoses received prior to a diagnosis of autism spectrum disorder . Journal of Autism & Developmental Disorders , 37 ( 9 ), 1795 – 1802 . http://doi.org/10.1007/s10803-006-0314-8
- Martin , N. A. , & Brownell , R. ( 2011 ). EOWPVT-4: Expressive one-word picture vocabulary test ( 4th ed.) . Pro-Ed .
-
McClure , I.
(
2014
).
Developing and implementing practice guidelines
. In
F. Volkmar
,
S. Rogers
,
R. Paul
, &
K. Pelphrey
(Eds.),
Handbook of autism and pervasive developmental disorders, Volume 2: Assessment, interventions, and policy
(pp.
1014
–
1035
).
Wiley
.
10.1002/9781118911389.hautc44 Google Scholar
- McClure , I. , & Melville , C. A. ( 2007 ). Early identification key in autism spectrum disorders . Practitioner , 251 ( 1697 ), 31 .
- Miller , L. J. , & Roid , G. H. ( 1994 ). The T.I.M.E.: Toddler and infant motor evaluation . The Psychological Corporation .
- Mullen , E. M. ( 1995 ). Mullen scales of early learning (AGS ed.). American Guidance Service Inc .
- * National Research Council . ( 2001 ). Educating young children with autism . National Academy Press .
- Parham , L. D. , & Ecker , C. ( 2002 ). Evaluation of sensory processing–research version 4 . In A. C. Bundy , S. J. Lane , & E. A. Murray (Eds.), Sensory integration: Theory and practice ( 2nd ed ., pp. 194 – 196 ). F. A. Davis .
- * Paul , R. , & Wilson , K. P. ( 2009 ). Assessing speech, language, and communication in autism spectrum disorders . In S. Goldstein , J. A. Naglieri , & S. Ozonoff (Eds.), Assessment of autism/ASD spectrum disorders (pp. 171 – 208 ). Guilford Press .
- Prizant , B. ( 2015 ). Uniquely human: A different way of seeing autism . Simon and Schuster .
- Reynell , J. & Gruber , C. ( 1990 ). Reynell developmental language scales . Western Psychological Services .
- Robins , D. L. , Casagrande , K. , Barton , M. , Chen , C.-M. A. , Dumont-Mathieu , T. , & Fein , D. ( 2014 ). Validation of the modified checklist for autism in toddlers, revised with follow-up (M-CHAT-R/F) . Pediatrics , 133 ( 1 ), 37 – 45 . http://doi.org/10.1542/peds.2013-1813
- Robins DL , Fein D , & Barton M. The Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F). Self-published; 2009
- Robins DL , Fein D , Barton M The Modified Checklist for Autism in Toddlers (M-CHAT). Self-published; 1999
- Roid , G. S. ( 2003 ). Stanford-Binet intelligence scales ( 5th ed.). WPS .
- Roid , G. , Miller , L. , Pomplun , M. & Koch , C. ( 2013 ). Leiter international performance scale ( 3rd ed.). Stoelting .
- Rutter , M. ( 2006 ). Autism: Its recognition, early diagnosis, and service implications . Journal of Developmental & Behavioral Pediatrics , 27 ( 2 Suppl ), S54 – 58 . https://doi.org/10.1097/00004703-200604002-00002
- Rutter , M , Bailey A & Lord C ( 2003 ). The Social Communication Questionnaire . Los Angeles : Western Psychological Service
- Saulnier , C. A. , & Ventola , P. E. ( 2012 ). Essentials of autism spectrum disorders evaluation and assessment . Wiley .
- * Schaaf , R. C. , Benevides , T. W. , Kelly , D. , & Mailloux-Maggio , Z. ( 2012 ). Occupational therapy and sensory integration for children with autism/ASD: A feasibility, safety, acceptability and fidelity study . Autism/ASD , 16 ( 3 ), 321 – 327 .
- Schaefer , G. B. , Mendelsohn , N. J. , & Professional and Clinical Guidelines . ( 2013 ). Clinical genetics evaluation in identifying the etiology of autism spectrum disorders: 2013 guideline revisions . [Erratum appears in Genet Med. 2013 Aug;15(8):669]. Genetics in Medicine , 15 ( 5 ), 399 – 407 . http://doi.org/10.1038/gim.2013.32
- Schopler , E. , & Van Bourgondian , M. ( 2010 ). Childhood Autism Rating Scale™, Second Edition (CARS™–2) Western Psychological
- Smith , I. C. , Reichow , B. , & Volkmar , F. R. ( 2015 ). The effects of DSM-5 criteria on number of individuals diagnosed with autism spectrum disorder: A systematic review . Journal of Autism and Developmental Disorders , 45 ( 8 ), 2541 – 2552 . https://doi.org/10.1007/s10803-015-2423-8
- Sparrow , S. S. , Cicchetti , D. V. , & Saulnier , C. ( 2016 ). Vineland adaptive behavior scales ( 3rd ed.). (Vineland III). Pearson .
- Stone , W. L. , Coonrod , E. E. , & Ousley , O. Y. ( 2000 ). Screening Tool for Autism Two-Year-Olds (STAT): Development and preliminary data . Journal of Autism & Developmental Disorders , 30 ( 6 ), 607 – 612 .
- Swinkels , S. H. , Dietz , C. , van Daalen , E. , Kerkhof , I. H. , van Engeland , H. , & Buitelaar , J. K. ( 2006 ). Screening for autistic spectrum in children aged 14 to 15 months. I: the development of the Early Screening of Autistic Traits Questionnaire (ESAT) . Journal of autism and developmental disorders , 36 ( 6 ), 723 - 732 .
- Tager-Flusberg , H. , Paul , R. , & Lord , C. ( 2014 ). Language and communication in autism/ASD . In F. R. Volkmar , S. J. Rogers , R. Paul , & K. A. Pelphrey (Eds.), Handbook of autism/ASD and pervasive developmental disorders ( 4th ed., pp. 335 – 364 ). Wiley .
-
Tsatsanis , K. D.
,
Powell , K.
,
Volkmar , F. R.
,
Paul , R.
,
Rogers , S. J.
, &
Pelphrey , K. A.
(
2014
).
Neuropsychological characteristics of autism spectrum disorders
. In
F. R. Volkmar
,
S. J. Rogers
,
R. Paul
, &
K. A. Pelphrey
(Eds.),
Handbook of autism/ASD and pervasive developmental disorders
(
4th
ed., pp.
302
–
331
).
Wiley
.
10.1002/9781118911389.hautc13 Google Scholar
-
*
Volkmar , F. R.
,
Booth , L. L.
,
McPartland , J. C.
, &
Wiesner , L. A.
(
2014
).
Clinical evaluation in multidisciplinary settings
. In
F. R. Volkmar
,
S. J. Rogers
,
R. Paul
, &
K. A. Pelphrey
(Eds.),
Handbook of autism/ASD and pervasive developmental disorders
(
4th
ed., pp.
661
–
672
).
Wiley
.
10.1002/9781118911389.hautc26 Google Scholar
- Volkmar , F. R. , Klin , A. , Siegel , B. , Szatmari , P. et al. ( 1994 ). Field trial for autistic disorder in DSM-IV . The American Journal of Psychiatry , 151 ( 9 ), 1361 – 1367 .
- Volkmar , F. R. , & McPartland , J. C. ( 2014 ). From Kanner to DSM-5: Autism as an evolving diagnostic concept . Annual Review of Clinical Psychology , 10 , 193 – 212 . http://doi.org/10.1146/annurev-clinpsy-032813-153710
- * Volkmar , F. , Siegel , M. , Woodbury-Smith , M. , King , B. , McCracken , J. , & State , M. ( 2014 ). Practice parameter for the assessment and treatment of children and adolescents with autism spectrum disorder . Journal of the American Academy of Child & Adolescent Psychiatry , 53 ( 2 ): 237 – 257 .
- Wechsler , D. ( 2008 ). Wechsler adult intelligence scale ( 4th ed.). Pearson .
- Wechsler , D. ( 2012 ). Wechsler preschool and primary scale of intelligence ( 4th ed.). Pearson .
- Wechsler , D. ( 2014 ). Wechsler intelligence scale for children ( 5th ed.). Pearson .
- White , S. W. , Ollendick , T. H. , & Bray , B. C. ( 2011 ). College students on the autism spectrum: Prevalence and associated problems . Autism , 15 ( 6 ), 683 – 701 . http://doi.org/10.1177/1362361310393363
- Whitten , K. , … Fernandez , B. A. ( 2015 ). Molecular diagnostic yield of chromosomal microarray analysis and whole-exome sequencing in children with autism spectrum disorder . JAMA , 314 ( 9 ), 895 – 903 .
- Wiig , E. , & Secord , W. ( 1989 ). Test of language competence . Psychological Corporation .
- Wiig , E. , Semel , E. , & Secord , W.A. ( 2013 ). Clinical evaluation of language fundamentals ( 5th ed.) (CELF-5). Pearson .
- Wiig , E. , Semel , E. , & Secord , W.A. ( 2013 ). Clinical evaluation of language fundamentals ( 5th ed.) (CELF-5). Pearson .
-
Wilson , C.
,
Roberts , G.
,
Gillan , N.
,
Ohlsen , C.
,
Robertson , D.
, &
Zinkstok , J.
(
2014
).
The NICE guideline on recognition, referral, diagnosis and management of adults on the autism spectrum
.
Advances in Mental Health and Intellectual Disabilities
,
8
(
1
),
3
–
14
. ISSN: 2044-1282
10.1108/AMHID-05-2013-0035 Google Scholar
- * Wodrich , D. L. E. ( 1997 ). Children's psychological testing: A guide for nonpsychologists . Brookes .
- Zimmerman , I. L. , Steiner , V. G. , & Pond , E. R. ( 2011 ). Preschool language scale ( 5th ed.) . Pearson .
- Zwaigenbaum , L. ( 2010 ). Advances in the early detection of autism . Current Opinion in Neurology , 23 ( 2 ), 97 – 102 . https://doi.org/10.1097/WCO.0b013e3283372430