Advertisement

Journal of Autism and Developmental Disorders

, Volume 42, Issue 3, pp 455–459 | Cite as

Brief Report: The Autism Mental Status Examination: Development of a Brief Autism-Focused Exam

  • David Grodberg
  • Paige M. Weinger
  • Alexander Kolevzon
  • Latha Soorya
  • Joseph D. Buxbaum
Brief Report

Abstract

The Autism Mental Status Examination (AMSE) described here is an eight-item observational assessment that prompts the observation and recording of signs and symptoms of autism spectrum disorders (ASD). The AMSE is intended to take place seamlessly in the context of a clinical exam and produces a total score. Subjects were independently administered the AMSE and the Autism Diagnostic Observation Schedule (ADOS). The ADOS was used to estimate the most effective criterion cut-off on the AMSE. A score of five or greater produced excellent sensitivity and good specificity in a high-risk sample. Internal consistency was acceptable and inter-rater reliability was good to excellent. Preliminary findings indicate excellent classification accuracy and suggest that the AMSE provides a rapid and reliable observational assessment in a high-risk population.

Keywords

Autism spectrum disorder Mental status examination Autism Diagnostic Observation Schedule Autism Mental Status Examination 

Notes

Acknowledgments

We would like to thank all of our participants and their families. We would also like to acknowledge the psychologists and research coordinators who assisted with data collection. Many thanks to Vance Zemon for his assistance. This study was supported by the Beatrice and Samuel A. Seaver Foundation.

References

  1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.Google Scholar
  2. Cicchetti, D. (1994). Guielines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment, 6, 284–290.CrossRefGoogle Scholar
  3. Constantino, J. N. (2002). The social responsiveness scale. Los Angeles: Western Psychological Services.Google Scholar
  4. Dosreis, S., Weiner, C. L., Johnson, L., & Newschaffer, C. J. (2006). Autism spectrum disorder screening and management practices among general pediatric providers. Journal of Developmental and Behavioral Pediatrics, 27, 88–94.CrossRefGoogle Scholar
  5. Gotham, K., Pickles, A., & Lord, C. (2009). Standardizing ADOS scores for a measure of severity in autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 693–705.PubMedCrossRefGoogle Scholar
  6. Grodberg, D., Weinger, P., Soorya, L., Kolevzon, A., Erlanger, D., & Buxbaum, J. (2010). The autism mental status examination (AMSE): Preliminary development of an autism focused exam. New York, NY: Poster session presented at the annual meeting of the American Academy of Child and Adolescent Psychiatry.Google Scholar
  7. Johnson, C. P., Myers, S. M., & American Academy of Pediatrics Council on Children with Disabilities. (2007). Identification and evaluation of children with autism spectrum disorders. Pediatrics, 120, 1183–1215.PubMedCrossRefGoogle Scholar
  8. Klin, A., Saulnier, C., Tsatsanis, K., & Volkmar, F. R. (2005). Clinical evaluation in autism spectrum disorders: Psychological assessment within a transdisciplinary framework. In F. R. Volkmar, R. Paul, A. Klin, & D. Cohen (Eds.), Handbook of autism and pervasive developmental disorders (3rd ed., pp. 772–798). New York: Wiley & Sons.Google Scholar
  9. Lord, C., Risi, S., Lambrecht, L., Cook, E. H. J., Leventhal, B. L., DiLavore, P. C., et al. (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205–223.PubMedCrossRefGoogle Scholar
  10. Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2002). Autism diagnostic observation schedule. Los Angeles: Western Psychological Services.Google Scholar
  11. Risi, S., Lord, C., Gotham, K., Corsello, C., Chrysler, C., Szatmari, P., et al. (2006). Combining information from multiple sources in the diagnosis of autism spectrum disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 1094–1103.PubMedCrossRefGoogle Scholar
  12. Robins, D. L., Fein, D., Barton, M. L., & Green, J. A. (2001). The modified checklist for autism in toddlers: an initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31, 131–144.PubMedCrossRefGoogle Scholar
  13. Rutter, M., Bailey, A., & Lord, C. (2003a). SCQ: The social communication questionnaire. Manual. Los Angeles, CA: Western Psychological Services.Google Scholar
  14. Rutter, M., Le Couteur, A., & Lord, C. (2003b). ADI-R: The autism diagnostic interview-revised. Los Angeles, CA: Western Psychologoical Services.Google Scholar
  15. Shattuck, P. T., & Grosse, S. D. (2007). Issues related to the diagnosis and treatment of autism spectrum disorders. Mental Retardation and Developmental Disabilities Research, 13, 129–135.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • David Grodberg
    • 1
  • Paige M. Weinger
    • 1
    • 2
  • Alexander Kolevzon
    • 1
  • Latha Soorya
    • 1
  • Joseph D. Buxbaum
    • 1
  1. 1.Department of Psychiatry, Seaver Autism Center for Research and TreatmentMt. Sinai School of MedicineNew YorkUSA
  2. 2.Ferkauf Graduate School of PsychologyYeshiva UniversityNew YorkUSA

Personalised recommendations