Instrument to screen cases of pervasive developmental disorder: a preliminary indication of validity

Braz J Psychiatry. 2009 Mar;31(1):30-3. doi: 10.1590/s1516-44462009000100008.

Abstract

Objective: To translate into Portuguese, back-translate, culturally adapt and validate a screening instrument for pervasive developmental disorder, the Autism Screening Questionnaire, for use in Brazil.

Method: A sample of 120 patients was selected based on three groups of 40: patients with a clinical diagnosis of pervasive developmental disorder, Down syndrome, or other psychiatric disorders. The self-administered questionnaire was applied to the patients' legal guardians. Psychometric measures of the final version of the translated questionnaire were tested.

Results: The score of 15 had sensitivity of 92.5% and specificity of 95.5% as a cut-off point for the diagnosis of pervasive developmental disorder. Internal validity for a total of 40 questions was 0.895 for alpha and 0.896 for KR-20, ranging from 0.6 to 0.8 for both coefficients. Test and retest reliability values showed strong agreement for most questions.

Conclusions: The final version of this instrument, translated into Portuguese and adapted to the Brazilian culture, had satisfactory measurement properties, suggesting preliminary validation proprieties. It was an easy-to-apply, useful tool for the diagnostic screening of individuals with pervasive developmental disorder.

MeSH terms

  • Analysis of Variance
  • Autistic Disorder / diagnosis*
  • Autistic Disorder / psychology
  • Brazil
  • Child
  • Child Development Disorders, Pervasive / diagnosis*
  • Child Development Disorders, Pervasive / psychology
  • Cross-Cultural Comparison*
  • Diagnostic and Statistical Manual of Mental Disorders
  • Epidemiologic Methods
  • Female
  • Humans
  • Language
  • Male
  • Mass Screening*
  • Psychometrics
  • Surveys and Questionnaires / standards*
  • Translating