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Psychometric properties of the French Version of the Social Responsiveness Scale in autism spectrum disorder with or without attention deficit hyperactivity disorder
Institution:1. Child and adolescent psychiatry department, Robert-Debré hospital, Assistance publique–Hôpitaux de Paris, 75019 Paris, France;2. Cognitive sciences and psycholinguistic laboratory, école normale supérieure, 75005 Paris, France;3. Paris Diderot university, Paris 7, 75006 Paris, France;4. Human genetics and cognitive functions, Pasteur Institute, 75015 Paris, France;1. Centre d’études de la Renaissance, 59, rue Nericault-Destouches, 37000 Tours, France;2. Laboratoire d’explorations fonctionnelles, centre de référence maladies neuromusculaires rares Atlantique-Occitanie-Caraïbes - FILNEMUS, European Reference Network Neuromuscular Diseases EURO-NMD, Hôtel-Dieu, 44093 Nantes, France;1. Hôpital Universitaire des Enfants Reine Fabiola, Department of Child Psychiatry, 15 Avenue J.J. Crocq, 1020, Brussels, Belgium;2. Université Libre de Bruxelles, Faculty of Psychology and Education, 30 Avenue Antoine Depage, 1050, Brussels, Belgium;3. Cliniques Universitaires Saint-Luc, Department of Child Psychiatry, 10 Avenue Hippocrate, 1200, Brussels, Belgium;4. Centre Hospitalier de Versailles, Department of Child Psychiatry, Hôpital André-Mignot, Department of Child Psychiatry, 80 Boulevard de la Reine, 7800, Versailles, France;5. Les Toises, Rue de l’Industrie 10, 1950 Sion, Switzerland;1. Department of Special Education, University of Hail, Saudi Arabia;2. Department of Special Education, Umm Al-Qura University, Saudi Arabia;1. Cappi Jonction, Department of Mental Health and Psychiatry, University Hospital of Geneva, 35, rue des Bains, 1205 Genève, Suisse;2. Unité de recherche, service universitaire de psychiatrie de l’enfant et de l’adolescent, avenue d’Echallens 9, 1004 Lausanne, Suisse
Abstract:ObjectivesThe Social Responsiveness Scale (SRS) is an instrument that is commonly used to screen for Autism Spectrum Disorder (ASD). Attention Deficit Hyperactive Disorder (ADHD) frequently occurs with ASD and both disorders share some phenotypic similarities. In the present study, we aimed to determine the psychometric properties of the French version of the Social Responsiveness Scale (SRS) and its 5 subscales (social awareness, social cognition, social communication, social motivation, and autistic mannerisms) to discriminate between children with ADHD and those with ASD (differential diagnosis) and children with ADHD from those with a dual diagnosis of ADHD and ASD (comorbid diagnosis).MethodSRS total scores and the 5 subscores of the SRS were compared between 4 groups of children: ADHD (n = 32), ASD + ADHD (n = 30), ASD (n = 31) and typical neurodevelopment (TD; n = 30) children. The discriminant validity was estimated using the Area Under the ROC Curves (AUC).ResultsSRS Social cognition (AUC = 0.73) and Autistic mannerisms (AUC = 0.70) subscores were the most discriminating for differential diagnosis of ASD and ADHD. SRS total scores (AUC = 0.70), and Social communication (AUC = 0.66) and Autistic mannerisms (AUC = 0.75) subscores were the most discriminating for comorbid diagnosis of ASD among ADHD children.ConclusionThe SRS autistic mannerisms subscore was found to be clinically relevant for both differential diagnosis of ASD and ADHD and comorbid diagnoses of ASD among ADHD children but with a modest discriminant power.
Keywords:Social interactions  Autism Spectrum Disorder (ASD)  Attention Deficit/Hyperactivity Disorder (ADHD)  Comorbidity  Social Responsiveness Scale (SRS)
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