학술논문

Validity of the Toddler Autism Symptom Inventory in Non-Hispanic White and Black Toddlers
Document Type
Journal Articles
Reports - Research
Author
Kirsty L. Coulter (ORCID 0000-0003-0231-2908); Paula MorenoMarianne BartonThyde Dumont-MathieuDiana L. Robins (ORCID 0000-0002-7791-7031); Deborah A. Fein (ORCID 0000-0002-8478-5938)
Source
Journal of Autism and Developmental Disorders. 2024 54(1):339-352.
Subject
Toddlers
Autism Spectrum Disorders
Whites
African Americans
Semi Structured Interviews
Clinical Diagnosis
Measures (Individuals)
Symptoms (Individual Disorders)
Test Validity
Severity (of Disability)
Socioeconomic Status
Age
Racial Differences
Cutting Scores
Language
English
ISSN
0162-3257
1573-3432
Abstract
Racial disparities exist in autism diagnosis, and yet, the development of most diagnostic tools has not explicitly examined measurement equity between racial and ethnic groups. We examined the validity of the Toddler Autism Symptom Inventory (TASI), a semi-structured interview developed for diagnosis of toddlers, in non-Hispanic Black/African American and non-Hispanic White children. After controlling for group differences in socio-economic status, no differences in diagnosis, age at diagnosis, mean developmental level, or autism severity were found. TASI ROC curves for both groups, in the overall sample, and in samples stratified by SES, showed high AUC values. Validity of two cutoff scores was acceptable. Lack of significant differences in TASI score or responses to individual items suggests similar symptomatology. These results provide early support for the use of the TASI in diagnostic evaluations of Black and White children.