Question abou t ADOS | Autism PDD

Sorry to bombard with questions today.  I am new to a lot of these things.  I just got dd's report back from the psychologist who assessed her.  I am a little confused about the ADOS scoring.  It has an area for dd's score, autism cutoff and autism spectrum cutoff.  When they say autism spectrum do they mean the other 4 disorders that aren't autism? 

Well, here are her scores on that and maybe somebody can explain.  It says in the report the PDD-NOS is a suggested dx based on these scores (and later is given as the dx after the DSM-IV portion is finished).

                              dd's score    Autism Cutoff   Autism Spectrum Cutoff
Communication Total      3                  5                           3

Reciprocal Social            6                  6                           4

Comm+Recip total           9                  12                        8


Are they saying below 8 is NT?  Is 8-12 where PDDNOS and Asperger's fall and over 12 where classic autism falls? 

Thanks in advance.  This is the one area of the report that is still confusing me.  Not sure if it makes a difference, but it says module 2 was used.
kdchaos39319.3553356482Right, over 12 is 'classic' autistic disorder.  Anything lower than that (but above the PDD cutoff) is one of the other PDDs - PDD-NOS or Asperger's.  The tool doesn't distinguish between the two.  My daughters, at 4.0 got a 13 - hence, they have 'classic' autism mild/moderate.

lmodule two just means the age range the child falls into

lucas scored

 

 

5 out of 8 communication a score of 2 or more indicates the possibilty of ASD

6 out of 14 social interaction a score of 4 or above indicates the possabilty of ASD

imagination 8 out 14 a score of 4 or more indicates a possibilty

aspergers will only be diagnosed if there has never been any speech delay

pdd/nos is given when not all of the diagnostic criteria is present but enough problems to cause impairments

from your scores and if no speech problems then it should be AS

if speech  problems HFA

when lucas gort his dx he was diagnosed with Autism

i argued my case because he had never had speech problems

they changed his dx to ASpergers syndrome

shell

shell

 

 

She said it was not a clear autism dx based on the DSM-IV.  Dd had 4 severe areas and 2 mild and the print says something to the effect of areas marked severe are ones that meet criteria.  So, I'm guessing that is where she got the PDD-NOS dx from?  Dd did have a language disorer/delay so she ruled out Asperger's.

I am going through another eval for dd through Kaiser soon.  I will be interested to see what they say.
kdchaos39319.3796064815

At the end of the assessment paper it should have a section which starsts with

conclusion

what does it say he fails on

this is the triad of impairments which it the main criteria for autism

[The following is from Diagnostic and Statistical Manual of Mental Disorders: DSM IV]

(I) A total of six (or more) items from (A), (B), and (C), with at least two from (A), and one each from (B) and (C)

(A) qualitative impairment in social interaction, as manifested by at least two of the following:

1. marked impairments in the use of multiple nonverbal behaviors such as eye-to-eye gaze, facial expression, body posture, and gestures to regulate social interaction
2. failure to develop peer relationships appropriate to developmental level
3. a lack of spontaneous seeking to share enjoyment, interests, or achievements with other people, (e.g., by a lack of showing, bringing, or pointing out objects of interest to other people)
4. lack of social or emotional reciprocity ( note: in the description, it gives the following as examples: not actively participating in simple social play or games, preferring solitary activities, or involving others in activities only as tools or "mechanical" aids )

(B) qualitative impairments in communication as manifested by at least one of the following:
1. delay in, or total lack of, the development of spoken language (not accompanied by an attempt to compensate through alternative modes of communication such as gesture or mime)
2. in individuals with adequate speech, marked impairment in the ability to initiate or sustain a conversation with others
3. stereotyped and repetitive use of language or idiosyncratic language
4. lack of varied, spontaneous make-believe play or social imitative play appropriate to developmental level

(C) restricted repetitive and stereotyped patterns of behavior, interests and activities, as manifested by at least two of the following:
1. encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus
2. apparently inflexible adherence to specific, nonfunctional routines or rituals
3. stereotyped and repetitive motor mannerisms (e.g hand or finger flapping or twisting, or complex whole-body movements)
4. persistent preoccupation with parts of objects

(II) Delays or abnormal functioning in at least one of the following areas, with onset prior to age 3 years:

(A) social interaction
(B) language as used in social communication
(C) symbolic or imaginative play

with the exception of speech for AS

spectrummum39319.3883101852This is where she fell and the notation says, "This examiner defines meeting criteria as falling in the significant range.


1a. Significant
1b. Significant
1c. Not Significant
1d. Not Significant

2a. Mild
2b. Significant
2c. Mild
2d. Not Significant

3a. Not Significant
3b. Significant (I thought this was going to be a NS or mild area but she must have changed her mind after reading the school reports.)
3c. Not Significant
3d. Not Significant

On the ADOS, a score of 12 or above is classic autism.  A score of 7-11 is an autism spectrum disorder.  In other words PDD-NOS...... unless you're child qualifies for an asperger's dx, or Rhetts or childhood disintegrative disorder.

When we got back Adam's results on the ADOS, it gave us his score, the breakdown and detailed explanation of how they came up with that score...for instance, he didn't do this...he only did this three times....yadda yadda yadda.  Then they went through the DSM-IV stuff and gave the dx.

I'm not sure about the cut off of an 8 on your paperwork for an ASD.  Adam was dx'd by Dr. Amy Weatherby at Florida State University's autism research project who is developing a new form of the ADOS and doing other stuff and I was told the cut off was 7.  Adam scored an 8.

pdd/nos is the corrct diagnosis in my opinion but only just

your daughter does have imapiairments with the triad of impairments but not enough for a dx

But there have been cases when diagnosis has been changed if you believe that it was wrong you should see an independant proffesional

pdd/nos  covers the whole of the disorders on the autistic specrum so the services should be the same

hope this helped hun

if you need anything else just ask

http://groups.msn.com/autismaspergersinthefamily

 

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