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Reliability and validity of autism diagnostic interview-revised, Japanese version. 2013
Kenji J Tsuchiya, and
Kaori Matsumoto, and
Atsuko Yagi, and
Naoko Inada, and
Miho Kuroda, and
Eiko Inokuchi, and
Tomonori Koyama, and
Yoko Kamio, and
Masatsugu Tsujii, and
Saeko Sakai, and
Ikuko Mohri, and
Masako Taniike, and
Ryoichiro Iwanaga, and
Kei Ogasahara, and
Taishi Miyachi, and
Shunji Nakajima, and
Iori Tani, and
Masafumi Ohnishi, and
Masahiko Inoue, and
Kazuyo Nomura, and
Taku Hagiwara, and
Tokio Uchiyama, and
Hironobu Ichikawa, and
Shuji Kobayashi, and
Ken Miyamoto, and
Kazuhiko Nakamura, and
Katsuaki Suzuki, and
Norio Mori, and
Nori Takei
Department of Child Development, United Graduate School of Child Development at Hamamatsu, Handayama 1 Higashiku, Hamamatsu, 431-3192, Japan. tsuchiya@hama-med.ac.jp
To examine the inter-rater reliability of Autism Diagnostic Interview-Revised, Japanese Version (ADI-R-JV), the authors recruited 51 individuals aged 3-19 years, interviewed by two independent raters. Subsequently, to assess the discriminant and diagnostic validity of ADI-R-JV, the authors investigated 317 individuals aged 2-19 years, who were divided into three diagnostic groups as follows: autistic disorder (AD), pervasive developmental disorder not otherwise specified, and other psychiatric diagnosis or no diagnosis, according to the consensus clinical diagnosis. As regards inter-rater reliability, intraclass correlation coefficients of greater than 0.80 were obtained for all three domains of ADI-R-JV. As regards discriminant validity, the mean scores of the three domains was significantly higher in individuals with AD than in those of other diagnostic groups. As regards diagnostic validity, sensitivity and specificity for correctly diagnosing AD were 0.92 and 0.89, respectively, but sensitivity was 0.55 for individuals younger than 5 years. Specificity was consistently high regardless of age and intelligence. ADI-R-JV was shown to be a reliable tool, and has sufficient discriminant validity and satisfactory diagnostic validity for correctly diagnosing AD, although the diagnostic validity appeared to be compromised with respect to the diagnosis of younger individuals.
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