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Autism Diagnostic Observation Schedule, 2nd Edition (ADOS-2) - Module 4

ados4_2012

01

Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) - General Module 4 - Fluent Speech Adolescent/Adult (published in 2012)

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Element NameData TypeSizeRequiredDescriptionValue RangeNotesAliases
subjectkeyGUIDRequiredThe NDAR Global Unique Identifier (GUID) for research subjectNDAR*guid, ndar_guid
src_subject_idString20RequiredSubject ID how it's defined in lab/projectsubject_id
interview_dateDateRequiredDate on which the interview/genetic test/sampling/imaging was completed. MM/DD/YYYYRequired fieldintvdate
interview_ageIntegerRequiredAge in months at the time of the interview/test/sampling/imaging.0 :: 1260Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.ados_interview_age, intvage
genderString20RequiredSex of the subjectM;FM = Male; F = Femalesex
comments_miscString4,000RecommendedMiscellaneous comments on study, interview, methodology relevant to this form dataados007a
observation_d_1String255RecommendedConstruction Task
observation_d_1_1String255RecommendedConstruction Task Communication Sample
observation_d_2String255RecommendedTelling a Story From a Book
observation_d_3String255RecommendedDescription of a Picture (Optional)
observation_d_4String255RecommendedConversation and Reporting
observation_d_5String255RecommendedCurrent Work or School (Optional)
observation_d_6String255RecommendedSocial Difficulties and Annoyance
observation_d_7String255RecommendedEmotions
observation_d_8String255RecommendedDemonstration Task
observation_d_9String255RecommendedCartoons
observation_d_10String255RecommendedBreak
observation_d_11String255RecommendedDaily Living (Optional)
observation2_d_12String255RecommendedFriends, Relationships, and Marriage
observation_d_13String255RecommendedLoneliness
observation_d_14String255RecommendedPlans and Hopes
observation_d_15String255RecommendedCreating a Story
codinga2_olang_dIntegerRecommendedOverall Level of Non-Echoed Spoken Language0;1;2;3;8;90 = Uses sentences in a largely correct fashion (must use some complex speech). 1 = Some relatively complex speech (occasional utterances with two or more clauses), but with recurrent grammatical errors not associated with use of dialect. 2 = Non-echoed speech is mostly utterances of at least three words, but without complex language as described above. 3 = Non-echoed language is mostly simple phrases. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0a01, adosraw4a1, nonechoedspokenlang, olan
codinga_spabn_dIntegerRequiredSpeech Abnormalities Associated with Autism (Intonation/Volume/Rhythm/Rate)0;1;2;7;8;90 = Appropriately varying intonation, reasonable volume, and normal rate of speech, with regular rhythm coordinated with breathing. 1 = Little variation in pitch and tone; rather flat or exaggerated intonation, but not obviously peculiar, OR slightly unusual volume, AND/OR speech that tends to be somewhat unusually slow, fast, or jerky. 2 = Speech that is clearly abnormal for ANY of the following reasons: slow and halting; inappropriately rapid; jerky and irregular in rhythm (other than ordinary stutter/stammer), such that there is some interference with intelligibility; odd intonation or inappropriate pitch and stress; markedly flat and toneless ("mechanical"); consistently abnormal volume. 7 = Stutter or stammer or other fluency disorder (if odd intonation is also present, code 1 or 2 accordingly). 8 =N/A (phrase speech inadequate in frequency for assessment of intonation/rhythm /rate). 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0a02, adosraw4a2, spab, speechabnormalities
codinga_iecho_dIntegerRequiredImmediate Echolalia0;1;2;3;8;90 = Does not repeat others' speech. 1 = Occasional echoing. 2 = Echoing words and phrases regularly, but some spontaneous language, which can be stereotyped. 3 = Speech largely consists of immediate echolalia. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0a03, adosraw4a3, iecho, immediateecholalia
codinga_stereo_dIntegerRequiredStereotyped/Idiosyncratic Use of Words or Phrases0;1;2;3;8;9ADOS-1 (2001): 0 = Rarely or never uses stereotyped or odd words or phrases. 1 = Use of words or phrases tends to be more repetitive or formal than that of most individuals at the same level of complexity, but not obviously odd, OR occasional stereotyped utterances or odd use of words or phrases, with substantial spontaneous, flexible language, as well. 2 = Often uses stereotyped utterances or odd words or phrases, either with or without other language. 3 = Phrases almost exclusively odd or stereotyped utterances.; ADOS-2 (2012): 0 = Rarely or never uses stereotyped or idiosyncratic words or phrases. 1 = Use of words or phrases tends to be more repetitive or formal than that of most individuals at the same level of expressive language, but not obviously odd, OR occasional stereotyped utterances or odd use of words or phrases, with substantial spontaneous, flexible language as well. 2 = Often uses stereotyped utterances or odd words or phrases, with some other language. 3 = Frequently uses odd or stereotyped speech, and rarely uses non-stereotyped spontaneous speech. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0a04, adosraw4a4, ster, stereotypedwords
codinga_oinfo_dIntegerRequiredOffers Information0;1;2;8;90 = Spontaneously offers information about his or her own thoughts, feelings, or experiences on several occasions. 1 = Occasionally offers information spontaneously about his or her own thoughts, feelings, or experiences. 2 = Rarely or never offers information spontaneously, except about circumscribed interests or preoccupations, OR offers information about facts or general knowledge, including preoccupations or circumscribed interests. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0a05, adosraw4a5, offersinformation, oinf
codinga_ainfo_dIntegerRecommendedAsks for Information0;1;2;3;8;90 = Asks the examiner about his or her thoughts, feelings, or experiences on several occasions. 1 = Occasionally (at least one clear example) asks the examiner about his or her thoughts, feelings, or experiences. 2 = Responds appropriately to examiner's comments about his or her thoughts, feelings, or experiences, but does not spontaneously inquire about them. 3 = Rarely or never expresses interest in the examiner's thoughts, feelings, or experiences. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0a06, adosraw4a6, ask, asksforinformation
codinga_reprt_dIntegerRequiredReporting of Events0;1;2;3;8;90 = Reports a specific nonroutine event (e.g., a holiday, a vacation, a shopping trip) that is not part of any preoccupations or intense interests and seems likely to be real. Gives a reasonable account without specific probes, but may need to be asked a general question to get started. 1 = Gives a reasonable account of a routine event (e.g., playing a favorite game, usual routine when he or she arrives home from work or school) that is not part of a preoccupation or intense interest and seems likely to be real. Gives the account without specific probes, but initially may need to be asked to describe the event. Include accounts from the "Demonstration Task" here. 2 = Provides an account, of routine or nonroutine events, but dependent on specific probes, OR only describes an event that seems unlikely to have been real. 3 = Inconsistent or insufficient responses, even to specific probes. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0a07, adosraw4a7, reportingofevents, rept
codinga_convs_dIntegerRecommendedConversation0;1;2;3;8;90 = Conversation flows, building on the examiner's dialogue. This rating requires that much of the participant's speech provide both a response to the examiner's speech and some additional talking (not necessarily a question) that builds on what has just been said and allows a response from the examiner (i.e., sequences of at least four elements: examiner opens, participant comments, examiner responds, participant responds to response). 1 = Speech includes some spontaneous elaboration of the participant's own responses for the examiner's benefit OR provides leads for the examiner to follow, but either this is less in amount than would be expected for the participant's expressive language level or it is limited in flexibility. 2 = Little reciprocal conversation sustained by the participant; may follow his or her own train of thought rather than participate in an interchange; may have some spontaneous offering of information or comments, but little sense of reciprocity. 3 = Little spontaneous communicative speech (although there may be much echoed or noncommunicative speech). This rating can be used to describe participants who make some limited, but very few, responses to conversational initiations by the examiner. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0a08, adosraw4a8, conv, conversation
codinga_gest_dIntegerRequiredDescriptive, Conventional, Instrumental or Informational Gestures0;1;2;3;8;90 = Spontaneous use of several descriptive gestures. These gestures may be typical or idiosyncratic, but must be communicative. May also use conventional or instrumental gestures. 1 = Some spontaneous use of descriptive gestures, but exaggerated or limited in range and/or contexts (e.g., occur only during "Demonstration Task"), OR frequent use of conventional or instrumental gestures, but rare or no use of descriptive gestures. 2 = Some spontaneous use of informational, conventional, or instrumental gestures, but rare or no use of descriptive gestures. 3 = No or very limited spontaneous use of conventional, instrumental, informational, or descriptive gestures. 8 = N/A (e.g., limited by physical disability). 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0a09, adosraw4a9, descriptivegestures, dges
codinga_egest_dIntegerRequiredEmphatic or Emotional Gestures0;1;2;3;8;90 = Variety of appropriate emphatic and/or emotional gestures that are well-integrated with speech. 1 = Some emphatic or emotional gestures, but exaggerated, OR limited in frequency, appropriateness, integration, or style. 2 = Odd, excessive, or definitely awkwardly integrated emphatic or emotional gestures. 3 = No or very limited emphatic or emotional gestures. 8 = N/A (e.g., limited by physical disability). 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0a10, adosraw4a10, eges, emphaticemotionalgestures
codingb_ueye_dIntegerRequiredUnusual Eye Contact0;1;2;8;90 = Appropriate gaze with subtle changes meshed with other communication. 2 = Uses poorly modulated eye contact to initiate, terminate, or regulate social interaction. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0b01, adosraw4b1, eye, unusualeyecontact
codingb_facee_dIntegerRecommendedFacial Expressions Directed to Examiner0;1;2;8;90 = Directs a range of appropriate facial expressions to the examiner in order to communicate affective or cognitive states. 1 = Some direction of facial expressions to the examiner (e.g., directs only expressions indicating emotional extreme(s), or occasionally directs wider range of expressions). A participant who has a limited range of facial expressions, but who directs almost all of his or her facial expressions to the examiner, may be rated here. 2 = Does not direct appropriate facial expressions to the examiner. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0b02, adosraw4b2, exp, facialexpressionstoexaminer
codingb_llnvc_dIntegerRequiredLanguage Production and Linked Nonverbal Communication0;1;2;7;8;90 = Vocalization usually accompanied by subtle and socially appropriate changes in gesture, gaze, and facial expression. 1 = Vocalization accompanied by abnormal, limited, or less than usual frequency and/or range of gesture, gaze, and facial expression, OR use of one modality almost exclusively (e.g., frequent use of gaze, but limited use of gesture and facial expression). 2 = Little or no nonverbal communication linked with vocalization. 7 = Some avoidance of direct eye gaze, particularly at the beginning of the interview, perhaps because of shyness, but shows some modulation and coordination of language and nonverbal behavior. 8 = N/A; no vocalization OR no or minimal use of gesture, facial expression, or socially directed gaze. This code should be assigned automatically if the absence of linking can be accounted for by the limited frequency of unusual eye contact, facial expressions, and/or gestures. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0b03, adosraw4b3, languageproduction, link
codingb_sei_dIntegerRequiredShared Enjoyment in Interaction0;1;2;3;8;9ADOS-1 (2001): 0 = Shows definite and appropriate pleasure in interactive participation or conversation during more than one task or conversational topic. 1 = Shows some appropriate pleasure in the examiner's actions, OR shows definite pleasure during one interaction. 2 = Shows little or no expressed pleasure in interaction. May show pleasure in his/her own actions or part of the conversation, but not in the examiner's behavior or in interaction. 8 = Not scorable due to little or no interaction, or for other reasons.; ADOS-2 (2012): 0 = Shows definite pleasure appropriate to context during interactive participation or conversation with the examiner in more than one task or conversational topic. 1 = Shows some pleasure appropriate to context during interactions with the examiner, OR shows definite pleasure during one interaction. 2 = Shows little or no expressed pleasure during interaction with the examiner, but shows pleasure in his or her own speech or actions or in noninteractive components of the ADOS-2 materials or activities. 3 = Little or no expressed pleasure during the ADOS-2 evaluation. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0b04, adosraw4b4, enj, sharedenjoymentininteraction
codingb_caff_dIntegerRequiredCommunication of Own Affect0;1;2;3;8;9ADOS-1 (2001): 0 = Effective communication of a range of emotions that he/she is feeling or has felt. 1 = Some description of experiencing several emotions, but limited in range or effectiveness of communication (may communicate one emotion effectively). 2 = Communicates about one emotion only, with minimal description of others. 3 = Minimal or no communication of his/her own affect.; ADOS-2 (2012): 0 = Effective communication of a range of emotions that he or she is feeling or has felt. 1 = Some description of experiencing several emotions, but limited effectiveness of communication, AND/OR effective communication of at least one emotion. 2 = Some communication about at least one emotion. 3 = Minimal or no communication of his or her own affect. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0b05, adosraw4b5, afft, commownaffect
codingb2_empth_dIntegerRecommendedComments on Others' Emotions/Empathy0;1;2;8;90 = Spontaneously communicates clear understanding or labeling of and/or appropriate response to several different emotions in other people/characters. Labeling several emotions in others is sufficient but not necessary if there are other clear indications of understanding and/or appropriate response. 1 = Communicates some understanding, labeling, or response to an emotion in others (e.g., spontaneously and correctly identifies at least one emotion in another person/character). 2 = No or minimal identification/communication of understanding of emotion in others. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0b06, adosraw4b6, emp, empathy
codingb2_insig_dIntegerRecommendedInsight Into Typical Social Situtations and Relationships0;1;2;3;8;90 = Shows examples of insight into the nature of several typical social relationships (without evidence of lack of insight into those same relationships), including his or her own role in at least one. May show no more than one example of inaccurate understanding of other social relationships. 1 = Shows examples of insight into several typical social relationships, but not into his or her own role, OR into only one relationship including his or her own role. 2 = Shows some insight into one typical social relationship, though not necessarily about his or her own role in it. 3 = Shows no or limited insight into typical social relationships. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0b07, adosraw4b7, ins, insightintosocialsituations
codingb_resp_dIntegerRequiredResponsibility0;1;2;8;9ADOS-1 (2001): 0 = Sees himself/herself as responsible for his/her own actions in several contexts, including dealing with minor problems in daily living. 1 = Provides at least one clear indication of seeing himself/herself as responsible for his/her own actions. May show no more than one clear lack of responsibility, but not consistent across contexts or consistently less straightforward than what is described above or a rating of 0. 2 = Shows limited indication of a sense of responsibility for his/her own actions or shows several clear examples of lack of responsibility that would be appropriate for his/her chronological age.; ADOS-2 (2012): 0 = Describes himself or herself as responsible for his or her own actions in several contexts, including dealing with minor problems in daily living. 1 = Provides at least one clear indication of being responsible for his or her own actions, but not consistent across contexts or consistently less straightforward than what is described above for a rating of 0. May show no more than one clear example of a lack of responsibility. 2 = Shows limited indication of a sense of responsibility for his or her own actions or shows more than one clear example of lack of responsibility that would be appropriate for his or her chronological age, taking into account developmental level. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0b08, adosraw4b8, resp, responsibility
codingb_qsov_dIntegerRequiredQuality of Social Overtures0;1;2;3;8;90 = Effectively uses nonverbal and verbal/vocal means to make clear social overtures to the examiner. The overtures must be appropriate to immediate contexts. 1 = Slightly unusual quality of some social overtures. Overtures may be restricted to personal demands or related to the participant's own interests, but with some attempt to involve the examiner in those interests. 2 = Inappropriate overtures; many overtures lack integration into context AND/OR social quality. This includes the participant's bringing up preoccupations with little attempt to involve the examiner in them. 3 = No social overtures of any kind. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0b09, adosraw4b9, qsov, qualityofsocialovertures
codingb_asov_dIntegerRecommendedAmount of Social Overtures/Maintenance of Attention0;1;2;3;7;8;90 = Frequent attempts to get or maintain the examiner's attention AND/OR to direct the examiner's attention to objects, actions, or topics of interest to the participant. 1 = Some attempts at getting, maintaining, or directing the examiner's attention as described above for a rating of 0, but reduced in frequency or the number of different activities in which they are used. 2 =Makes occasional attempts to get, maintain, or direct the examiner's attention, including overtures solely related to preoccupations. 3 = Shows relatively little concern as to whether the examiner is paying attention to him or her unless he or she needs help (e.g., initiates social contact only when requesting). 7 = Unusually frequent, intense, or excessive demands for attention. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0b10, adosraw4b10, amountofsocialovertures, asov
codingb_qsres_dIntegerRequiredQuality of Social Response0;1;2;3;8;90 = Shows a range of appropriate responses that are varied according to immediate social situations and presses. 1 = Shows responsiveness to most social contexts, but somewhat limited, socially awkward, inappropriate, inconsistent, or consistently negative. 2 = Odd, stereotyped responses, or responses that are restricted in range or inappropriate to the context. 3 = Minimal or no response to the examiner's attempts to engage the participant. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0b11, adosraw4b11, qsr, qualityofsocialresponse
codingb_arsoc_dIntegerRequiredAmount of Reciprocal Social Communication0;1;2;3;8;90 = Extensive use of verbal or nonverbal behaviors (at whatever level attained) for social interchange (i.e., chat, comments, remarks, or nonverbal behaviors that appear to have reciprocal intent). 1 = Some reciprocal social communication (as described above for a rating of 0), but reduced in frequency or amount, or in the number of contexts in which such behaviors occur (regardless of the amount of nonsocial talk). 2 = Most communication is either object-oriented (i.e., to ask for things), OR response to questions, OR echolalic, OR concerned with particular preoccupations; little or no social chat or give-and-take. 3 = Little or no communication with the examiner. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0b12, adosraw4b12, amountreciprocalsocialcom, arsc
codingb_oqrap_dIntegerRequiredOverall Quality of Rapport0;1;2;3;8;90 = Comfortable interaction between the participant and examiner that is appropriate to the context of the ADOS assessment. 1 = Interaction sometimes comfortable, but not sustained (e.g., sometimes feels awkward or stilted, or the participant's behavior seems mechanical or slightly inappropriate). 2 = One-sided or unusual interaction resulting in a consistently mildly uncomfortable session or a session that would have been difficult if the examiner had not continuously modified the structure of the situation beyond the standard activities in the ADOS evaluation. 3 = The participant shows minimal regard for the examiner, OR the session is markedly uncomfortable for a significant proportion of the time. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0b13, oqr, overallqualityofrapport
codingc_imgcr_dIntegerRequiredImagination/Creativity0;1;2;3;8;90 = Several different spontaneous, inventive, creative activities or comments in conversation. 1 = Some creative or make-believe actions, but limited in range or occurring only in response to one structured situation (e.g., creating a story). 2 = Little spontaneous creative or make-believe actions, OR only actions that are repetitive OR stereotyped in quality. 3 = No creative or inventive actions (not even stereotyped or repetitive). 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0c01, adosraw4c1, imag, imaginationcreativity
codingd_usens_dIntegerRequiredUnusual Sensory Interest In Play Material/Person0;1;2;3;8;9ADOS-1 (2001): 0 = No sniffing, repetitive touching, feeling of texture, licking, mouthing, or biting, interest in the repetition of certain sounds, or unusual or prolonged visual examination. 1 = Occasional unusual sensory interests OR not as clear as specified below for a rating of 2. 2 = Definite interest in nonfunctional elements of play materials, OR sensory examination of himself/herself or others.; ADOS-2 (2012): 0 = No unusual sensory interests or sensory-seeking behaviors. 1 = Several possible sensory interests not as clear as specified below for a rating of 2 AND/OR only one clear occurrence of an unusual sensory interest or a sensory-seeking behavior. One "possible" sensory interest should be coded 0. 2 = Definite interest in sensory elements of objects or of play materials, OR sensory examination of himself or herself or others; two or more clear occurrences must be observed. May be observed during the same activity. 3 = Definite unusual sensory-seeking behaviors occur frequently, during at least two different tasks or activities, and may interfere with the ADOS-2 assessment. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0d01, adosraw4d1, sint, unusualsensoryinterest
codingd_usens_d_cmtString255RecommendedSpecify:
codingd_oman_dIntegerRequiredHand and Finger and Other Complex Mannerisms0;1;2;3;8;9ADOS-1 (2001): 0 =None. I = Very brief or rare hand and finger mannerisms or complex mannerisms, OR mannerisms not as clear as specified below for a rating of 2. 2 = Definite finger flicking or twisting, AND/OR hand or other mannerisms or stereotypes.; ADOS-2 (2012): 0 = None. 1 = Unusual and/or repetitive hand and finger mannerisms or complex mannerisms not as clear as specified below for a rating of 2. 2 = Definite finger flicking or twisting, AND/OR hand or finger or complex mannerisms, stereotypies, or posturing. May be brief and/or rare if clear. 3 = Mannerisms, as described above, occur frequently, during at least two different tasks or activities, and/or may interfere with the ADOS-2 assessment. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0d02, adosraw4d2, man
codingd_oman_d_cmtString255RecommendedSpecify:
codingd_selfinj_dIntegerRequiredSelf-Injurious Behavior0;1;2;8;90 = No attempts to harm self. 1 = Dubious or possible self-injury, and/or rare but clear self-injury (e.g., one clear example of biting at own hand or arm. pulling own hair, slapping own face, or banging own head). 2 = More than one clear example of self-injury, such as head banging, face slapping, hair pulling, or self-biting. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0d03, adosraw4d3, selfinjuriousbehavior, sib
codingd_topic_dIntegerRecommendedExcessive Interest in or References to Unusual or Highly Specific Topics or Objects or Repetitive Behaviors0;1;2;3;8;9ADOS-1 (2001): 0 = No excessive interest in or references to unusual or highly specific or restricted topics or objects. 1 = Occasional references to unusual or highly specific topics or patterns of interest, occurring to an unusual degree. 2 = Definite, stereotyped, or unusual patterns of interest that may or may not intrude and/or interfere with social communication. 3 = Definite preoccupation(s) to a degree that interferes with the assessment.; ADOS-2 (2012): 0 = No excessive interest in or references to unusual or highly specific or restricted topics or objects or repetitive behaviors. 1 = Occasional references to unusual or highly specific topics or patterns of interest, occurring to an unusual degree, or occasional repetitive behaviors. 2 = Definite, stereotyped, or unusual patterns of interest that may or may not intrude and/or interfere with social communication and/or definite repetitive behaviors. 3 = Definite preoccupation(s) and/or repetitive behaviors to a degree that interferes with the ADOS-2 assessment. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0d04, adosraw4d4, excessiveinterest, xint
codingd_ritl_dIntegerRecommendedCompulsions or Rituals0;1;2;8;90 = No obvious activities or verbal routines that must be completed in full or according to a sequence that is not part of the task. 1 = Unusually routinized in speech or activities (includes insistence on finishing the book or providing a list that is not relevant to the conversation), but no behavior that appears clearly compulsive in quality. 2 = One or more activities or verbal routines that the participant has to perform or say in a special way. The participant appears under pressure or becomes anxious if an activity is disrupted (i.e., compulsive quality is present). Include the recitation of lists that must be completed or that the examiner is asked to record (e.g., friends, favorite foods) or insistence that the examiner respond verbally in a specific way. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0d05, adosraw4d5, compulsionsrituals, ritl
codingd_ritl_d_cmtString255RecommendedSpecify:
codinge_actve_dIntegerRequiredOver activity/Agitation0;1;2;3;7;8;9ADOS-1 (2001): 0 = Sits still appropriately throughout the assessment. 1 = Sits, but often fidgets or moves about in the chair. Difficulties in the assessment are not principally due to overactivity or agitation. 2 = Difficulty sitting; moves in and out of the chair or handles or manipulates objects in a way that is difficult to interrupt. The level of activity disrupts the assessment. 7 = Underactive.; ADOS-2 (2012): 0 = Sits still appropriately throughout the ADOS-2 assessment. 1 = Sits, but often fidgets or moves about in the chair. Difficulties in the ADOS-2 assessment are not principally due to overactivity or agitation. 2 = Difficulty sitting; moves either in or out of the chair or handles or manipulates objects in a way that is mildly disruptive. 3 = Overactive behaviors are difficult to interrupt. The level of activity disrupts the ADOS-2 assessment. 7 = Underactive. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0e01, adosraw4e1, over, overactivityagitation
codinge_agg_dIntegerRequiredTantrums, Aggression, Negative or Disruptive Behavior0;1;2;3;8;9ADOS-1 (2001): 0 = Not disruptive, destructive, negative, or aggressive during the ADOS assessment. 1 = Occasional display of mild disruption, anger, or aggression or negative behavior to the examiner (includes verbal threats or a deliberately loud voice). 2 = Shows marked or repeated temper tantrums or significant aggression (e.g., throwing things, hitting or biting others). Loud screaming or yelling is included here.; ADOS-2 (2012): 0 = Not disruptive, destructive, negative, or aggressive during the ADOS-2 assessment. 1 = Displays an example of mild disruption, anger, or aggression or negative behavior to the examiner (includes verbal threats, swearing, or a deliberately loud voice). 2 = More than one intentionally disruptive or negative incident. Loud talking or repeated swearing is coded here. 3 = Shows marked or repeated temper tantrums or significant aggression (e.g., throwing things, hitting or biting others). Screaming or yelling is included here. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0e02, adosraw4e2, tant, tantrumsaggression
codinge_anxty_dIntegerRequiredAnxiety0;1;2;8;90 = No obvious anxiety (e.g., trembling or jumpiness). 1 = Mild signs of anxiety or self-consciousness, especially at the beginning of the ADOS session or in response to specific activities. 2 = Marked anxiety througbout the ADOS assessment (may be intermittent or continuous). 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados0e03, adosraw4e3, anx, anxiety
scoresumm_d_a4IntegerRecommendedStereotyped/Idiosyncratic Use of Words or Phrases
scoresumm_d_a8IntegerRecommendedConversation
scoresumm_d_a9IntegerRecommendedDescriptive, Conventional, Instrumental, or Informational Gesturesdges_recode
scoresumm_d_a10IntegerRecommendedEmphatic or Emotional Gestures
scoresumm_atotalIntegerRequiredCommunication Total999 = NA/NK/missingados001, ados4com, communicationtotal, orig_ados_com_ttl
scoresumm_d_b1IntegerRecommendedUnusual Eye Contact
scoresumm2_d_b2IntegerRecommendedFacial Expressions Directed to Examiner
scoresumm2_d_b6IntegerRecommendedComments on Others' Emotions/Empathyemp_recode
scoresumm_d_b8IntegerRecommendedResponsibilityresp_recode
scoresumm_d_b9IntegerRecommendedQuality of Social Overtures
scoresumm2_d_b11IntegerRecommendedQuality of Social Response
scoresumm_d_b12IntegerRecommendedAmount of Reciprocal Social Communication
scoresumm_btotalIntegerRequiredSocial Interaction Total999=NA/NK/missingados002, ados4soc, orig_ados_soc_ttl, socialinteractiontotal
scoresumm_abtotalIntegerRequiredCommunication + Social Interaction Totalados003, ados4comsoc, comsocialinteractiontotal, orig_ados_comsoc_ttl
scoresumm_d_c1IntegerRequiredImagination/Creativity999=NA/NK/missingados004, imag_recode, orig_ados_play_ttl
scoresumm_d_d1IntegerRecommendedUnusual Sensory Interest in Play Material/Person
scoresumm_d_d2IntegerRecommendedHand and Finger and Other Complex Mannerisms
scoresumm2_d_d4IntegerRecommendedExcessive Interest in Unusual or Highly Specific Topics/Objects or Repetitive Behaviors
scoresumm_d_d5IntegerRecommendedCompulsions or Ritualsritl_recode
scoresumm_dtotalIntegerRequiredStereotyped Behaviors and Restricted Interests Total999=NA/NK/missingados005, ados4sbri, orig_ados_rr_ttl
scoresumm_adosdiagString255RequiredADOS Diagnosis ClassificationMODULE 1: Autism = Few to no words overall total is 16 or higher, OR Some words overall total is 12 or higher; Autism spectrum = Few to no words overall total is 11 to 15, OR Some words total is 8 to 11; Non-spectrum = Few to no words overall total is 10 or lower, OR Some words overall total is 7 or lower; MODULE 2: Autism = Younger than 5 years overal total is 10 or higher, OR Aged 5 years or older overall total is 9 or higher; Autism spectrum = Younger than 5 years overall total is 7 to 9, OR Aged 5 years or older overall total is 8; Non-spectrum = Younger than 5 years overall total is 6 or lower, OR Aged 5 years or older overall total is 7 or lower 9; MODULE 3: Autism = Overall total is 9 or higher; Autism spectrum = Overall total is 7 or 8; Non-spectrum = Overall total is 6 or lower; MODULE 4: Autism = Communication total is 3 or higher, AND Social interaction total is 6 or higher, AND Communication + Social interaction total is 10 or higher; Autism spectrum = Communication total is 2 or higher, AND Social interaction total is 4 or higher, AND Communication + Social interaction total is 7 or higher, AND at least one of the following is true: Communication total is 2, Social interaction total is 4 or 5, Communication + Social interaction total is 7 to 9; Non-spectrum = At least one of the following is true: Communication total is 1 or lower, Social interaction total is 3 or lower, Communication + Social interaction total is 6 or lower 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ados006, ados2classification, orig_ados_class_dx
scoresumm_overalldiagString255RequiredOverall ADOS Diagnosisados007, final_dx
ados_sa_cssIntegerRecommendedADOS-2 Social Affect (SA) domain total Calibrated Severity Score (CSS)1::10; 999
ados_rrb_cssIntegerRecommendedADOS-2 Restricted and Repetitive Behaviors (RRB) domain total Calibrated Severity Score (CSS)1::10; 999adoscss
scoresumm_compscoreIntegerRecommendedADOS-2 Comparison Score1::10; 999Level of autism spectrum-related symptoms: 1-2 = Minimal-to-no evidence. 3-4 = Low. 5-7 = Moderate. 8-10 = High.ados2comparisonscore, ados_css
conv_recodeIntegerRecommendedADOS-2 SA revised algorithm: Conversation0::2recode 3=2; 2=2; 1=1; 0=0
eges_recodeIntegerRecommendedADOS-2 SA revised algorithm: Empathic or Emotional Gestures0::2recode 3=2; 2=2; 1=1; 0=0; 8=0
eye_recodeIntegerRecommendedADOS-2 SA revised algorithm: Unusual Eye Contact0::2recode 2=2; 0=0
exp_recodeIntegerRecommendedADOS-2 SA revised algorithm: Facial Expressions Directed to Others0::2recode 2=2; 1=1; 0=0
afft_recodeIntegerRecommendedADOS-2 SA revised algorithm: Communication of Own Affect0::2recode 3=2; 2=2; 1=1; 0=0
ins_recodeIntegerRecommendedADOS-2 SA revised algorithm: Insight0::2recode 3=2; 2=2; 1=1; 0=0
qsov_recodeIntegerRecommendedADOS-2 SA revised algorithm: Quality of Social Overtures0::2recode 3=2; 2=2; 1=1; 0=0
qsr_recodeIntegerRecommendedADOS-2 SA revised algorithm: Quality of Social Response0::2recode 3=2; 2=2; 1=1; 0=0
arsc_recodeIntegerRecommendedADOS-2 SA revised algorithm: Amount of Reciprocal Social Communication0::2recode 3=2; 2=2; 1=1; 0=0
oqr_recodeIntegerRecommendedADOS-2 SA revised algorithm: Overall Quality of Rapport0::2recode 3=2; 2=2; 1=1; 0=0
scoresumm2_abtotalIntegerRecommendedSocial Affect Totalrev_ados_socaff_ttl, satotal
spab_recodeIntegerRecommendedADOS-2 RRB revised algorithm: Speech Abnormalities Associated with Autism0::2recode 3=2; 2=2; 1=1; 0=0; 7=0
ster_recodeIntegerRecommendedADOS-2 RRB revised algorithm: Stereotyped/Idiosyncratic Use of Words or Phrases0::2recode 3=2; 2=2; 1=1; 0=0
sint_recodeIntegerRecommendedADOS-2 RRB revised algorithm: Unusual Sensory Interest in Play Material/Person0::2recode 3=2; 2=2; 1=1; 0=0
man_recodeIntegerRecommendedADOS-2 RRB revised algorithm: Hand and Finger and Other Complex Mannerisms0::2recode 3=2; 2=2; 1=1; 0=0
xint_recodeIntegerRecommendedADOS-2 RRB revised algorithm: Excessive Interest in Unusual or Highly Specific Topics or Objects0::2recode 3=2; 2=2; 1=1; 0=0
scoresumm_adtotalIntegerRecommendedRestricted and Repetitive Behavior Totalrev_ados_rrb_ttl, rrbtotal
scoresumm_overalltotalIntegerRecommendedOverall Total (Social Affect + Restricted and Repetitive Behavior)overalltotal, rev_ados_socaff_rrb_ttl
ados2_revised_algo_dxString255RecommendedADOS-2 Overall (SA+RRB ) revised algorithm DxADOS-2 SA+RRB Overall total of =>8 Algorithm Dx is ASD (there is no Autism cutoff although for research purposes an Autism cutoff of 10 may be useful)rev_ados_class_dx
siteString100RecommendedSiteStudy Site
visitString50RecommendedVisit nameCharacter description of each type of visit
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

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Distribution for DataStructure: ados4_201201 and Element:
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