Conceptualization of the latent structure of autism: further evidence and discussion of dimensional and hybrid models.

Autism spectrum disorder (ASD) might be conceptualized as an essentially dimensional, categorical, or hybrid model. Yet, current empirical studies are inconclusive and the latent structure of ASD has explicitly been examined only in a few studies. The aim of our study was to identify and discuss the...

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Publicado en:European Child & Adolescent Psychiatry Vol. 32; no. 11; pp. 2247 - 2259
Autores principales: Wittkopf, Sarah, Langmann, Anika, Roessner, Veit, Roepke, Stefan, Poustka, Luise, Nenadić, Igor, Stroth, Sanna, Kamp-Becker, Inge
Formato: research tables/charts Journal Article
Publicado: Springer Nature Nov2023
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Conceptualization of the latent structure of autism: further evidence and discussion of dimensional and hybrid models.
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        au:
          Wittkopf, Sarah
          Langmann, Anika
          Roessner, Veit
          Roepke, Stefan
          Poustka, Luise
          Nenadić, Igor
          Stroth, Sanna
          Kamp-Becker, Inge
        affil: https://ror.org/01rdrb571 Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Medical Clinic, Philipps-University, Marburg, Germany
      sug:
        subj:
          Autism Spectrum Disorder Symptoms
          Concept Formation
          Models, Psychological
          Behavioral Symptoms
          Human
          Funding Source
          Male
          Female
          Child, Preschool
          Child
          Adolescence
          Adult
          Middle Age
          Aged
          Structural Equation Modeling
          Factor Analysis
          DSM
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Autism spectrum disorder (ASD) might be conceptualized as an essentially dimensional, categorical, or hybrid model. Yet, current empirical studies are inconclusive and the latent structure of ASD has explicitly been examined only in a few studies. The aim of our study was to identify and discuss the latent model structure of behavioral symptoms related to ASD and to address the question of whether categories and/or dimensions best represent ASD symptoms. We included data of 2920 participants (1–72 years of age), evaluated with the Autism Diagnostic Observation Schedule (Modules 1–4). We applied latent class analysis, confirmatory factor analysis, and factor mixture modeling and evaluated the model fit by a combination of criteria. Based on the model selection criteria, the model fits, the interpretability as well as the clinical utility we conclude that the hybrid model serves best for conceptualization and assessment of ASD symptoms. It is both grounded in empirical evidence and in clinical usefulness, is in line with the current classification system (DSM-5) and has the potential of being more specific than the dimensional approach (decreasing false positive diagnoses).
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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