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Adult Asperger Assessment

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  INSTRUCTIONS FOR COMPLETING THE AAA  Fill out the name, sex, date of birth and date of appointment in the Patient Details box by overwriting (for the name and dates) or deleting as appropriate (for the sex) the text that is already in the cells. The age of the patient will be calculated automatically and given in years (e.g. 20.5 corresponds to 20 years and 6 months). It does not matter if the name of the patient does not fit in one cell. Select the AQ, EQ & RQ sheets from the tabs at the bottom of the window and enter the data from the questionnaires. N.B. A systematic investigation of the effect of missing responses has not been carried out. It is therefore a matter for each individual clinician to decide the number of missing responses they are willing to allow, however this number is unlikely to be greater than 5 on either instrument. To score missing responses, a conservative approach is taken. The respondent is assumed to have given the non-AS response, so they will score 0 points on the AQ and 1 point on the EQ. Once the scores are entered in the AQ & EQ sheets, any items endorsed will be shown in upper section of the appropriate boxes on the main AAA sheet. If you have enabled macros then you can click the button below ( Confirm Data ) to lock the entries on the questionnaire sheets but allow the boxes on the AAA to be edited normally. Save the clinical report as a new file. There is space to write in additional examples of how the symptoms apply to the patient during the clinical interview. These examples can then be added to the electronic report. Page 1 of 25   PATIENT DETAILS  Name: XXXXXXXX  Sex: male/female  Date of birth: day/month/year   Appointment: day/month/year   Age (in years): #VALUE!  SCREENING INSTRUMENT SCORES  Autism Spectrum Quotient (AQ) score: Blank/Invalid50  Max = 50, and 80% of AS patients score 32 or more  Empathy Quotient (EQ) score: Blank/Invalid40  Max = 80, and 80% of AS patients score 30 or less Relatives Questionnaire (RQ) score: Blank/Invalid31  Max = 31, and 87.5% of children with AS scored 15 or more  CLASS CLINIC DIAGNOSTIC CRITERIA  SectionDomain  A (max = 5)Social30 B (max = 5)Obsessions30 C (max = 5)Communication30 D (max = 3)Imagination10100 E - I (max = 5)Prerequisites50  DIAGNOSIS  Total (max = 18) No. of symptoms requiredNo. of symptoms observed ADULT ASPERGER ASSESSMENT (AAA) In order to receive a diagnosis of AS, patients must have 3 or more symptoms in each of Sections A - C, at least 1 symptom from Section D and meet all 5 prerequisites in Sections E - I. Reference: Baron-Cohen, S., Wheelwright, S., et al (2001) The Autism-Spectrum Quotient: a new instrument for screening AS and HFA in adults of normal intelligence. Journal of Autism and Developmental Disorders, 31, 5-17   Reference: Baron-Cohen, S, & Wheelwright, S, (2004) The Empathy Quotient (EQ). An investigation of adults with Asperger Syndrome or High Functioning Autism, and normal sex differences. Journal of Autism and Developmental Disorders, 34, 163-175 Reference: Scott, F., Baron-Cohen, S., Bolton, P., Brayne, C. (2002) The CAST (Childhood Asperger Syndrome Test): Preliminary development of a UK screen for mainstream primary-school age children.  Autism 6(1), 9-31   Page 2 of 25   NOTES This is a computer-generated clinical report, designed by Baron-Cohen & Wheelwright (2000), updated by Bradley (2011). It links electronically with the AQ, EQ and RQ* screening instruments (see references above), showing which of the questionnaire items in the AQ and EQ this patient has endorsed. The AAA was developed in the CLASS (Cambridge Lifespan Asperger Syndrome Service) clinic, which provides a specialist diagnostic evaluation. During the clinical interview, we check for the presence of symptoms relevant to a diagnosis of Asperger Syndrome (AS) or High Functioning  Autism (HFA), as well as exploring if AQ & EQ items were endorsed in a valid way. Note that the above criteria are CLASS criteria, which are more stringent than the internationally recommended guidelines in DSM-IV. Therefore, anyone meeting CLASS criteria would also meet DSM-IV criteria. The DSM-IV criteria for AS is that patients need only have 2 or more symptoms from section A and 1 or more symptoms from section B, as well as meeting the prerequisite conditions in sections F - I. Symptoms that CLASS has included but which are not part of DSM-IV are asterisked. The symptoms in sections C and D are not required for an AS diagnosis in DSM-IV. However, unless asterisked, they are part of the DSM-IV autistic disorder diagnosis. * The RQ is an adapted form of the Childhood Autism Spectrum Test (CAST), not yet formally assessed for retrospective use in an adult population. The indicative cut-off is taken from the study in children reported in the reference above. Page 3 of 25  A. Qualitative impairment in social interaction YESNO YESNO YESNO 1. Marked impairment in the use of multiple nonverbal behaviours such as eye-to-eye gaze, facial expression, body postures, and gestures to regulate social interaction. 2. Failure to develop peer relationships appropriate to developmental level. 3. No interest in pleasing others; no interest in communicating his/her experience to others, including:- lack of spontaneous seeking to share enjoyment, interests or achievements with other people; lack of showing, bringing or pointing out objects of interest. Page 4 of 25
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