OBJECTIVE The social disability associated with ADHD often makes diagnostic and treatment decision making challenging. This protocol investigates the test performance of the Autism Mental Status Exam (AMSE) in detecting autism spectrum disorder (ASD) in a sample of 45 children with ADHD and ASD symptomatology. The AMSE is a brief ASD diagnostic assessment administered in the context of a clinical exam. METHOD All participants received a developmental evaluation, including the AMSE, followed by independent gold standard diagnostic assessments including the Autism Diagnostic Observation Schedule (ADOS) and the Autism Diagnostic Interview-Revised (ADI-R). RESULTS Receiver operating characteristics (ROC) curve analysis indicated strong sensitivity and specificity in this population. Optimal cutoff scores are provided. CONCLUSION The AMSE holds promise as a brief ASD assessment tool for children with ADHD and ASD symptomatology and as a guide for treatment and referral decisions at the point of care.

中文翻译：

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检测患有多动症和社会残疾的儿童的自闭症谱系障碍。

目的与多动症相关的社会残疾常常使诊断和治疗决策具有挑战性。该协议调查了45名患有ADHD和ASD症状的儿童样本中的自闭症心理状况检查（AMSE）在检测自闭症谱系障碍（ASD）中的测试性能。AMSE是在临床检查中进行的简短ASD诊断评估。方法所有参与者均接受包括AMSE在内的发展评估，然后进行独立的金标准诊断评估，包括自闭症诊断观察时间表（ADOS）和自闭症诊断访谈修订（ADI-R）。结果接收者工作特征（ROC）曲线分析表明该人群具有很强的敏感性和特异性。提供了最佳截止分数。