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Year : 2015  |  Volume : 37  |  Issue : 2  |  Page : 169-174

Assessment of severity of autism using the Indian scale for assessment of autism

1 Department of Psychiatry, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
2 Department of Biostatistics, Dr. Somervell Memorial CSI Medical College, Karakonam, Thiruvananthapuram, Kerala, India
3 Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India
4 Department of Psychiatry and Genetics, University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania, USA

Correspondence Address:
Dr. Smita N Deshpande
Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi - 11 00 01
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0253-7176.155616

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Background: The Indian Scale for Assessment of Autism (ISAA) was developed to assess the severity of autism among Indian cases. Aims: The present study evaluated the ISAA in relation to the Childhood Autism Rating Scale (CARS) and the Developmental Disability- Children Global Assessment Scale (DD-CGAS). Materials and Methods: Indian children with ICD 10 diagnoses of Autistic disorder (AD, n = 50), Intellectual Disability (ID, n = 50), Attention Deficit Hyperactivity Disorder (ADHD, n = 26), other psychiatric disorders (PD-N=25) and control children without psychiatric disorders (n = 65) were evaluated using the ISAA, DD-CGAS and the CARS (total n = 216). Statistical Analyses: In addition to descriptive statistics and correlation, analysis of variance (ANOVA) was used to assess whether the ISAA scores were significantly different across diagnostic groups. Results: Total ISAA scores were significantly higher among children diagnosed with autistic disorder compared to four other diagnostic groups. Total ISAA scores were significantly correlated with CARS scores and DD-CGAS scores. Groups sub-divided on the basis of recommended ISAA cutoff points of severity showed significant differences in CARS scores. Conclusion: The ISAA can thus be used to assess severity of AD among Indian children.

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