Utility of the Gilliam Autism Rating Scale in research and clinical populations.

TitleUtility of the Gilliam Autism Rating Scale in research and clinical populations.
Publication TypeJournal Article
Year of Publication2002
AuthorsSouth M, Williams BJ, McMahon WM, Owley T, Filipek PA, Shernoff E, Corsello C, Lainhart JE, Landa R, Ozonoff S
JournalJournal of autism and developmental disorders
Volume32
Issue6
Pagination593-9
Date Published2002 Dec
Abstract

The Gilliam Autism Rating Scale (GARS) was developed as a relatively easy, inexpensive aid in the surveillance and diagnosis of autism. This study examined the validity of the GARS when used with a sample of 119 children with strict DSM-IV diagnoses of autism, ascertained from both clinical and research settings. The GARS consistently underestimated the likelihood that autistic children in this sample would be classified as having autism. The sample mean for the Autism Quotient, a hypothesized index of the likelihood of having autism, was 90.10, significantly below the reference mean of 100. Diagnostic classification according to criteria specified by the GARS resulted in a sensitivity of only .48. Limitations of rating scales in general and of the GARS specifically are discussed. It is recommended that clinicians and researchers using or considering using the GARS for autism diagnosis or ratings of autism severity recognize the need for further research regarding its use.

DOI10.3174/ajnr.A3505
Alternate JournalJ Autism Dev Disord