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ADOS-2 Module 4 Autism Evaluation Guide

This document contains a format for assessing the diagnosis of autism spectrum disorder using the ADOS-2 Module 4. It includes sections to evaluate language and communication skills, reciprocal social interaction, restricted and stereotyped behavior, as well as total scores and proposed diagnoses.

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100% found this document useful (1 vote)
111 views2 pages

ADOS-2 Module 4 Autism Evaluation Guide

This document contains a format for assessing the diagnosis of autism spectrum disorder using the ADOS-2 Module 4. It includes sections to evaluate language and communication skills, reciprocal social interaction, restricted and stereotyped behavior, as well as total scores and proposed diagnoses.

Translated by

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Copyright
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Nombre: __________________________________ Fecha de Nacimiento:_________________________

Gender: __________________________________ Fecha de Evaluación: _____________________


Examiner: ______________________________ Edad Cronológica: _______________________
ADOS-2 Module 4
ADOS-2 Algorithm for DSM 5 ASD Diagnosis
Convert the codes of 3 in the protocol to a score of 2, evaluate as 0 any code that is not 0–3.

Language and Communication


Conversation (A-8) __________
Emphatic or Emotional Gestures (A-10) __________

Reciprocal Social Interaction


Unusual Eye Contact (B-1) __________
Facial Expressions Directed at the Examiner (B-2) __________
Communication of Your Own Emotions (B-5) __________
Understanding Typical Situations and Social Relationships (B-7) __________
Characteristics of Social Initiations (B-9) __________
Quality of Social Response (B-11) __________
Amount of Reciprocal Social Communication (B-12) __________
General Quality of the Relationship (B-13) __________
Social Affection: Total __________

Restricted and Stereotyped Behavior


Speech Abnormalities Associated with Autism (A-2) __________
Stereotyped/Idiosyncratic Use of Words or Phrases (A-4) __________
Unusual Sensory Interest in Toys or People (D-1) __________
Mannerisms of Hands and Fingers and Other Complex Mannerisms (D-2)__________
Excessive Interest or References to Unusual Topics or Objects (D-4) __________
Restricted and Stereotyped Behavior: Total __________

Social Affection and Behavior


Restricted and Stereotyped: Total _________
(Cut-off Point for Autism Spectrum = 8)

Comparative Score_________

Diagnosis
Classification by ADOS: ____________________________________________________________
Diagnóstico General: _______________________________________________________________
ADOS-2, Module 4 Total Scores and by Domain,
Calibrated within the Severity Scale for ages between 9 and 39 years old

Total Score
Total General Score Domain RRB: Domain
1 0-2 0-1 0
2 3-5 2-3 -
3 6-7 4 -
4 8 5 -
5 9 6 1
6 10-11 7-8 2
7 12-13 9-10 3
8 14-15 11-12 4
9 16-19 13-15 5
10 20-29 16-20 6-10

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