The Autism Spectrum Rating
Scales™ (ASRS®; Goldstein & Naglieri, 2009) are designed to measure
behaviors, symptoms, and features associated with the Autism Spectrum Disorders
(ASD) in children and adolescents aged 2 through 18 years. This standardized,
norm-referenced instrument was initially developed to assess a wide range of behaviors associated with
Autistic Disorder, Asperger’s Disorder (syndrome), and PDD-NOS, and
incorporates symptom criteria from the DSM-IV-TR. The ASRS was standardized and
normed on a large sample of 2,560 participants approximating the U.S. general
population. Clinical samples were also created by collecting ratings from
children and youth with clinical diagnoses (ASD, ADHD, Mood Disorders, Anxiety
Disorders, Developmental Delay, and Communication Disorders).
The ASRS have been updated to align with the revised Autism Spectrum Disorder (ASD) criteria published in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). This includes the replacement of the DSM-IV-TR Scale with the new DSM-5 Scale (this scale now includes items related to hyper and hypo-reactivity to sensory input, or unusual interest in sensory aspects of the environment). A DSM-IV-TR scoring option is still available to accommodate those users who would like to continue to generate reports with the DSM-IV-TR Scale. The terminology used in the reports has also been updated to match the changes in the DSM-5. For example, references to Autistic disorder or Asperger’s disorder have been removed, and the plural term “Autism Spectrum Disorders” has been replaced with the single diagnostic category “Autism Spectrum Disorder.” The final change includes the removal of the Delay of Communication items from the scoring algorithms.
The ASRS has full-length
and short forms for young children aged 2 to 5 years, and for older children
and adolescents aged 6 to 18 years. The full-length ASRS (2−5 Years) consists
of 70 items, and the full-length ASRS (6−18 Years) contains 71 items. Separate
parent (ASRS Parent Ratings) and teacher (ASRS Teacher Ratings) rating forms
are available for each age group. The full-length form provides the most
comprehensive assessment information, including the Total Score, ASRS Scales,
and DSM Scale.
The ASRS Short Form
contains items that best differentiated the nonclinical group from those
diagnosed with ASD. The ASRS Short Form (2–5 Years) and ASRS Short Form (6–18
Years) both have 15 items, with parents and teachers completing the same form.
This form provides a single total score, and can be used as a screening measure
to determine which children and youth are likely to require a more
comprehensive assessment for an ASD. The ASRS Short Form is also suitable for
monitoring response to treatment/intervention.
The ASRS can be scored via
paper-and-pencil and electronically. The ASRS Scoring Software and ASRS Online
Assessment Center offer three report options: (1) an Interpretive Report with
detailed results from one administration, (2) a Comparative Report providing a
multi-rater perspective by combining results from up to five different raters,
and (3) a Progress Monitoring Report that provides an overview of change over
time by combining results of up to four administrations from the same rater.
The ASRS Technical Manual provides step-by-step interpretation guidelines and
an illustrative case study. An especially useful feature of the ASRS is the
ability to compare results across raters. This can help determine if there is
consistency across home and school contexts. Discrepancies can provide insight into
differential responses and determine which symptoms are more prevalent in a
particular setting.
The ASRS has strong
psychometric qualities. Reliability data indicate high levels of internal
consistency, good inter-rater agreement, and excellent test-retest reliability.
Discriminative validity (classification accuracy) of both the ASRS full-length
and ASRS Short Form indicate that the scales were able to accurately predict
group membership with a mean overall correct classification rate of 90.4% on the
ASRS (2-5) and 90.1% on the ASRS (6-18). Although the ASRS Technical Manual
reports a moderate relationship between the ASRS Total Score and the Gilliam
Autism Rating Scale, Second Edition (GARS-2) and the Gilliam Asperger’s
Disorder Scale (GADS), criterion-related validity would have been enhanced by
examining the consistency of the ASRS with a gold standard instrument such as
the ADOS or ratings scales such as the Social Communication Questionnaire (SCQ)
and Social Responsiveness Scale (SRS). The GARS and GADS are not currently
recommended and should be used with caution due to significant weaknesses,
including poor diagnostic utility and sensitivity in identifying ASD, and questions
concerning standardization and norming procedures (Campbell, 2005; Norris
& Lecavalier, 2010; Wilkinson, 2016).
In summary, the ASRS is a
valuable tool that can help guide diagnostic and educational eligibility
decisions, as well as for use in monitoring response to intervention and
evaluating treatment outcomes. It is a reliable and valid instrument for
assessing symptom severity across home and school contexts. Consistent with
best practice, the ASRS should be used only as part of a more comprehensive
developmental assessment that includes interviews and direct observation, together
with a multidisciplinary assessment of social behavior, language and
communication, adaptive behavior, motor skills, sensory issues, atypical
behaviors, and cognitive functioning. An example of a comprehensive assessment
battery can be found in A Best Practice Guide to Assessment and Intervention for Autism Spectrum Disorder in Schools (2nd Edition).
References
Campbell, J. M. (2005). Diagnostic assessment of Asperger’s Disorder: A review of five third-party rating scales. Journal of Autism and Developmental Disorders, 35, 25-35.
Goldstein, S., &
Naglieri, J. A. (2009). Autism Spectrum Rating Scales (ASRS) Technical Manual.
Tonawanda, NY: Multi-Health Systems, Inc.
Goldstein S., &
Naglieri, J. (2014). Autism Spectrum Rating Scales (ASRS) Technical Report #2.
Toronto, Ontario, Canada: Multi-Health Systems.
Norris, M., &
Lecavalier, L. (2010). Screening accuracy of level 2 autism spectrum disorder
rating scales: A review of selected instruments. Autism, 14, 263-284.
Wilkinson, L. A. (2017). A
best practice guide to assessment and intervention for autism spectrum disorder in schools, second edition. London and Philadelphia: Jessica Kingsley Publishers.
Lee A. Wilkinson, PhD, is a licensed and nationally certified school psychologist, and certified cognitive-behavioral therapist. He is author of the award-winning books, A Best Practice Guide to Assessment and Intervention for Autism and Asperger Syndrome in Schools and Overcoming Anxiety and Depression on the Autism Spectrum: A Self-Help Guide Using CBT. He is also editor of a text in the APA School Psychology Book Series, Autism Spectrum Disorder in Children and Adolescents: Evidence-Based Assessment and Intervention in Schools. His latest book is A Best Practice Guide to Assessment and Intervention for Autism Spectrum Disorder in Schools (2nd Edition)
Lee A. Wilkinson, PhD, is a licensed and nationally certified school psychologist, and certified cognitive-behavioral therapist. He is author of the award-winning books, A Best Practice Guide to Assessment and Intervention for Autism and Asperger Syndrome in Schools and Overcoming Anxiety and Depression on the Autism Spectrum: A Self-Help Guide Using CBT. He is also editor of a text in the APA School Psychology Book Series, Autism Spectrum Disorder in Children and Adolescents: Evidence-Based Assessment and Intervention in Schools. His latest book is A Best Practice Guide to Assessment and Intervention for Autism Spectrum Disorder in Schools (2nd Edition)