Functioning assessment short test (FAST): validity and reliability in adults with Autism Spectrum Disorder

BMC Psychiatry

Eduard Vieta¹  C. Mar Bonnín¹  Jorge Lugo-Marín²  Gemma Español Martín³  Josep Antoni Ramos Quiroga⁴  Laura Gisbert-Gustemps⁴  Imanol Setien Ramos⁵ 

[1] Bipolar and Depressive Disorders Unit, Hospital Clinic, Institute of Neurosciences, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Spain;Department of Psychiatry, Universitari Vall d’Hebron Hospital, Barcelona, Catalonia, Spain;Biomedical Network Research Centre on Mental Health (CIBERSAM), Madrid, Spain;Department of Psychiatry, Universitari Vall d’Hebron Hospital, Barcelona, Catalonia, Spain;Group of Psychiatry, Mental Health and Addictions, Vall d’Hebron Research Institute (VHIR), Barcelona, Catalonia, Spain;Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain;Department of Psychiatry, Universitari Vall d’Hebron Hospital, Barcelona, Catalonia, Spain;Group of Psychiatry, Mental Health and Addictions, Vall d’Hebron Research Institute (VHIR), Barcelona, Catalonia, Spain;Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain;Biomedical Network Research Centre on Mental Health (CIBERSAM), Madrid, Spain;Group of Psychiatry, Mental Health and Addictions, Vall d’Hebron Research Institute (VHIR), Barcelona, Catalonia, Spain;

关键词: Autism Spectrum quotient;    Adult;    Functioning;    Validity;    Reliability;    Factor analysis;   

DOI  :  10.1186/s12888-021-03330-y

来源: Springer

【 摘 要 】

BackgroundThe assessment of functional impairment is crucial both for the diagnosis and the therapeutic approach to autism spectrum disorder (ASD). The purpose of the present study was to evaluate whether the FAST is a reliable and valid tool to assess functional impairment in adults with Level 1 ASD and to study the differences in psychosocial functioning between younger and older adults with ASD.MethodsA case–control study was carried out in a sample of 150 participants, 71 adults with Level 1 ASD, and 79 adults without psychiatric history records.ResultsResults showed good psychometric properties in terms of validity and reliability. Cronbach’s alpha for the total scale was .91 and the area under the curve was .98. The study also showed that adults with ASD present different profiles of functional impairment depending on their age: while younger patients present greater impairment in autonomy, older patients show more difficulties in interpersonal relationships.ConclusionsOur results support the use of the FAST in the evaluation of adaptive functioning in adults with Level 1 ASD.

【 授权许可】

CC BY