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      Measurement properties of tools used to assess depression in adults with and without autism spectrum conditions: A systematic review

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          Abstract

          Depression is the most commonly experienced mental health condition in adults with autism spectrum conditions (ASC). However, it is unclear what tools are currently being used to assess depression in ASC, or whether tools need to be adapted for this group. This systematic review therefore aimed to identify tools used to assess depression in adults with and without ASC, and then evaluate these tools for their appropriateness and measurement properties. Medline, PsychINFO and Web of Knowledge were searched for studies of depression in: (a) adults with ASC, without co‐morbid intellectual disability; and (b) adults from the general population without co‐morbid conditions. Articles examining the measurement properties of these tools were then searched for using a methodological filter in PubMed, and the quality of the evidence was evaluated using the COSMIN checklist. Twelve articles were identified which utilized three tools to assess depression in adults with ASC, but only one article which assessed the measurement properties of one of these tools was identified and thus evaluated. Sixty‐four articles were identified which utilized five tools to assess depression in general population adults, and fourteen articles had assessed the measurement properties of these tools. Overall, two tools were found to be robust in their measurement properties in the general population—the Beck Depression Inventory (BDI‐II), and the patient health questionnaire (PHQ‐9). Crucially only one study was identified from the COSMIN search, which showed weak evidence in support of the measurement properties of the BDI‐II in an ASC sample. Implications for effective measurement of depression in ASC are discussed. Autism Res 2018, 11: 738–754. © 2018 The Authors Autism Research published by International Society for Autism Research and Wiley Periodicals, Inc.

          Lay Summary

          Depression is the most common mental health problem experienced by adults with autism. However, the current study found very limited evidence regarding how useful tools developed for the general population are for adults with autism. We therefore suggest how these tools could be adapted to more effectively assess depression in adults with autism, and improve these individuals access to mental health assessment and support.

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          Most cited references 124

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          The CES-D Scale: A Self-Report Depression Scale for Research in the General Population

           L Radloff (1977)
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            Diagnostic and Statistical Manual of Mental Disorders

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              A RATING SCALE FOR DEPRESSION

               M. Hamilton (1960)
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                Author and article information

                Contributors
                Sarah.Cassidy@nottingham.ac.uk
                Journal
                Autism Res
                Autism Res
                10.1002/(ISSN)1939-3806
                AUR
                Autism Research
                John Wiley and Sons Inc. (Hoboken )
                1939-3792
                1939-3806
                23 January 2018
                May 2018
                : 11
                : 5 ( doiID: 10.1002/aur.2018.11.issue-5 )
                : 738-754
                Affiliations
                [ 1 ] School of Psychology University of Nottingham UK
                [ 2 ] Institute of Neuroscience, Newcastle University UK
                [ 3 ] Centre for Innovative Research Across the Life Course Coventry University UK
                [ 4 ] Centre for Violence Prevention University of Worcester UK
                Author notes
                [* ]Address for correspondence and reprints: Dr. Sarah Cassidy, School of Psychology, University Park, University of Nottingham, NG7 2RD, UK. E‐mail: Sarah.Cassidy@ 123456nottingham.ac.uk
                AUR1922
                10.1002/aur.1922
                6001465
                29360200
                © 2018 The Authors Autism Research published by International Society for Autism Research and Wiley Periodicals, Inc.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                Counts
                Figures: 2, Tables: 5, Pages: 17, Words: 11359
                Product
                Funding
                Funded by: Economic and Social Research Council
                Award ID: ES/N000501/1
                Categories
                Research Article
                Research Articles
                Psychology
                Custom metadata
                2.0
                aur1922
                May 2018
                Converter:WILEY_ML3GV2_TO_NLMPMC version:version=5.4.1.1 mode:remove_FC converted:14.06.2018

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