ERIC Number: EJ1489398
Record Type: Journal
Publication Date: 2025-Dec
Pages: 17
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1362-3613
EISSN: EISSN-1461-7005
Available Date: 0000-00-00
Clinical Correlates of Errors in Machine-Learning Diagnostic Model of Autism Spectrum Disorder: Impact of Sample Cohorts
Autism: The International Journal of Research and Practice, v29 n12 p3083-3099 2025
Machine-learning models can assist in diagnosing autism but have biases. We examines the correlates of misclassifications and how training data affect model generalizability. The Social Responsive Scale data were collected from two cohorts in Taiwan: the clinical cohort comprised 1203 autistic participants and 1182 non-autistic comparisons, and the community cohort consisted of 35 autistic participants and 3297 non-autistic comparisons. Classification models were trained, and the misclassification cases were investigated regarding their associations with sex, age, intelligence quotient (IQ), symptoms from the child behavioral checklist (CBCL), and co-occurring psychiatric diagnosis. Models showed high within-cohort accuracy (clinical: sensitivity 0.91-0.95, specificity 0.93-0.94; community: sensitivity 0.91-1.00, specificity 0.89-0.96), but generalizability across cohorts was limited. When the community-trained model was applied to the clinical cohort, performance declined (sensitivity 0.65, specificity 0.95). In both models, non-autistic individuals misclassified as autistic showed elevated behavioral symptoms and attention-deficit hyperactivity disorder (ADHD) prevalence. Conversely, autistic individuals who were misclassified tended to show fewer behavioral symptoms and, in the community model, higher IQ and aggressive behavior but less social and attention problems. Error patterns of machine-learning model and the impact of training data warrant careful consideration in future research.
Descriptors: Artificial Intelligence, Autism Spectrum Disorders, Clinical Diagnosis, Error Patterns, Models, Classification, Sex, Age, Intelligence Quotient, Symptoms (Individual Disorders), Mental Disorders, Behavior Problems, Attention Deficit Hyperactivity Disorder, Aggression, Attention, Foreign Countries, Diagnostic Tests
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: Taiwan
Identifiers - Assessments and Surveys: Social Responsiveness Scale; Child Behavior Checklist; Autism Diagnostic Observation Schedule
Grant or Contract Numbers: N/A
Author Affiliations: 1Department of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan; 2Department of Psychiatry, National Taiwan University Hospital, Hsin-Chu branch, Hsinchu, Taiwan; 3Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan; 4National Center for Geriatrics and Welfare Research, National Health Research Institutes, Zhunan, Taiwan; 5Department of Psychiatry, National Taiwan University Hospital, Yunlin Branch, Douliu, Taiwan; 6Department of Electrical Engineering, National Tsing Hua University, Hsinchu, Taiwan

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