ERIC Number: EJ1100039
Record Type: Journal
Publication Date: 2016-Jun
Abstractor: As Provided
Autism Spectrum Disorder in the DSM-5: Diagnostic Sensitivity and Specificity in Early Childhood
Christiansz, Jessica A.; Gray, Kylie M.; Taffe, John; Tonge, Bruce J.
Journal of Autism and Developmental Disorders, v46 n6 p2054-2063 Jun 2016
Changes to the DSM-5 Autism Spectrum Disorder (ASD) criteria raised concerns among parents and practitioners that the criteria may exclude some children with Pervasive Developmental Disorder (PDD). Few studies have examined DSM-5 sensitivity and specificity in children less than 5 years of age. This study evaluated 185 children aged 20-55 months with DSM-IV PDD or developmental delay. Autism Diagnostic Interview-Revised (ADI-R) and Autism Diagnostic Observation Schedule (ADOS) data was assigned to DSM-5 subdomains. Children displaying the required symptomatology were classified with DSM-5 ASD. DSM-IV clinical diagnoses were compared to DSM-5 classifications. Using combined ADI-R/ADOS information, sensitivity was 0.84 and specificity was 0.54. Comorbid behaviour and emotional problems were significantly lower in children with PDD that did not meet DSM-5 criteria.
Descriptors: Pervasive Developmental Disorders, Autism, Early Childhood Education, Developmental Delays, Diagnostic Tests, Interviews, Classification, Symptoms (Individual Disorders), Clinical Diagnosis, Comorbidity
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Publication Type: Journal Articles; Reports - Research
Education Level: Early Childhood Education
Authoring Institution: N/A
Identifiers - Assessments and Surveys: Autism Diagnostic Observation Schedule
Grant or Contract Numbers: N/A