ERIC Number: EJ1152555
Record Type: Journal
Publication Date: 2017-Sep
Abstractor: As Provided
A Prospective Study of the Concordance of DSM-IV and DSM-5 Diagnostic Criteria for Autism Spectrum Disorder
Mazurek, Micah O.; Lu, Frances; Symecko, Heather; Butter, Eric; Bing, Nicole M.; Hundley, Rachel J.; Poulsen, Marie; Kanne, Stephen M.; Macklin, Eric A.; Handen, Benjamin L.
Journal of Autism and Developmental Disorders, v47 n9 p2783-2794 Sep 2017
The transition from DSM-IV to DSM-5 criteria for autism spectrum disorder (ASD) sparked considerable concern about the potential implications of these changes. This study was designed to address limitations of prior studies by prospectively examining the concordance of DSM-IV and final DSM-5 criteria on a consecutive sample of 439 children referred for autism diagnostic evaluations. Concordance and discordance were assessed using a consistent diagnostic battery. DSM-5 criteria demonstrated excellent overall specificity and good sensitivity relative to DSM-IV criteria. Sensitivity and specificity were strongest for children meeting DSM-IV criteria for autistic disorder, but poor for those meeting criteria for Asperger's disorder and pervasive developmental disorder. Higher IQ, older age, female sex, and less pronounced ASD symptoms were associated with greater discordance.
Descriptors: Autism, Pervasive Developmental Disorders, Children, Clinical Diagnosis, Diagnostic Tests, Test Validity, Asperger Syndrome, Intelligence Quotient, Age Differences, Gender Differences, Symptoms (Individual Disorders), Severity (of Disability)
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A