DSM-5 criteria for autism spectrum disorder maximizes diagnostic sensitivity and specificity in preschool children

Purpose The criteria for autism spectrum disorder (ASD) were revised in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The objective of this study was to compare the sensitivity and specificity of DSM-IV-Text Revision (DSM-IV-TR) and DSM-5 definitions of ASD in...

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Published inSocial Psychiatry and Psychiatric Epidemiology Vol. 54; no. 6; pp. 693 - 701
Main Authors Wiggins, Lisa D., Rice, Catherine E., Barger, Brian, Soke, Gnakub N., Lee, Li-Ching, Moody, Eric, Edmondson-Pretzel, Rebecca, Levy, Susan E.
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.06.2019
Springer
Springer Nature B.V
Subjects
Autism
Autism Spectrum Disorder - diagnosis
Checklist
Child, Preschool
Criteria
Diagnosis
Diagnostic and Statistical Manual of Mental Disorders
Diagnostic systems
Epidemiology
Female
Humans
Intellectual Disability - diagnosis
Male
Medicine
Medicine & Public Health
Mental disorders
Mental illness
Original Paper
Preschool children
Psychiatry
Sensitivity
Sensitivity and Specificity
Signs and symptoms
Autism
Diagnostic and Statistical Manual of Mental Disorders (DSM)
Diagnostic criteria
Autism spectrum disorder
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Abstract Purpose The criteria for autism spectrum disorder (ASD) were revised in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The objective of this study was to compare the sensitivity and specificity of DSM-IV-Text Revision (DSM-IV-TR) and DSM-5 definitions of ASD in a community-based sample of preschool children. Methods Children between 2 and 5 years of age were enrolled in the Study to Explore Early Development-Phase 2 (SEED2) and received a comprehensive developmental evaluation. The clinician(s) who evaluated the child completed two diagnostic checklists that indicated the presence and severity of DSM-IV-TR and DSM-5 criteria. Definitions for DSM-5 ASD, DSM-IV-TR autistic disorder, and DSM-IV-TR Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS) were created from the diagnostic checklists. Results 773 children met SEED2 criteria for ASD and 288 met criteria for another developmental disorder (DD). Agreement between DSM-5 and DSM-IV-TR definitions of ASD were good for autistic disorder (0.78) and moderate for PDD-NOS (0.57 and 0.59). Children who met DSM-IV-TR autistic disorder but not DSM-5 ASD ( n  = 71) were more likely to have mild ASD symptoms, or symptoms accounted for by another disorder. Children who met PDD-NOS but not DSM-5 ASD ( n  = 66), or vice versa ( n  = 120) were less likely to have intellectual disability and more likely to be female. Sensitivity and specificity were best balanced with DSM-5 ASD criteria (0.95 and 0.78, respectively). Conclusions The DSM-5 definition of ASD maximizes diagnostic sensitivity and specificity in the SEED2 sample. These findings support the DSM-5 conceptualization of ASD in preschool children.
AbstractList Purpose The criteria for autism spectrum disorder (ASD) were revised in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The objective of this study was to compare the sensitivity and specificity of DSM-IV-Text Revision (DSM-IV-TR) and DSM-5 definitions of ASD in a community-based sample of preschool children. Methods Children between 2 and 5 years of age were enrolled in the Study to Explore Early Development-Phase 2 (SEED2) and received a comprehensive developmental evaluation. The clinician(s) who evaluated the child completed two diagnostic checklists that indicated the presence and severity of DSM-IV-TR and DSM-5 criteria. Definitions for DSM-5 ASD, DSM-IV-TR autistic disorder, and DSM-IV-TR Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS) were created from the diagnostic checklists. Results 773 children met SEED2 criteria for ASD and 288 met criteria for another developmental disorder (DD). Agreement between DSM-5 and DSM-IV-TR definitions of ASD were good for autistic disorder (0.78) and moderate for PDD-NOS (0.57 and 0.59). Children who met DSM-IV-TR autistic disorder but not DSM-5 ASD (n = 71) were more likely to have mild ASD symptoms, or symptoms accounted for by another disorder. Children who met PDD-NOS but not DSM-5 ASD (n = 66), or vice versa (n = 120) were less likely to have intellectual disability and more likely to be female. Sensitivity and specificity were best balanced with DSM-5 ASD criteria (0.95 and 0.78, respectively). Conclusions The DSM-5 definition of ASD maximizes diagnostic sensitivity and specificity in the SEED2 sample. These findings support the DSM-5 conceptualization of ASD in preschool children.
The criteria for autism spectrum disorder (ASD) were revised in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The objective of this study was to compare the sensitivity and specificity of DSM-IV-Text Revision (DSM-IV-TR) and DSM-5 definitions of ASD in a community-based sample of preschool children. Children between 2 and 5 years of age were enrolled in the Study to Explore Early Development-Phase 2 (SEED2) and received a comprehensive developmental evaluation. The clinician(s) who evaluated the child completed two diagnostic checklists that indicated the presence and severity of DSM-IV-TR and DSM-5 criteria. Definitions for DSM-5 ASD, DSM-IV-TR autistic disorder, and DSM-IV-TR Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS) were created from the diagnostic checklists. 773 children met SEED2 criteria for ASD and 288 met criteria for another developmental disorder (DD). Agreement between DSM-5 and DSM-IV-TR definitions of ASD were good for autistic disorder (0.78) and moderate for PDD-NOS (0.57 and 0.59). Children who met DSM-IV-TR autistic disorder but not DSM-5 ASD (n = 71) were more likely to have mild ASD symptoms, or symptoms accounted for by another disorder. Children who met PDD-NOS but not DSM-5 ASD (n = 66), or vice versa (n = 120) were less likely to have intellectual disability and more likely to be female. Sensitivity and specificity were best balanced with DSM-5 ASD criteria (0.95 and 0.78, respectively). The DSM-5 definition of ASD maximizes diagnostic sensitivity and specificity in the SEED2 sample. These findings support the DSM-5 conceptualization of ASD in preschool children.
The criteria for autism spectrum disorder (ASD) were revised in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The objective of this study was to compare the sensitivity and specificity of DSM-IV-Text Revision (DSM-IV-TR) and DSM-5 definitions of ASD in a community-based sample of preschool children.PURPOSEThe criteria for autism spectrum disorder (ASD) were revised in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The objective of this study was to compare the sensitivity and specificity of DSM-IV-Text Revision (DSM-IV-TR) and DSM-5 definitions of ASD in a community-based sample of preschool children.Children between 2 and 5 years of age were enrolled in the Study to Explore Early Development-Phase 2 (SEED2) and received a comprehensive developmental evaluation. The clinician(s) who evaluated the child completed two diagnostic checklists that indicated the presence and severity of DSM-IV-TR and DSM-5 criteria. Definitions for DSM-5 ASD, DSM-IV-TR autistic disorder, and DSM-IV-TR Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS) were created from the diagnostic checklists.METHODSChildren between 2 and 5 years of age were enrolled in the Study to Explore Early Development-Phase 2 (SEED2) and received a comprehensive developmental evaluation. The clinician(s) who evaluated the child completed two diagnostic checklists that indicated the presence and severity of DSM-IV-TR and DSM-5 criteria. Definitions for DSM-5 ASD, DSM-IV-TR autistic disorder, and DSM-IV-TR Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS) were created from the diagnostic checklists.773 children met SEED2 criteria for ASD and 288 met criteria for another developmental disorder (DD). Agreement between DSM-5 and DSM-IV-TR definitions of ASD were good for autistic disorder (0.78) and moderate for PDD-NOS (0.57 and 0.59). Children who met DSM-IV-TR autistic disorder but not DSM-5 ASD (n = 71) were more likely to have mild ASD symptoms, or symptoms accounted for by another disorder. Children who met PDD-NOS but not DSM-5 ASD (n = 66), or vice versa (n = 120) were less likely to have intellectual disability and more likely to be female. Sensitivity and specificity were best balanced with DSM-5 ASD criteria (0.95 and 0.78, respectively).RESULTS773 children met SEED2 criteria for ASD and 288 met criteria for another developmental disorder (DD). Agreement between DSM-5 and DSM-IV-TR definitions of ASD were good for autistic disorder (0.78) and moderate for PDD-NOS (0.57 and 0.59). Children who met DSM-IV-TR autistic disorder but not DSM-5 ASD (n = 71) were more likely to have mild ASD symptoms, or symptoms accounted for by another disorder. Children who met PDD-NOS but not DSM-5 ASD (n = 66), or vice versa (n = 120) were less likely to have intellectual disability and more likely to be female. Sensitivity and specificity were best balanced with DSM-5 ASD criteria (0.95 and 0.78, respectively).The DSM-5 definition of ASD maximizes diagnostic sensitivity and specificity in the SEED2 sample. These findings support the DSM-5 conceptualization of ASD in preschool children.CONCLUSIONSThe DSM-5 definition of ASD maximizes diagnostic sensitivity and specificity in the SEED2 sample. These findings support the DSM-5 conceptualization of ASD in preschool children.
PurposeThe criteria for autism spectrum disorder (ASD) were revised in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The objective of this study was to compare the sensitivity and specificity of DSM-IV-Text Revision (DSM-IV-TR) and DSM-5 definitions of ASD in a community-based sample of preschool children.MethodsChildren between 2 and 5 years of age were enrolled in the Study to Explore Early Development-Phase 2 (SEED2) and received a comprehensive developmental evaluation. The clinician(s) who evaluated the child completed two diagnostic checklists that indicated the presence and severity of DSM-IV-TR and DSM-5 criteria. Definitions for DSM-5 ASD, DSM-IV-TR autistic disorder, and DSM-IV-TR Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS) were created from the diagnostic checklists.Results773 children met SEED2 criteria for ASD and 288 met criteria for another developmental disorder (DD). Agreement between DSM-5 and DSM-IV-TR definitions of ASD were good for autistic disorder (0.78) and moderate for PDD-NOS (0.57 and 0.59). Children who met DSM-IV-TR autistic disorder but not DSM-5 ASD (n = 71) were more likely to have mild ASD symptoms, or symptoms accounted for by another disorder. Children who met PDD-NOS but not DSM-5 ASD (n = 66), or vice versa (n = 120) were less likely to have intellectual disability and more likely to be female. Sensitivity and specificity were best balanced with DSM-5 ASD criteria (0.95 and 0.78, respectively).ConclusionsThe DSM-5 definition of ASD maximizes diagnostic sensitivity and specificity in the SEED2 sample. These findings support the DSM-5 conceptualization of ASD in preschool children.
Purpose The criteria for autism spectrum disorder (ASD) were revised in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The objective of this study was to compare the sensitivity and specificity of DSM-IV-Text Revision (DSM-IV-TR) and DSM-5 definitions of ASD in a community-based sample of preschool children. Methods Children between 2 and 5 years of age were enrolled in the Study to Explore Early Development-Phase 2 (SEED2) and received a comprehensive developmental evaluation. The clinician(s) who evaluated the child completed two diagnostic checklists that indicated the presence and severity of DSM-IV-TR and DSM-5 criteria. Definitions for DSM-5 ASD, DSM-IV-TR autistic disorder, and DSM-IV-TR Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS) were created from the diagnostic checklists. Results 773 children met SEED2 criteria for ASD and 288 met criteria for another developmental disorder (DD). Agreement between DSM-5 and DSM-IV-TR definitions of ASD were good for autistic disorder (0.78) and moderate for PDD-NOS (0.57 and 0.59). Children who met DSM-IV-TR autistic disorder but not DSM-5 ASD ( n  = 71) were more likely to have mild ASD symptoms, or symptoms accounted for by another disorder. Children who met PDD-NOS but not DSM-5 ASD ( n  = 66), or vice versa ( n  = 120) were less likely to have intellectual disability and more likely to be female. Sensitivity and specificity were best balanced with DSM-5 ASD criteria (0.95 and 0.78, respectively). Conclusions The DSM-5 definition of ASD maximizes diagnostic sensitivity and specificity in the SEED2 sample. These findings support the DSM-5 conceptualization of ASD in preschool children.
The criteria for autism spectrum disorder (ASD) were revised in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The objective of this study was to compare the sensitivity and specificity of DSM-IV-Text Revision (DSM-IV-TR) and DSM-5 definitions of ASD in a community-based sample of preschool children. Children between 2 and 5 years of age were enrolled in the Study to Explore Early Development-Phase 2 (SEED2) and received a comprehensive developmental evaluation. The clinician(s) who evaluated the child completed two diagnostic checklists that indicated the presence and severity of DSM-IV-TR and DSM-5 criteria. Definitions for DSM-5 ASD, DSM-IV-TR autistic disorder, and DSM-IV-TR Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS) were created from the diagnostic checklists. 773 children met SEED2 criteria for ASD and 288 met criteria for another developmental disorder (DD). Agreement between DSM-5 and DSM-IV-TR definitions of ASD were good for autistic disorder (0.78) and moderate for PDD-NOS (0.57 and 0.59). Children who met DSM-IV-TR autistic disorder but not DSM-5 ASD (n = 71) were more likely to have mild ASD symptoms, or symptoms accounted for by another disorder. Children who met PDD-NOS but not DSM-5 ASD (n = 66), or vice versa (n = 120) were less likely to have intellectual disability and more likely to be female. Sensitivity and specificity were best balanced with DSM-5 ASD criteria (0.95 and 0.78, respectively). The DSM-5 definition of ASD maximizes diagnostic sensitivity and specificity in the SEED2 sample. These findings support the DSM-5 conceptualization of ASD in preschool children.
Audience Academic
Author Moody, Eric
Barger, Brian
Rice, Catherine E.
Soke, Gnakub N.
Edmondson-Pretzel, Rebecca
Levy, Susan E.
Wiggins, Lisa D.
Lee, Li-Ching
AuthorAffiliation 7 Center for Autism Research, Children’s Hospital of Philadelphia, Philadelphia, PA, USA
3 School of Public Health, Georgia State University, Atlanta, GA, USA
4 Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
2 Emory Autism Resource Center, Emory University, Atlanta, GA, USA
5 JFK Partners, University of Colorado-Anschutz Medical Campus, Aurora, CO, USA
1 National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Highway NE MS S106-4, Atlanta, GA 30341, USA
6 Carolina Institute for Developmental Disabilities, University of North Carolina, Chapel Hill, NC, USA
AuthorAffiliation_xml – name: 7 Center for Autism Research, Children’s Hospital of Philadelphia, Philadelphia, PA, USA
– name: 1 National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Highway NE MS S106-4, Atlanta, GA 30341, USA
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– name: 6 Carolina Institute for Developmental Disabilities, University of North Carolina, Chapel Hill, NC, USA
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– name: 3 School of Public Health, Georgia State University, Atlanta, GA, USA
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  fullname: Soke, Gnakub N.
  organization: National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention
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  surname: Lee
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  givenname: Susan E.
  surname: Levy
  fullname: Levy, Susan E.
  organization: Center for Autism Research, Children’s Hospital of Philadelphia
BackLink https://www.ncbi.nlm.nih.gov/pubmed/30850887$$D View this record in MEDLINE/PubMed
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Keywords Autism
Diagnostic and Statistical Manual of Mental Disorders (DSM)
Diagnostic criteria
Autism spectrum disorder
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PublicationSubtitle The International Journal for Research in Social and Genetic Epidemiology and Mental Health Services
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References DiGuiseppiCDanielsJFallinDRosenbergSSchieveLThomasKDemographic profile of families and children in the Study to Explore Early Development (SEED): case–control study of autism spectrum disorderDis Heal J2016954455110.1016/j.dhjo.2016.01.005
TsaiLYImpact of DSM-5 on epidemiology of autism spectrum disorderRes Aut Spec Disorders20148111454147010.1016/j.rasd.2014.07.016
DworzynskiKRonaldABoltonRHappeFHow different are girls and boys above and below the diagnostic threshold for autism spectrum disorders?J Am Acad Chil Adoles Psychiatry20125178879710.1016/j.jaac.2012.05.018
BoydBAOdomSLHumphreysBPSamAMInfants and toddlers with autism spectrum disorder: early identification and early interventionJ Earl Intervent201032759810.1177/1053815110362690
WigginsLDLevySEDanielsJSchieveLCroenLADiGuiseppiCSymptoms of autism spectrum disorder among children enrolled in the Study to Explore Early DevelopmentJ Aut Dev Disord2015453183319410.1007/s10803-015-2476-8
American Psychiatric AssociationDiagnostic and statistical manual of mental disorders20135ArlingtonAmerican Psychiatric Publishing10.1176/appi.books.9780890425596
BuescherACidavZKnappMMandellDSCost of autism spectrum disorders in the United Kingdom and United StatesJAMA Pediatrics201416872172810.1001/jamapediatrics.2014.21024911948
VolkmarFRShafferDFirstMPDDNOS in DSM-IVJ Autism Dev Disord20003074751:STN:280:DC%2BD3cvgsVKhsg%3D%3D10819126
LordCRutterMDiLavorePCRisiSAutism diagnostic observation schedule1999Los AngelesWestern Psychological Services
GrayKTongeBSweeneyDUsing the autism diagnostic interview-revised and the autism diagnostic observation schedule with young children with developmental delay: evaluating diagnostic validityJ Aut Dev Disord20083865766710.1007/s10803-007-0432-y
MazurekMOLuFSymeckoHButterEBingNMHundleyRJA prospective study of the concordance of DSM-IV and DSM-5 diagnostic criteria of autism spectrum disorderJ Aut Dev Disord2017472783279410.1007/s10803-017-3200-7
SparrowSBallaDCicchettiDVineland adaptive behavior scales20052San AntonioPearson
RivetTTMatsonJLReview of gender differences in core symptomatology in autism spectrum disordersRes Aut Spect Disord2011595797610.1016/j.rasd.2010.12.003
MullenEMullen Scales of early learning1995San AntonioPearson
ZwaigenbaumLBaumanMLStoneWLYirmiyaNEstesAHarmanREarly identification of autism spectrum disorder: implications for practice and researchPediatrics2015136S10S4010.1542/peds.2014-3667C26430168
LordCRutterMLe CouteurALAutism diagnostic interview-revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disordersJ Aut Dev Disord19942465968510.1007/BF021721451:STN:280:DyaK2M7htlOlsg%3D%3D
LevySEGiarelliELeeLCSchieveLKirbyRCunniffCAutism spectrum disorder and co-occurring developmental, psychiatric, and medical conditions among children in multiple populations of the United StatesJ Dev Beh Pediatrics201031426727510.1097/DBP.0b013e3181d5d03b
WigginsLDReynoldsARiceCMoodyEJBernalPBlaskeyLUsing standardized diagnostic instruments to classify children with autism in the Study to Explore Early DevelopmentJ Aut Dev Disord2015451271128010.1007/s10803-014-2287-3
JangJMatsonJLAutism severity as a predictor of comorbid conditionsJ Dev Phys Disabil20152740541510.1007/s10882-015-9421-9
SwedoSEBairdGCookEHHappéFGHarrisJCKaufmannWECommentary from the DSM-5 workgroup on neurodevelopmental disordersJ Amer Acad Child Adoles Psychiatry201251434734910.1016/j.jaac.2012.02.013
MaennerMJRiceCEArnesonCLCunniffCSchieveLACarpenterLAPotential impact of DSM-5 criteria on autism spectrum disorder prevalence estimatesJAMA Psychiatry201471329230010.1001/jamapsychiatry.2013.3893244525044041577
AchenbachTChild behavior checklist1992BurlingtonAchenbach System of Empirically Based Assessment
MattilaMLKielinenMLinnaSLJussilaKEbelingHBloiguRAutism spectrum disorder according to DSM-IV-TR and comparison with DSM-5 draft criteria: an epidemiological studyJ Am Acad Child Adoles Psychiatry20115058359210.1016/j.jaac.2011.04.001
ConstantinoJThe social responsiveness scale2002Los AngelesWestern Psychological Services
The Ohio State University (OSU) Research Unit on Pediatric Psychopharmacology (2005) OSU Autism Rating Scale (OARS; adapted for SEED) and Clinical Global Impression (CGI; adapted for SEED). Retrieved August 30, 2010 from http://psychmed.osu.edu/resources.htm
FrazierTWGeorgiadesSBishopSLHardanAYBehavioral and cognitive characteristics of females and males with autism in the Simons Simplex CollectionJ Am Acad Chil Adoles Psychiatry20145332934010.1016/j.jaac.2013.12.004
GothamKRisiSPicklesALordCThe autism diagnostic observation schedule: revised algorithms for improved diagnostic validityJ Aut Dev Disord20073761362710.1007/s10803-006-0280-1
JohnsonCPMyersSMAmerican Academy of Pediatrics, Council on Children with DisabilitiesIdentification and evaluation of children with autism spectrum disordersPediatrics20071201183121510.1542/peds.2007-2361
American Psychiatric AssociationDiagnostic and statistical manual of mental disorders19944Washington, DCAmerican Psychiatric Association
RutterMABaileyALordCThe social communication questionnaire2003Los AngelesWestern Psychological Services
FirstMDPincusHAThe DSM-IV text revision: rationale adn potential impact on clinical practicePsych Serv20025358859210.1176/appi.ps.53.3.288
SchendelDDiGuiseppiCCroenLFallinDReedPSchieveLThe Study to Explore Early Development (SEED): a multi-site epidemiologic study of autism by the Centers for Autism and Developmental Disabilities Research and Epidemiology (CADDRE) NetworkJ Autism Dev Disord2012422121214010.1007/s10803-012-1461-8223503364455890
ConstantinoJToddRAutistic traits in the general population: a twin studyArch Gen Psychiatry20036052453010.1001/archpsyc.60.5.52412742874
CorselloCEarly intervention in autismInf Youn Children200518748510.1097/00001163-200504000-00002
HockRAhmedaniBParent perceptions of autism severity: exploring the social ecological contextDis Heal J2012529830410.1016/j.dhjo.2012.06.002
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TW Frazier (1674_CR35) 2014; 53
A Buescher (1674_CR2) 2014; 168
T Achenbach (1674_CR28) 1992
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LD Wiggins (1674_CR29) 2015; 45
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FR Volkmar (1674_CR10) 2000; 30
L Zwaigenbaum (1674_CR12) 2015; 136
MJ Maenner (1674_CR14) 2014; 71
D Schendel (1674_CR17) 2012; 42
C Lord (1674_CR21) 1994; 24
BA Boyd (1674_CR5) 2010; 32
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References_xml – reference: BuescherACidavZKnappMMandellDSCost of autism spectrum disorders in the United Kingdom and United StatesJAMA Pediatrics201416872172810.1001/jamapediatrics.2014.21024911948
– reference: SparrowSBallaDCicchettiDVineland adaptive behavior scales20052San AntonioPearson
– reference: BoydBAOdomSLHumphreysBPSamAMInfants and toddlers with autism spectrum disorder: early identification and early interventionJ Earl Intervent201032759810.1177/1053815110362690
– reference: American Psychiatric AssociationDiagnostic and statistical manual of mental disorders19944Washington, DCAmerican Psychiatric Association
– reference: LevySEGiarelliELeeLCSchieveLKirbyRCunniffCAutism spectrum disorder and co-occurring developmental, psychiatric, and medical conditions among children in multiple populations of the United StatesJ Dev Beh Pediatrics201031426727510.1097/DBP.0b013e3181d5d03b
– reference: FrazierTWGeorgiadesSBishopSLHardanAYBehavioral and cognitive characteristics of females and males with autism in the Simons Simplex CollectionJ Am Acad Chil Adoles Psychiatry20145332934010.1016/j.jaac.2013.12.004
– reference: American Psychiatric AssociationDiagnostic and statistical manual of mental disorders20135ArlingtonAmerican Psychiatric Publishing10.1176/appi.books.9780890425596
– reference: CorselloCEarly intervention in autismInf Youn Children200518748510.1097/00001163-200504000-00002
– reference: DworzynskiKRonaldABoltonRHappeFHow different are girls and boys above and below the diagnostic threshold for autism spectrum disorders?J Am Acad Chil Adoles Psychiatry20125178879710.1016/j.jaac.2012.05.018
– reference: MullenEMullen Scales of early learning1995San AntonioPearson
– reference: HockRAhmedaniBParent perceptions of autism severity: exploring the social ecological contextDis Heal J2012529830410.1016/j.dhjo.2012.06.002
– reference: GrayKTongeBSweeneyDUsing the autism diagnostic interview-revised and the autism diagnostic observation schedule with young children with developmental delay: evaluating diagnostic validityJ Aut Dev Disord20083865766710.1007/s10803-007-0432-y
– reference: ConstantinoJToddRAutistic traits in the general population: a twin studyArch Gen Psychiatry20036052453010.1001/archpsyc.60.5.52412742874
– reference: LordCRutterMLe CouteurALAutism diagnostic interview-revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disordersJ Aut Dev Disord19942465968510.1007/BF021721451:STN:280:DyaK2M7htlOlsg%3D%3D
– reference: JohnsonCPMyersSMAmerican Academy of Pediatrics, Council on Children with DisabilitiesIdentification and evaluation of children with autism spectrum disordersPediatrics20071201183121510.1542/peds.2007-2361
– reference: The Ohio State University (OSU) Research Unit on Pediatric Psychopharmacology (2005) OSU Autism Rating Scale (OARS; adapted for SEED) and Clinical Global Impression (CGI; adapted for SEED). Retrieved August 30, 2010 from http://psychmed.osu.edu/resources.htm
– reference: MazurekMOLuFSymeckoHButterEBingNMHundleyRJA prospective study of the concordance of DSM-IV and DSM-5 diagnostic criteria of autism spectrum disorderJ Aut Dev Disord2017472783279410.1007/s10803-017-3200-7
– reference: ZwaigenbaumLBaumanMLStoneWLYirmiyaNEstesAHarmanREarly identification of autism spectrum disorder: implications for practice and researchPediatrics2015136S10S4010.1542/peds.2014-3667C26430168
– reference: DiGuiseppiCDanielsJFallinDRosenbergSSchieveLThomasKDemographic profile of families and children in the Study to Explore Early Development (SEED): case–control study of autism spectrum disorderDis Heal J2016954455110.1016/j.dhjo.2016.01.005
– reference: LordCRutterMDiLavorePCRisiSAutism diagnostic observation schedule1999Los AngelesWestern Psychological Services
– reference: WigginsLDLevySEDanielsJSchieveLCroenLADiGuiseppiCSymptoms of autism spectrum disorder among children enrolled in the Study to Explore Early DevelopmentJ Aut Dev Disord2015453183319410.1007/s10803-015-2476-8
– reference: MattilaMLKielinenMLinnaSLJussilaKEbelingHBloiguRAutism spectrum disorder according to DSM-IV-TR and comparison with DSM-5 draft criteria: an epidemiological studyJ Am Acad Child Adoles Psychiatry20115058359210.1016/j.jaac.2011.04.001
– reference: RutterMABaileyALordCThe social communication questionnaire2003Los AngelesWestern Psychological Services
– reference: RivetTTMatsonJLReview of gender differences in core symptomatology in autism spectrum disordersRes Aut Spect Disord2011595797610.1016/j.rasd.2010.12.003
– reference: SchendelDDiGuiseppiCCroenLFallinDReedPSchieveLThe Study to Explore Early Development (SEED): a multi-site epidemiologic study of autism by the Centers for Autism and Developmental Disabilities Research and Epidemiology (CADDRE) NetworkJ Autism Dev Disord2012422121214010.1007/s10803-012-1461-8223503364455890
– reference: ConstantinoJThe social responsiveness scale2002Los AngelesWestern Psychological Services
– reference: FirstMDPincusHAThe DSM-IV text revision: rationale adn potential impact on clinical practicePsych Serv20025358859210.1176/appi.ps.53.3.288
– reference: WigginsLDReynoldsARiceCMoodyEJBernalPBlaskeyLUsing standardized diagnostic instruments to classify children with autism in the Study to Explore Early DevelopmentJ Aut Dev Disord2015451271128010.1007/s10803-014-2287-3
– reference: GothamKRisiSPicklesALordCThe autism diagnostic observation schedule: revised algorithms for improved diagnostic validityJ Aut Dev Disord20073761362710.1007/s10803-006-0280-1
– reference: TsaiLYImpact of DSM-5 on epidemiology of autism spectrum disorderRes Aut Spec Disorders20148111454147010.1016/j.rasd.2014.07.016
– reference: MaennerMJRiceCEArnesonCLCunniffCSchieveLACarpenterLAPotential impact of DSM-5 criteria on autism spectrum disorder prevalence estimatesJAMA Psychiatry201471329230010.1001/jamapsychiatry.2013.3893244525044041577
– reference: AchenbachTChild behavior checklist1992BurlingtonAchenbach System of Empirically Based Assessment
– reference: JangJMatsonJLAutism severity as a predictor of comorbid conditionsJ Dev Phys Disabil20152740541510.1007/s10882-015-9421-9
– reference: SwedoSEBairdGCookEHHappéFGHarrisJCKaufmannWECommentary from the DSM-5 workgroup on neurodevelopmental disordersJ Amer Acad Child Adoles Psychiatry201251434734910.1016/j.jaac.2012.02.013
– reference: VolkmarFRShafferDFirstMPDDNOS in DSM-IVJ Autism Dev Disord20003074751:STN:280:DC%2BD3cvgsVKhsg%3D%3D10819126
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Snippet Purpose The criteria for autism spectrum disorder (ASD) were revised in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM)....
The criteria for autism spectrum disorder (ASD) were revised in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The...
Purpose The criteria for autism spectrum disorder (ASD) were revised in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM)....
PurposeThe criteria for autism spectrum disorder (ASD) were revised in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM)....
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SubjectTerms Autism
Autism Spectrum Disorder - diagnosis
Checklist
Child, Preschool
Criteria
Diagnosis
Diagnostic and Statistical Manual of Mental Disorders
Diagnostic systems
Epidemiology
Female
Humans
Intellectual Disability - diagnosis
Male
Medicine
Medicine & Public Health
Mental disorders
Mental illness
Original Paper
Preschool children
Psychiatry
Sensitivity
Sensitivity and Specificity
Signs and symptoms
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Title DSM-5 criteria for autism spectrum disorder maximizes diagnostic sensitivity and specificity in preschool children
URI https://link.springer.com/article/10.1007/s00127-019-01674-1
https://www.ncbi.nlm.nih.gov/pubmed/30850887
https://www.proquest.com/docview/2189132590
https://www.proquest.com/docview/2189542349
https://pubmed.ncbi.nlm.nih.gov/PMC6713264
Volume 54
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