Validation of the Developmental, Dimensional and Diagnostic Interview (3Di) Among Chinese Children in a Child Psychiatry Clinic in Hong Kong

• Published in: Journal of autism and developmental disorders Vol. 45; no. 5; pp. 1230 - 1237
• Main Authors: Lai, Kelly Y. C., Leung, Patrick W. L., Mo, Flora Y. M., Lee, Marshall M. C., Shea, Caroline K. S., Chan, Grace F. C., Che, Kiti K. I., Luk, Ernest S. L., Mak, Arthur D. P., Warrington, Richard, Skuse, David
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.05.2015; Springer; Springer Nature B.V
• Subjects: Algorithms; Asian Continental Ancestry Group - psychology; Attention Deficit Disorder with Hyperactivity - diagnosis; Attention Deficit Disorder with Hyperactivity - epidemiology; Attention Deficit Hyperactivity Disorder; Autism; Autism Spectrum Disorders; Behavior Problems; Behavioral Science and Psychology; Child; Child & adolescent psychiatry; Child and School Psychology; Child Development Disorders, Pervasive - diagnosis; Child Development Disorders, Pervasive - epidemiology; Child Health; Child Psychiatry - methods; Child psychology; Children; Children & youth; Chinese; Chinese languages; Communication; Communication Skills; Comorbidity; Computers; Cultural Influences; Diagnosis; Diagnostic Tests; Evaluation; Factor Analysis; Female; Foreign Countries; Hong Kong; Hong Kong - epidemiology; Humans; Interpersonal Relationship; Interviewing in psychiatry; Interviews as Topic; Language; Male; Mental Disorders; Morbidity; Neurosciences; Original Paper; Pediatrics; Pervasive Developmental Disorders; Psychiatry; Psychology; Psychometrics; Public Health; Quantitative psychology; Reproducibility of Results; Resistance (Psychology); Semantics; Sensitivity and Specificity; Sino Tibetan Languages; Social interaction; Symptoms (Individual Disorders); Test Reliability; Test Validity; Translations; Validity; Hong Kong; Hong Kong, China; Hong Kong China; China; Validation; 3Di; Chinese; Autism spectrum disorder
• ISSN: 0162-3257; 1573-3432; 1573-3432
• DOI: 10.1007/s10803-014-2284-6

Autism spectrum disorder (ASD) is a disorder with high levels of co-morbidities. The Developmental, Dimensional and Diagnostic Interview (3Di) is a relatively new instrument designed to provide dimensional as well as categorical assessment of autistic behaviours among children with normal intelligence. Its sound psychometric properties and relatively short administration time make it a versatile instrument. The 3Di was translated into Chinese (Cantonese) and its applicability among 194 clinic children was examined. Results found excellent reliability and validity, and achieved a sensitivity of 95 % and specificity of 77 %. It was able to capture the diagnosis of ASD among children presenting with attention deficit hyperactivity disorder. However, although the disorder of ASD is considered universal, the use of a western instrument in a Chinese context should also take note of cultural influences that may impact on the manifestation of its symptoms.