ArticleJournal of child psychology and psychiatry, and allied disciplines2013
Diagnosing autism spectrum disorder: who will get a DSM-5 diagnosis?
Article in Journal of child psychology and psychiatry, and allied disciplines, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.
- Healthcare access for autistic adults: A systematic review.Medicine · 2020Pooled it
- The Signposting Questionnaire for Autism-2 (SQ-A-2): using input from autistic adults to inform questionnaire development.Molecular autism · 2026Article
- How Well Can we Diagnose Autism in Adults? Evaluating an Informant-based Interview: The Dutch Developmental, Dimensional and Diagnostic Interview - Adult Version (3Di-Adult).Journal of autism and developmental disorders · 2024Article
- A Prospective Study of the Family Quality of Life, Illness Perceptions, and Coping in Mothers of Children Newly Diagnosed with Autism Spectrum Disorder and Communication Difficulties.European journal of investigation in health, psychology and education · 2024Article
- Article
- Reliability of the Commonly Used and Newly-Developed Autism Measures.Journal of autism and developmental disorders · 2024Article
- Provenance of a "sense-sational" wait: A call for introducing sensory processing differences into diagnostic criteria for attention-deficit/hyperactivity disorder.Brain and behavior · 2024Article
- Subdomains of restricted and repetitive behaviors within autism: Exploratory structural equation modeling using the diagnostic interview for social and communication disorders.Autism research : official journal of the International Society for Autism Research · 2022Article
- Adapting and validating the Autism Diagnostic Observation Schedule Version 2 for use with deaf children and young people.Journal of autism and developmental disorders · 2022Article
- The Issue of Monocyte Activation in ASD: Troubles with Translation.Journal of cellular immunology · 2022Article
- Practical applications of brief screening questionnaires for autism spectrum disorder in a psychiatry outpatient setting.International journal of methods in psychiatric research · 2021Article
- How well are DSM-5 diagnostic criteria for ASD represented in standardized diagnostic instruments?European child & adolescent psychiatry · 2021Article
- Development of the Signposting Questionnaire for Autism (SQ-A): measurement comparison with the 10-item Autism Spectrum Quotient-Child and the Strengths and Difficulties Questionnaire in the UK and Latvia.Molecular autism · 2020Article
- Do Parental Interviews for ASD Converge with Clinical Diagnoses? An Empirical Comparison of the 3di and the DISCO in Children with ASD, a Clinically-Referred Group, and Typically Developing Children.Journal of autism and developmental disorders · 2020Article
- Describing the Profile of Diagnostic Features in Autistic Adults Using an Abbreviated Version of the Diagnostic Interview for Social and Communication Disorders (DISCO-Abbreviated).Journal of autism and developmental disorders · 2019Article
- Early Autism Screening: A Comprehensive Review.International journal of environmental research and public health · 2019Review
- The disparities of healthcare access for adults with autism spectrum disorder: Protocol for a systematic review.Medicine · 2019Article
- Assessing Autism in Adults: An Evaluation of the Developmental, Dimensional and Diagnostic Interview-Adult Version (3Di-Adult).Journal of autism and developmental disorders · 2018Article
- Autism Spectrum Disorder in the DSM-5: Diagnostic Sensitivity and Specificity in Early Childhood.Journal of autism and developmental disorders · 2016Article
- Utility of the 3Di Short Version for the Diagnostic Assessment of Autism Spectrum Disorder and Compatibility with DSM-5.Journal of autism and developmental disorders · 2016Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntroduction of proposed criteria for DSM-5 Autism Spectrum Disorder (ASD) has raised concerns that some individuals currently meeting diagnostic criteria for Pervasive Developmental Disorder (PDD; DSM-IV-TR/ICD-10) will not qualify for a diagnosis under the proposed changes. To date, reports of sensitivity and specificity of the new criteria have been inconsistent across studies. No study has yet considered how changes at the 'sub domain' level might affect overall sensitivity and specificity, and few have included individuals of different ages and ability levels.
methodsA set of DSM-5 ASD algorithms were developed using items from the Diagnostic Interview for Social and Communication Disorders (DISCO). The number of items required for each DSM-5 subdomain was defined either according to criteria specified by DSM-5 (Initial Algorithm), a statistical approach (Youden J Algorithm), or to minimise the number of false positives while maximising sensitivity (Modified Algorithm). The algorithms were designed, tested and compared in two independent samples (Sample 1, N = 82; Sample 2, N = 115), while sensitivity was assessed across age and ability levels in an additional dataset of individuals with an ICD-10 PDD diagnosis (Sample 3, N = 190).
resultsSensitivity was highest in the Initial Algorithm, which had the poorest specificity. Although Youden J had excellent specificity, sensitivity was significantly lower than in the Modified Algorithm, which had both good sensitivity and specificity. Relaxing the domain A rules improved sensitivity of the Youden J Algorithm, but it remained less sensitive than the Modified Algorithm. Moreover, this was the only algorithm with variable sensitivity across age. All versions of the algorithm performed well across ability level.
conclusionsThis study demonstrates that good levels of both sensitivity and specificity can be achieved for a diagnostic algorithm adhering to the DSM-5 criteria that is suitable across age and ability level.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.