Evidence map›Paper›PMID 32076870›Full record

ArticleEuropean child & adolescent psychiatry2021

How well are DSM-5 diagnostic criteria for ASD represented in standardized diagnostic instruments?

Kris Evers, Jarymke Maljaars, Sarah J Carrington, Alice S Carter, Francesca Happé, Jean Steyaert, Susan R Leekam, Ilse Noens

Abstract read
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In one paragraph

Article in European child & adolescent psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. The Toddler Autism Symptom Inventory: Use in diagnostic evaluations of toddlers.Autism : the international journal of research and practice · 2021
    Article
  7. Review
  8. DSM-5 symptom expression in toddlers.Autism : the international journal of research and practice · 2021
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kris Evers *Parenting and Special Education Research Unit, KU Leuven, Leopold Vanderkelenstraat 32, P.O. Box 3765, 3000, Leuven, Belgium. kris.evers@kuleuven.be.ORCID http://orcid.org/0000-0002-8583-4631
Jarymke Maljaars *Parenting and Special Education Research Unit, KU Leuven, Leopold Vanderkelenstraat 32, P.O. Box 3765, 3000, Leuven, Belgium.
Sarah J CarringtonSchool of Life and Health Sciences, Department of Psychology, Aston University, Birmingham, UK.
Alice S CarterUniversity of Massachusetts, Boston, USA.
Francesca HappéSocial, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Jean SteyaertLeuven Autism Research (LAuRes), KU Leuven, Leuven, Belgium.
Susan R LeekamWales Autism Research Centre, School of Psychology, Cardiff University, Cardiff, UK.
Ilse NoensParenting and Special Education Research Unit, KU Leuven, Leopold Vanderkelenstraat 32, P.O. Box 3765, 3000, Leuven, Belgium.

Funding

Fonds Wetenschappelijk Onderzoek 12L6916NKU Leuven Leuvens Universiteitsfonds 'Opening the Future'
6 · The paper itself

Abstract

Five years after the publication of DSM-5 in 2013, three widely used diagnostic instruments have published algorithms designed to represent its (sub-)criteria for Autism Spectrum Disorder (ASD) in children and adolescents. This study aimed to: (1) establish the content validity of these three DSM-5-adapted algorithms, and (2) identify problems with the operationalization of DSM-5 diagnostic criteria in measurable and observable behaviors. Algorithm items of the Autism Diagnostic Observation Schedule-Second Edition (ADOS-2), Developmental, Dimensional and Diagnostic Interview (3di) and Diagnostic Interview for Social and Communication Disorders-11th edition (DISCO-11) were mapped onto DSM-5 sub-criteria. The development and decision-making rules integrated in their algorithms were then compared with DSM-5. Results demonstrated significant variability in the number and nature of sub-criteria covered by the ADOS-2, 3di and DISCO-11. In addition to differences in the development of algorithms and cut-off scores, instruments also differed in the extent to which they follow DSM-5 decision-making rules for diagnostic classification. We conclude that such differences in interpretation of DSM-5 criteria provide a challenge for symptom operationalization which will be most effectively overcome by consensus, testing and reformulation.

Indexed as

Diagnostic and Statistical Manual of Mental DisordersAlgorithmsAutism Spectrum DisorderFemaleHumansMaleAutism spectrum disorderClassificationContent validityDiagnostic outcome

Identifiers

What OpenQuestion holds

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Registered trials

None linked

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.