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16-06-2017 | Original Paper | Uitgave 9/2017

A Prospective Study of the Concordance of DSM-IV and DSM-5 Diagnostic Criteria for Autism Spectrum Disorder

Tijdschrift:: Journal of Autism and Developmental Disorders > Uitgave 9/2017

Auteurs:: Micah O. Mazurek, Frances Lu, Heather Symecko, Eric Butter, Nicole M. Bing, Rachel J. Hundley, Marie Poulsen, Stephen M. Kanne, Eric A. Macklin, Benjamin L. Handen

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Abstract

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.

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Titel: A Prospective Study of the Concordance of DSM-IV and DSM-5 Diagnostic Criteria for Autism Spectrum Disorder
Auteurs:: Micah O. Mazurek
Frances Lu
Heather Symecko
Eric Butter
Nicole M. Bing
Rachel J. Hundley
Marie Poulsen
Stephen M. Kanne
Eric A. Macklin
Benjamin L. Handen
Publicatiedatum: 16-06-2017
DOI: https://doi.org/10.1007/s10803-017-3200-7
Uitgeverij: Springer US
Tijdschrift: Journal of Autism and Developmental Disorders
Uitgave 9/2017
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432

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A Prospective Study of the Concordance of DSM-IV and DSM-5 Diagnostic Criteria for Autism Spectrum Disorder

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