Skip to main content
Top
Gepubliceerd in: Journal of Autism and Developmental Disorders 6/2016

09-02-2016 | Original Paper

Autism Spectrum Disorder in the DSM-5: Diagnostic Sensitivity and Specificity in Early Childhood

Auteurs: Jessica A. Christiansz, Kylie M. Gray, John Taffe, Bruce J. Tonge

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 6/2016

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Changes to the DSM-5 Autism Spectrum Disorder (ASD) criteria raised concerns among parents and practitioners that the criteria may exclude some children with Pervasive Developmental Disorder (PDD). Few studies have examined DSM-5 sensitivity and specificity in children less than 5 years of age. This study evaluated 185 children aged 20–55 months with DSM-IV PDD or developmental delay. Autism Diagnostic Interview—Revised (ADI-R) and Autism Diagnostic Observation Schedule (ADOS) data was assigned to DSM-5 subdomains. Children displaying the required symptomatology were classified with DSM-5 ASD. DSM-IV clinical diagnoses were compared to DSM-5 classifications. Using combined ADI-R/ADOS information, sensitivity was .84 and specificity was .54. Comorbid behaviour and emotional problems were significantly lower in children with PDD that did not meet DSM-5 criteria.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR (4th ed.). Washington, DC: American Psychiatric Association. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR (4th ed.). Washington, DC: American Psychiatric Association.
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.
go back to reference Barton, M., Robins, D., Jashar, D., Brennan, L., & Fein, D. (2013). Sensitivity and specificity of proposed DSM-5 criteria for autism spectrum disorder in toddlers. Journal of Autism and Developmental Disorders, 45(5), 1184–1195. doi:10.1007/s10803-013-1817-8.CrossRef Barton, M., Robins, D., Jashar, D., Brennan, L., & Fein, D. (2013). Sensitivity and specificity of proposed DSM-5 criteria for autism spectrum disorder in toddlers. Journal of Autism and Developmental Disorders, 45(5), 1184–1195. doi:10.​1007/​s10803-013-1817-8.CrossRef
go back to reference Carrington, S. J., Kent, R. G., Maljaars, J., Le Couteur, A., Gould, J., Wing, L., et al. (2014). DSM-5 autism spectrum disorder: In search of essential behaviours for diagnosis. Research in Autism Spectrum Disorders, 8(6), 701–715. doi:10.1016/j.rasd.2014.03.017.CrossRef Carrington, S. J., Kent, R. G., Maljaars, J., Le Couteur, A., Gould, J., Wing, L., et al. (2014). DSM-5 autism spectrum disorder: In search of essential behaviours for diagnosis. Research in Autism Spectrum Disorders, 8(6), 701–715. doi:10.​1016/​j.​rasd.​2014.​03.​017.CrossRef
go back to reference Edwards, S., Fletcher, P., Garman, M., Hughes, A., Letts, C., & Sinka, I. (1997). Reynell Developmental Language Scales III (3rd ed.). Windsor: NFER-Nelson. Edwards, S., Fletcher, P., Garman, M., Hughes, A., Letts, C., & Sinka, I. (1997). Reynell Developmental Language Scales III (3rd ed.). Windsor: NFER-Nelson.
go back to reference Einfeld, S. L., & Tonge, B. J. (2002). Manual for the DBC: Parent (DBC-P) and Teacher versions (DBC-T) (2nd ed.). Melbourne: Monash University. Einfeld, S. L., & Tonge, B. J. (2002). Manual for the DBC: Parent (DBC-P) and Teacher versions (DBC-T) (2nd ed.). Melbourne: Monash University.
go back to reference Gibbs, V., Aldridge, F., Chandler, F., Witzlsperger, E., & Smith, K. (2012). Brief report: An exploratory study comparing diagnostic outcomes for autism spectrum disorders under DSM-IV-TR with the proposed DSM-5 revision. Journal of Autism and Developmental Disorders, 42(8), 1750–1756. doi:10.1007/s10803-012-1560-6.CrossRefPubMed Gibbs, V., Aldridge, F., Chandler, F., Witzlsperger, E., & Smith, K. (2012). Brief report: An exploratory study comparing diagnostic outcomes for autism spectrum disorders under DSM-IV-TR with the proposed DSM-5 revision. Journal of Autism and Developmental Disorders, 42(8), 1750–1756. doi:10.​1007/​s10803-012-1560-6.CrossRefPubMed
go back to reference Gray, K. M., Tonge, B. J., & Sweeney, D. (2008a). Using the Autism Diagnostic Interview-Revised and the Autism Diagnostic Observation Schedule with young children with developmental delay: Evaluating diagnostic validity. Journal of Autism and Developmental Disorders, 38(4), 657–667. doi:10.1007/s10803-007-0432-y.CrossRefPubMed Gray, K. M., Tonge, B. J., & Sweeney, D. (2008a). Using the Autism Diagnostic Interview-Revised and the Autism Diagnostic Observation Schedule with young children with developmental delay: Evaluating diagnostic validity. Journal of Autism and Developmental Disorders, 38(4), 657–667. doi:10.​1007/​s10803-007-0432-y.CrossRefPubMed
go back to reference Gray, K. M., Tonge, B. J., Sweeney, D. J., & Einfeld, S. L. (2008b). Screening for autism in young children with developmental delay: An evaluation of the Developmental Behaviour Checklist: Early Screen. Journal of Autism and Developmental Disorders, 38(6), 1003–1010. doi:10.1007/s10803-007-0473-2.CrossRefPubMed Gray, K. M., Tonge, B. J., Sweeney, D. J., & Einfeld, S. L. (2008b). Screening for autism in young children with developmental delay: An evaluation of the Developmental Behaviour Checklist: Early Screen. Journal of Autism and Developmental Disorders, 38(6), 1003–1010. doi:10.​1007/​s10803-007-0473-2.CrossRefPubMed
go back to reference Huerta, M., Bishop, S. L., Duncan, A., Hus, V., & Lord, C. (2012). Application of DSM-5 criteria for autism spectrum disorder to three samples of children with DSM-IV diagnoses of Pervasive Developmental Disorders. American Journal of Psychiatry, 169(10), 1056–1064. doi:10.1176/appi.ajp.2012.12020276.CrossRefPubMed Huerta, M., Bishop, S. L., Duncan, A., Hus, V., & Lord, C. (2012). Application of DSM-5 criteria for autism spectrum disorder to three samples of children with DSM-IV diagnoses of Pervasive Developmental Disorders. American Journal of Psychiatry, 169(10), 1056–1064. doi:10.​1176/​appi.​ajp.​2012.​12020276.CrossRefPubMed
go back to reference Kulage, K. M., Smaldone, A. M., & Cohn, E. G. (2014). How will DSM-5 affect autism diagnosis? A systematic literature review and meta-analysis. Journal of Autism and Developmental Disorders, 44(8), 1918–1932. doi:10.1007/s10803-014-2065-2.CrossRefPubMed Kulage, K. M., Smaldone, A. M., & Cohn, E. G. (2014). How will DSM-5 affect autism diagnosis? A systematic literature review and meta-analysis. Journal of Autism and Developmental Disorders, 44(8), 1918–1932. doi:10.​1007/​s10803-014-2065-2.CrossRefPubMed
go back to reference Leekam, S. R., Libby, S. J., Wing, L., Gould, J., & Taylor, C. (2002). The Diagnostic Interview for Social and Communication Disorders: Algorithms for ICD-10 childhood autism and Wing and Gould autistic spectrum disorder. Journal of Child Psychology and Psychiatry, 43(3), 327–342. doi:10.1111/1469-7610.00024.CrossRefPubMed Leekam, S. R., Libby, S. J., Wing, L., Gould, J., & Taylor, C. (2002). The Diagnostic Interview for Social and Communication Disorders: Algorithms for ICD-10 childhood autism and Wing and Gould autistic spectrum disorder. Journal of Child Psychology and Psychiatry, 43(3), 327–342. doi:10.​1111/​1469-7610.​00024.CrossRefPubMed
go back to reference Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., et al. (2000). The Autism Diagnostic Observation Schedule-Generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223. doi:10.1023/a:1005592401947.CrossRefPubMed Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., et al. (2000). The Autism Diagnostic Observation Schedule-Generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223. doi:10.​1023/​a:​1005592401947.CrossRefPubMed
go back to reference Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2001). Autism Diagnostic Observation Schedule (ADOS) manual. Los Angeles, CA: Western Psychological Services. Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2001). Autism Diagnostic Observation Schedule (ADOS) manual. Los Angeles, CA: Western Psychological Services.
go back to reference Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individual with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–685. doi:10.1007/bf02172145.CrossRefPubMed Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individual with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–685. doi:10.​1007/​bf02172145.CrossRefPubMed
go back to reference Matson, J. L., Wilkins, J., Sevin, J. A., Knight, C., Boisjoli, J. A., & Sharp, B. (2009). Reliability and item content of the Baby and Infant Screen for Children with aUtIsm Traits (BISCUIT): Parts 1–3. Research in Autism Spectrum Disorders, 3(2), 336–344. doi:10.1016/j.rasd.2008.08.001.CrossRef Matson, J. L., Wilkins, J., Sevin, J. A., Knight, C., Boisjoli, J. A., & Sharp, B. (2009). Reliability and item content of the Baby and Infant Screen for Children with aUtIsm Traits (BISCUIT): Parts 1–3. Research in Autism Spectrum Disorders, 3(2), 336–344. doi:10.​1016/​j.​rasd.​2008.​08.​001.CrossRef
go back to reference Mattila, M. L., Kielinen, M., Linna, S., Jussila, K., Ebeling, H., Bloigu, R., et al. (2011). Autism spectrum disorders according to “DSM-IV-TR” and comparison with “DSM-5” draft criteria: An epidemiological study. Journal of the American Academy of Child and Adolescent Psychiatry, 50(6), 583–592. doi:10.1016/j.jaac.2011.04.001.CrossRefPubMed Mattila, M. L., Kielinen, M., Linna, S., Jussila, K., Ebeling, H., Bloigu, R., et al. (2011). Autism spectrum disorders according to “DSM-IV-TR” and comparison with “DSM-5” draft criteria: An epidemiological study. Journal of the American Academy of Child and Adolescent Psychiatry, 50(6), 583–592. doi:10.​1016/​j.​jaac.​2011.​04.​001.CrossRefPubMed
go back to reference Mayes, S. D., Black, A., & Tierney, C. D. (2013). DSM-5 under-identifies PDD-NOS: Diagnostic agreement between the DSM-5, DSM-IV, and Checklist for Autism Spectrum Disorder. Research in Autism Spectrum Disorders, 7(2), 298–306. doi:10.1016/j.rasd.2012.08.011.CrossRef Mayes, S. D., Black, A., & Tierney, C. D. (2013). DSM-5 under-identifies PDD-NOS: Diagnostic agreement between the DSM-5, DSM-IV, and Checklist for Autism Spectrum Disorder. Research in Autism Spectrum Disorders, 7(2), 298–306. doi:10.​1016/​j.​rasd.​2012.​08.​011.CrossRef
go back to reference Mayes, S. D., Calhoun, S. L., Murray, M. J., Pearl, A., Black, A., & Tierney, C. D. (2014). Final DSM-5 under-identifies mild Autism Spectrum Disorder: Agreement between the DSM-5, CARS, CASD, and clinical diagnoses. Research in Autism Spectrum Disorders, 8(2), 68–73. doi:10.1016/j.rasd.2013.11.002.CrossRef Mayes, S. D., Calhoun, S. L., Murray, M. J., Pearl, A., Black, A., & Tierney, C. D. (2014). Final DSM-5 under-identifies mild Autism Spectrum Disorder: Agreement between the DSM-5, CARS, CASD, and clinical diagnoses. Research in Autism Spectrum Disorders, 8(2), 68–73. doi:10.​1016/​j.​rasd.​2013.​11.​002.CrossRef
go back to reference Newborg, J. (2005). Battelle Developmental Inventory (2nd ed.). Itasca, IL: Riverside Publishing. Newborg, J. (2005). Battelle Developmental Inventory (2nd ed.). Itasca, IL: Riverside Publishing.
go back to reference Richler, J., Bishop, S., Kleinke, J., & Lord, C. (2007). Restricted and repetitive behaviors in young children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37(1), 73–85. doi:10.1007/s10803-006-0332-6.CrossRefPubMed Richler, J., Bishop, S., Kleinke, J., & Lord, C. (2007). Restricted and repetitive behaviors in young children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37(1), 73–85. doi:10.​1007/​s10803-006-0332-6.CrossRefPubMed
go back to reference Risi, S., Lord, C., Gotham, K., Corsello, C., Chrysler, C., Szatmari, P., et al. (2006). Combining information from multiple sources in the diagnosis of autism spectrum disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 45(9), 1094–1103. doi:10.1097/01.chi.0000227880.42780.0e.CrossRefPubMed Risi, S., Lord, C., Gotham, K., Corsello, C., Chrysler, C., Szatmari, P., et al. (2006). Combining information from multiple sources in the diagnosis of autism spectrum disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 45(9), 1094–1103. doi:10.​1097/​01.​chi.​0000227880.​42780.​0e.CrossRefPubMed
go back to reference Robins, D. L. (2001). The Modified Checklist for Autism in Toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31(2), 131–144. doi:10.1023/A:1010738829569.CrossRefPubMed Robins, D. L. (2001). The Modified Checklist for Autism in Toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31(2), 131–144. doi:10.​1023/​A:​1010738829569.CrossRefPubMed
go back to reference Rutter, M., LeCouteur, A., & Lord, C. (2003). Autism Diagnostic Interview-Revised. Los Angeles, CA: Western Psychological Services. Rutter, M., LeCouteur, A., & Lord, C. (2003). Autism Diagnostic Interview-Revised. Los Angeles, CA: Western Psychological Services.
go back to reference Schopler, E., Reichler, R. J., Bashford, A., Lansing, M. D., & Marcus, L. M. (1990). Individualized assessment and treatment for autistic and developmentally disabled children: PsychoEducational Profile Revised (PEP-R). Austin, TX: Pro-ed. Schopler, E., Reichler, R. J., Bashford, A., Lansing, M. D., & Marcus, L. M. (1990). Individualized assessment and treatment for autistic and developmentally disabled children: PsychoEducational Profile Revised (PEP-R). Austin, TX: Pro-ed.
go back to reference Schopler, E., Reichler, R. J., & Renner, B. R. (1988). The Childhood Autism Rating Scale (CARS). Los Angeles: Western Psychological Services. Schopler, E., Reichler, R. J., & Renner, B. R. (1988). The Childhood Autism Rating Scale (CARS). Los Angeles: Western Psychological Services.
go back to reference Sparrow, S. S., Balla, D., & Cicchetti, D. (1984). Vineland Adaptive Behavior Scales. Circle Pines, MN: American Guidance Services. Sparrow, S. S., Balla, D., & Cicchetti, D. (1984). Vineland Adaptive Behavior Scales. Circle Pines, MN: American Guidance Services.
go back to reference Steerneman, P., Muris, P., Merckelbach, H., & Willems, H. (1997). Brief report: Assessment of development and abnormal behavior in children with Pervasive Developmental Disorders. Evidence for the reliability and validity of the revised PsychoEducational Profile. Journal of Autism and Developmental Disorders, 27(2), 177–185. doi:10.1023/a:1025843908339.CrossRefPubMed Steerneman, P., Muris, P., Merckelbach, H., & Willems, H. (1997). Brief report: Assessment of development and abnormal behavior in children with Pervasive Developmental Disorders. Evidence for the reliability and validity of the revised PsychoEducational Profile. Journal of Autism and Developmental Disorders, 27(2), 177–185. doi:10.​1023/​a:​1025843908339.CrossRefPubMed
go back to reference Sumi, S., Miyachi, T., Ohya, K., Ohashi, K., & Saitoh, S. (2014). Application of the final DSM-5 criteria for young children with autism spectrum disorder. Autism-Open Access. doi:10.4172/2165-7890.1000135. Sumi, S., Miyachi, T., Ohya, K., Ohashi, K., & Saitoh, S. (2014). Application of the final DSM-5 criteria for young children with autism spectrum disorder. Autism-Open Access. doi:10.​4172/​2165-7890.​1000135.
go back to reference Taffe, J. R., Tonge, B. J., Gray, K. M., & Einfeld, S. L. (2008). Extracting more information from behaviour checklists by using components of mean based scores. International Journal of Methods in Psychiatric Research, 17(4), 232–240. doi:10.1002/mpr.260.CrossRefPubMed Taffe, J. R., Tonge, B. J., Gray, K. M., & Einfeld, S. L. (2008). Extracting more information from behaviour checklists by using components of mean based scores. International Journal of Methods in Psychiatric Research, 17(4), 232–240. doi:10.​1002/​mpr.​260.CrossRefPubMed
go back to reference Taheri, A., Perry, A., & Factor, D. C. (2014). Brief report: A further examination of the DSM-5 autism spectrum disorder criteria in practice. Journal on Developmental Disabilities, 20(1), 116–121. doi:10.1037/e613602013-001. Taheri, A., Perry, A., & Factor, D. C. (2014). Brief report: A further examination of the DSM-5 autism spectrum disorder criteria in practice. Journal on Developmental Disabilities, 20(1), 116–121. doi:10.​1037/​e613602013-001.
go back to reference Ventola, P., Kleinman, J., Pandey, J., Barton, M., Allen, S., Green, J., et al. (2006). Agreement among four diagnostic instruments for autism spectrum disorders in toddlers. Journal of Autism and Developmental Disorders, 36(7), 839–847. doi:10.1007/s10803-006-0128-8.CrossRefPubMed Ventola, P., Kleinman, J., Pandey, J., Barton, M., Allen, S., Green, J., et al. (2006). Agreement among four diagnostic instruments for autism spectrum disorders in toddlers. Journal of Autism and Developmental Disorders, 36(7), 839–847. doi:10.​1007/​s10803-006-0128-8.CrossRefPubMed
go back to reference Wechsler, D. (2002). Wechsler Preschool and Primary Scale of Intelligence (3rd ed.). San Antonio, TX: The Psychological Corporation. Wechsler, D. (2002). Wechsler Preschool and Primary Scale of Intelligence (3rd ed.). San Antonio, TX: The Psychological Corporation.
Metagegevens
Titel
Autism Spectrum Disorder in the DSM-5: Diagnostic Sensitivity and Specificity in Early Childhood
Auteurs
Jessica A. Christiansz
Kylie M. Gray
John Taffe
Bruce J. Tonge
Publicatiedatum
09-02-2016
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 6/2016
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-016-2734-4

Andere artikelen Uitgave 6/2016

Journal of Autism and Developmental Disorders 6/2016 Naar de uitgave