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Journal of Autism and Developmental Disorders

Gepubliceerd in:

28-04-2018 | Original Paper

Comparison of DSM-IV-TR and DSM-5 Criteria in Diagnosing Autism Spectrum Disorders in Singapore

Auteurs: Min Sung, Tze Jui Goh, Bei Lin Joelene Tan, Jialei Stephanie Chan, Hwee Sen Alvin Liew

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 10/2018

Abstract

Our study examines the Diagnostic and Statistical Manual—Fifth Edition (DSM-5) and Diagnostic and Statistical Manual—Fourth Edition, Text Revision (DSM-IV-TR) when applied concurrently against the best estimate clinical diagnoses for 110 children (5.1–19.6 years old) referred for diagnostic assessments of Autism Spectrum Disorder (ASD) in a Singaporean outpatient speciality clinic. DSM-IV-TR performed slightly better, yielding sensitivity of 0.946 and specificity of 0.889, compared to DSM-5 (sensitivity = 0.837; specificity = 0.833). When considering the ASD sub-categories, sensitivity ranged from 0.667 to 0.933, and specificity ranged from 0.900 to 0.975. More participants with a PDD-NOS best estimate clinical diagnosis (40%) were misclassified on DSM-5. Merits and weaknesses to both classification systems, and implications for access to services and policy changes are discussed.

vorige artikel Systematic Review of Problem Behavior Interventions: Outcomes, Demographics, and Settings

volgende artikel Patterns and Predictors of Language Development from 4 to 7 Years in Verbal Children With and Without Autism Spectrum Disorder

Sensitivity = true positive ÷ (true positive + false negative).Specificity = true negative ÷ (true negative + false positive).Precision/positive predictive value = true positive ÷ (true positive + false positive).Accuracy = (true positive + true negative) ÷ (true positive + false positive + false negative + true negative).

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Titel: Comparison of DSM-IV-TR and DSM-5 Criteria in Diagnosing Autism Spectrum Disorders in Singapore
Auteurs: Min Sung
Tze Jui Goh
Bei Lin Joelene Tan
Jialei Stephanie Chan
Hwee Sen Alvin Liew
Publicatiedatum: 28-04-2018
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 10/2018
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-018-3594-x

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