Christiansz, Jessica A., Gray, Kylie M., Taffe, John and Tonge, Bruce J. (2016) Autism spectrum disorder in the DSM-5 : diagnostic sensitivity and specificity in early childhood. Journal of Autism and Developmental Disorders, 46 (6). pp. 2054-2063. doi:10.1007/s10803-016-2734-4 ISSN 0162-3257.

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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.

Item Type:	Journal Article
Divisions:	Faculty of Social Sciences > Centre for Educational Development, Appraisal and Research (CEDAR)
Journal or Publication Title:	Journal of Autism and Developmental Disorders
Publisher:	Springer
ISSN:	0162-3257
Official Date:	June 2016
Dates:	Date Event June 2016 Published 9 February 2016 Available 9 February 2016 Accepted
Volume:	46
Number:	6
Page Range:	pp. 2054-2063
DOI:	10.1007/s10803-016-2734-4
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access

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