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

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-...

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Publicado en:European Child & Adolescent Psychiatry Vol. 30; no. 1; pp. 75 - 88
Autores principales: Evers, Kris, Maljaars, Jarymke, Carrington, Sarah J., Carter, Alice S., Happé, Francesca, Steyaert, Jean, Leekam, Susan R., Noens, Ilse
Formato: research tables/charts Journal Article
Publicado: Springer Nature 2021
Acceso en línea:Ver este registro en EBSCOhost
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      place: New York, New York
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        10.1007/s00787-020-01481-z
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        atl: How well are DSM-5 diagnostic criteria for ASD represented in standardized diagnostic instruments?
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          Evers, Kris
          Maljaars, Jarymke
          Carrington, Sarah J.
          Carter, Alice S.
          Happé, Francesca
          Steyaert, Jean
          Leekam, Susan R.
          Noens, Ilse
        affil: Parenting and Special Education Research Unit, KU Leuven, P.O. Box 3765, Leopold Vanderkelenstraat 32, 3000, Leuven, Belgium
      sug:
        subj:
          Autism Spectrum Disorder Diagnosis
          Autism Spectrum Disorder Diagnosis
          DSM Classification
          Instrument Validation
          Content Validity
          Algorithms
          Instrument Adaptation
          Behavior
          Human
          Clinical Assessment Tools
          Interviews
          Communicative Disorders
          Decision Making
          Validation Studies
          Child
          Adolescence
          Instrument Construction
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: English
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