Evers, Kris, Maljaars, Jarymke P.W., Carrington, Sarah, Carter, Alice, Happé, Francesca, Steyaert, Jean, Leekam, Susan R. and Noens, Ilse (2021). How well are DSM‑5 diagnostic criteria for ASD represented in standardized diagnostic instruments? European Child and Adolescent Psychiatry, 30 , 75–87.
Abstract
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.
Publication DOI: | https://doi.org/10.1007/s00787-020-01481-z |
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Divisions: | College of Health & Life Sciences > School of Psychology College of Health & Life Sciences > Aston Institute of Health & Neurodevelopment (AIHN) College of Health & Life Sciences Aston University (General) |
Additional Information: | © Springer Nature B.V. 2020. The final publication is available at Springer via http://dx.doi.org/10.1007/s00787-020-01481-z |
Uncontrolled Keywords: | Autism spectrum disorder,Classification,Content validity,Diagnostic outcome,Pediatrics, Perinatology, and Child Health,Developmental and Educational Psychology,Psychiatry and Mental health |
Publication ISSN: | 1435-165X |
Last Modified: | 06 Dec 2024 08:16 |
Date Deposited: | 02 Apr 2020 08:55 |
Full Text Link: | |
Related URLs: |
https://link.sp ... 787-020-01481-z
(Publisher URL) http://www.scop ... tnerID=8YFLogxK (Scopus URL) |
PURE Output Type: | Article |
Published Date: | 2021-01 |
Published Online Date: | 2020-02-19 |
Accepted Date: | 2020-01-23 |
Authors: |
Evers, Kris
Maljaars, Jarymke P.W. Carrington, Sarah ( 0000-0001-5548-8793) Carter, Alice Happé, Francesca Steyaert, Jean Leekam, Susan R. Noens, Ilse |