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

Evers, Kris, Maljaars, Jarymke, Carrington, Sarah J., Carter, Alice S., Happé, Francesca, Steyaert, Jean, Leekam, Susan ORCID: https://orcid.org/0000-0002-1122-0135 and Noens, Ilse 2021. How well are DSM-5 diagnostic criteria for ASD represented in standardized diagnostic instruments? European Child and Adolescent Psychiatry 30 , pp. 75-87. 10.1007/s00787-020-01481-z

Preview

PDF - Accepted Post-Print Version Download (698kB) | Preview

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.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Psychology
Publisher:	Springer Verlag
ISSN:	1018-8827
Date of First Compliant Deposit:	25 February 2020
Date of Acceptance:	22 January 2020
Last Modified:	24 Nov 2024 10:30
URI:	https://orca.cardiff.ac.uk/id/eprint/129960

Citation Data

Cited 6 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item