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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: 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

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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: 07 Nov 2023 15:59

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