Carrington, Sarah J.  ORCID: https://orcid.org/0000-0001-5548-8793, Kent, Rachel Grace, Maljaars, Jarymke, Le Couteur, Ann, Gould, Judith, Wing, Lorna, Noens, Ilse, Van Berckelaer-Onnes, Ina and Leekam, Susan R. ORCID: https://orcid.org/0000-0002-1122-0135
2014.
DSM-5 Autism Spectrum Disorder: In search of essential behaviours for diagnosis.
Research in Autism Spectrum Disorders
8
(6)
, pp. 701-715.
10.1016/j.rasd.2014.03.017
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Abstract
The objective of this study was to identify a set of ‘essential’ behaviours sufficient for diagnosis of DSM-5 Autism Spectrum Disorder (ASD). Highly discriminating, ‘essential’ behaviours were identified from the published DSM-5 algorithm developed for the Diagnostic Interview for Social and Communication Disorders (DISCO). Study 1 identified a reduced item set (48 items) with good predictive validity (as measured using receiver operating characteristic curves) that represented all symptom sub-domains described in the DSM-5 ASD criteria but lacked sensitivity for individuals with higher ability. An adjusted essential item set (54 items; Study 2) had good sensitivity when applied to individuals with higher ability and performance was comparable to the published full DISCO DSM-5 algorithm. Investigation at the item level revealed that the most highly discriminating items predominantly measured social-communication behaviours. This work represents a first attempt to derive a reduced set of behaviours for DSM-5 directly from an existing standardised ASD developmental history interview and has implications for the use of DSM-5 criteria for clinical and research practice.
| Item Type: | Article |
|---|---|
| Date Type: | Publication |
| Status: | Published |
| Schools: | Schools > Psychology |
| Subjects: | B Philosophy. Psychology. Religion > BF Psychology |
| Uncontrolled Keywords: | Autism spectrum disorder; DSM-5; Abbreviated; Diagnosis; DISCO |
| Publisher: | Elsevier |
| ISSN: | 1750-9467 |
| Funders: | ESRC, Wales Autism Research Centre Foundation Funding (led by Autism Cymru, Autistica and the Welsh Government) |
| Date of First Compliant Deposit: | 30 March 2016 |
| Last Modified: | 05 Sep 2025 21:21 |
| URI: | https://orca.cardiff.ac.uk/id/eprint/59129 |
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