DSM-5 under-identifies PDDNOS: Diagnostic agreement between the DSM-5, DSM-IV, and Checklist for Autism Spectrum Disorder / Susan DICKERSON MAYES in Research in Autism Spectrum Disorders, 7-2 (February 2013)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 7-2 (February 2013) . - p.298-306 Titre : DSM-5 under-identifies PDDNOS: Diagnostic agreement between the DSM-5, DSM-IV, and Checklist for Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Susan DICKERSON MAYES, Auteur ; Amanda BLACK, Auteur ; Cheryl D. TIERNEY, Auteur Article en page(s) : p.298-306 Langues : Anglais (eng) Mots-clés : DSM-5  DSM-IV  Checklist for Autism Spectrum Disorder  Autism diagnostic agreement Index. décimale : PER Périodiques Résumé : Agreement between the DSM-5, DSM-IV, and Checklist for Autism Spectrum Disorder was assessed in 125 children with autism spectrum disorder (ASD), which included high and low functioning autism (HFA and LFA) and pervasive developmental disorder not otherwise specified (PDDNOS), and children with other clinical disorders (e.g., ADHD, mental retardation, and oppositional-defiant disorder). Diagnostic specificity (true negatives) was 100% for the DSM-5 and 97% for the DSM-IV. Sensitivity (true positives) was high for LFA and HFA (DSM-5 98%, DSM-IV 100%), but only 27% of children with PDDNOS were identified by the DSM-5 as having ASD. The unidentified children had significant autism symptoms on an autism severity measure compared to controls. Overall, children with ASD identified by the DSM-5 increased from 75% to 91% when one less symptom was required for an ASD diagnosis, with only a slight change in specificity (97%), similar to previously published research. Diagnostic agreement between the DSM-5 and DSM-IV for the entire sample increased from 86% to 94% when one less DSM-5 symptom was required. Therefore, under-identification of ASD and low agreement between the DSM-5 and other measures may be resolved if one less symptom is required for an ASD diagnosis. En ligne : http://dx.doi.org/10.1016/j.rasd.2012.08.011 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=186 [article] DSM-5 under-identifies PDDNOS: Diagnostic agreement between the DSM-5, DSM-IV, and Checklist for Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Susan DICKERSON MAYES, Auteur ; Amanda BLACK, Auteur ; Cheryl D. TIERNEY, Auteur . - p.298-306. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 7-2 (February 2013) . - p.298-306 Mots-clés : DSM-5  DSM-IV  Checklist for Autism Spectrum Disorder  Autism diagnostic agreement Index. décimale : PER Périodiques Résumé : Agreement between the DSM-5, DSM-IV, and Checklist for Autism Spectrum Disorder was assessed in 125 children with autism spectrum disorder (ASD), which included high and low functioning autism (HFA and LFA) and pervasive developmental disorder not otherwise specified (PDDNOS), and children with other clinical disorders (e.g., ADHD, mental retardation, and oppositional-defiant disorder). Diagnostic specificity (true negatives) was 100% for the DSM-5 and 97% for the DSM-IV. Sensitivity (true positives) was high for LFA and HFA (DSM-5 98%, DSM-IV 100%), but only 27% of children with PDDNOS were identified by the DSM-5 as having ASD. The unidentified children had significant autism symptoms on an autism severity measure compared to controls. Overall, children with ASD identified by the DSM-5 increased from 75% to 91% when one less symptom was required for an ASD diagnosis, with only a slight change in specificity (97%), similar to previously published research. Diagnostic agreement between the DSM-5 and DSM-IV for the entire sample increased from 86% to 94% when one less DSM-5 symptom was required. Therefore, under-identification of ASD and low agreement between the DSM-5 and other measures may be resolved if one less symptom is required for an ASD diagnosis. En ligne : http://dx.doi.org/10.1016/j.rasd.2012.08.011 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=186

Final DSM-5 under-identifies mild Autism Spectrum Disorder: Agreement between the DSM-5, CARS, CASD, and clinical diagnoses / Susan DICKERSON MAYES in Research in Autism Spectrum Disorders, 8-2 (February 2014)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 8-2 (February 2014) . - p.68-73 Titre : Final DSM-5 under-identifies mild Autism Spectrum Disorder: Agreement between the DSM-5, CARS, CASD, and clinical diagnoses Type de document : Texte imprimé et/ou numérique Auteurs : Susan DICKERSON MAYES, Auteur ; Susan L. CALHOUN, Auteur ; Michael J. MURRAY, Auteur ; Amanda PEARL, Auteur ; Amanda BLACK, Auteur ; Cheryl D. TIERNEY, Auteur Article en page(s) : p.68-73 Langues : Anglais (eng) Mots-clés : DSM-5  Checklist for Autism Spectrum Disorder  Childhood Autism Rating Scale Index. décimale : PER Périodiques Résumé : Abstract Agreement between the final DSM-5 ASD criteria, Childhood Autism Rating Scale (CARS), and Checklist for Autism Spectrum Disorder (CASD) was assessed in 143 children with ASD and other disorders (e.g., ADHD, intellectual disability, and oppositional defiant disorder). Diagnostic agreement between the CARS and CASD was high (94%), but their agreement with the DSM-5 was lower (84% and 88%). Agreement between the DSM-5 and both the CARS and CASD increased to 94% and diagnostic accuracy increased from 92% to 96% when one less DSM-5 social communication and interaction symptom was required for a diagnosis. Children with ASD not meeting DSM-5 criteria most often did not have criterion A2 (deficits in nonverbal social communication). Total scores on the DSM-5, CASD, and CARS were far higher for children with mild ASD (formerly PDDNOS) than no ASD, indicating that these children are clearly on the autism spectrum and are quite different from children with other disorders. However, only one child with mild ASD was identified by the DSM-5. This study and 11 others show that the DSM-5 under-identifies children with ASD, particularly children at the mild end of the spectrum. This can be rectified by requiring one less social communication and interaction symptom for a diagnosis. En ligne : http://dx.doi.org/10.1016/j.rasd.2013.11.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=221 [article] Final DSM-5 under-identifies mild Autism Spectrum Disorder: Agreement between the DSM-5, CARS, CASD, and clinical diagnoses [Texte imprimé et/ou numérique] / Susan DICKERSON MAYES, Auteur ; Susan L. CALHOUN, Auteur ; Michael J. MURRAY, Auteur ; Amanda PEARL, Auteur ; Amanda BLACK, Auteur ; Cheryl D. TIERNEY, Auteur . - p.68-73. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 8-2 (February 2014) . - p.68-73 Mots-clés : DSM-5  Checklist for Autism Spectrum Disorder  Childhood Autism Rating Scale Index. décimale : PER Périodiques Résumé : Abstract Agreement between the final DSM-5 ASD criteria, Childhood Autism Rating Scale (CARS), and Checklist for Autism Spectrum Disorder (CASD) was assessed in 143 children with ASD and other disorders (e.g., ADHD, intellectual disability, and oppositional defiant disorder). Diagnostic agreement between the CARS and CASD was high (94%), but their agreement with the DSM-5 was lower (84% and 88%). Agreement between the DSM-5 and both the CARS and CASD increased to 94% and diagnostic accuracy increased from 92% to 96% when one less DSM-5 social communication and interaction symptom was required for a diagnosis. Children with ASD not meeting DSM-5 criteria most often did not have criterion A2 (deficits in nonverbal social communication). Total scores on the DSM-5, CASD, and CARS were far higher for children with mild ASD (formerly PDDNOS) than no ASD, indicating that these children are clearly on the autism spectrum and are quite different from children with other disorders. However, only one child with mild ASD was identified by the DSM-5. This study and 11 others show that the DSM-5 under-identifies children with ASD, particularly children at the mild end of the spectrum. This can be rectified by requiring one less social communication and interaction symptom for a diagnosis. En ligne : http://dx.doi.org/10.1016/j.rasd.2013.11.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=221

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