Sensitivity and Specificity of Proposed DSM-5 Criteria for Autism Spectrum Disorder in Toddlers / Marianne L. BARTON in Journal of Autism and Developmental Disorders, 43-5 (May 2013)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 43-5 (May 2013) . - p.1184-1195 Titre : Sensitivity and Specificity of Proposed DSM-5 Criteria for Autism Spectrum Disorder in Toddlers Type de document : Texte imprimé et/ou numérique Auteurs : Marianne L. BARTON, Auteur ; Diana L. ROBINS, Auteur ; Dasal JASHAR, Auteur ; Laura A. BRENNAN, Auteur ; Deborah A. FEIN, Auteur Article en page(s) : p.1184-1195 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  DSM-5  Toddlers  Diagnosis Index. décimale : PER Périodiques Résumé : Autism spectrum disorder (ASD) diagnosis is based on behavioral presentation; changes in conceptual models or defining behaviors may significantly impact diagnosis and uptake of ASD-specific interventions. The literature examining impact of DSM-5 criteria is equivocal. Toddlers may be especially vulnerable to the stringent requirements of impairment in all three social-communication symptoms and two restricted/repetitive symptoms. Receiver operating characteristic (ROC) curves identified optimal cutoffs for sums of ADOS and ADI-R criteria mapped to each criterion for 422 toddlers. The optimal modification of DSM-5 criteria (sensitivity = 0.93, specificity = 0.74) required meeting the ROC-determined cutoffs for 2/3 Domain A criteria and 1 point for 1/4 Domain B criteria. This modification will help insure that ASD is identified accurately in young children, facilitating ASD-specific early intervention. En ligne : http://dx.doi.org/10.1007/s10803-013-1817-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=195 [article] Sensitivity and Specificity of Proposed DSM-5 Criteria for Autism Spectrum Disorder in Toddlers [Texte imprimé et/ou numérique] / Marianne L. BARTON, Auteur ; Diana L. ROBINS, Auteur ; Dasal JASHAR, Auteur ; Laura A. BRENNAN, Auteur ; Deborah A. FEIN, Auteur . - p.1184-1195. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 43-5 (May 2013) . - p.1184-1195 Mots-clés : Autism spectrum disorder  DSM-5  Toddlers  Diagnosis Index. décimale : PER Périodiques Résumé : Autism spectrum disorder (ASD) diagnosis is based on behavioral presentation; changes in conceptual models or defining behaviors may significantly impact diagnosis and uptake of ASD-specific interventions. The literature examining impact of DSM-5 criteria is equivocal. Toddlers may be especially vulnerable to the stringent requirements of impairment in all three social-communication symptoms and two restricted/repetitive symptoms. Receiver operating characteristic (ROC) curves identified optimal cutoffs for sums of ADOS and ADI-R criteria mapped to each criterion for 422 toddlers. The optimal modification of DSM-5 criteria (sensitivity = 0.93, specificity = 0.74) required meeting the ROC-determined cutoffs for 2/3 Domain A criteria and 1 point for 1/4 Domain B criteria. This modification will help insure that ASD is identified accurately in young children, facilitating ASD-specific early intervention. En ligne : http://dx.doi.org/10.1007/s10803-013-1817-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=195

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