Title: Diagnosing autism spectrum disorder: Who will get a DSM-5 diagnosis?
Authors: Kent, Rachel * ×
Carrington, Sarah *
Le Couteur, Ann
Gould, Judith
Wing, Lorna
Maljaars, Jarymke
Noens, Ilse
van Berckelaer-Onnes, Ina
Leekam, Susan #
Issue Date: Nov-2013
Publisher: Blackwell Publishing Ltd.
Series Title: Journal of Child Psychology and Psychiatry vol:54 issue:11 pages:1242-1250
Abstract: Background: Introduction of proposed criteria for DSM-5 Autism Spectrum Disorder (ASD) has raised concerns that some individuals currently meeting diagnostic criteria for Pervasive Developmental Disorder (DSM-IV-TR/ICD-10) will not qualify for a diagnosis under the proposed changes. To date, reports of sensitivity and specificity of the new criteria have been inconsistent across studies. No study has yet considered how changes at the ‘sub-domain’ level might affect overall sensitivity and specificity, and few have included individuals of different ages and ability levels. Methods: A set of DSM-5 ASD algorithm versions was developed using items from the Diagnostic Interview for Social and Communication Disorders (DISCO). The number of items required for each DSM-5 sub-domain was defined either according to criteria specified by DSM-5 (Initial algorithm), a statistical approach (Youden J algorithm), or to minimise the number of false positives while maximising sensitivity (Modified algorithm). The algorithms were designed, tested and compared in two independent samples (Sample 1, N=82; Sample 2, N=115), while sensitivity was assessed across age and ability levels in an additional dataset of individuals with an ICD-10 PDD diagnosis (Sample 3, N=190). Results: Sensitivity was highest in the Initial Algorithm, which had the poorest specificity. Although Youden J had excellent specificity, sensitivity was significantly lower than in the Modified Algorithm which had both good sensitivity and specificity. Relaxing the Domain A rules improved sensitivity of the Youden J algorithm but it remained less sensitive than the Modified Algorithm. Moreover, this was the only algorithm with variable sensitivity across age. All versions of the algorithm performed well across ability level. Conclusions: This study demonstrates that good levels of both sensitivity and specificity can be achieved for a diagnostic algorithm adhering to the DSM-5 criteria that is suitable across age and ability level.
ISSN: 0021-9630
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Parenting and Special Education
* (joint) first author
× corresponding author
# (joint) last author

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