View in EDS HTML Full Text PDF Full Text

DSM-5 criteria for autism spectrum disorder maximizes diagnostic sensitivity and specificity in preschool children.

Saved in:
Bibliographic Details
Title: DSM-5 criteria for autism spectrum disorder maximizes diagnostic sensitivity and specificity in preschool children.
Authors: Wiggins, Lisa D. (AUTHOR), Rice, Catherine E. (AUTHOR), Barger, Brian (AUTHOR), Soke, Gnakub N. (AUTHOR), Lee, Li-Ching (AUTHOR), Moody, Eric (AUTHOR), Edmondson-Pretzel, Rebecca (AUTHOR), Levy, Susan E. (AUTHOR)
Source: Social Psychiatry & Psychiatric Epidemiology. Jun2019, Vol. 54 Issue 6, p693-701. 9p.
Subjects: Diagnostic & Statistical Manual of Mental Disorders: DSM-5 (Book), Autism spectrum disorders, Preschool children, Autistic children, Pervasive child development disorders, Autism, Mental illness
Abstract: Purpose: The criteria for autism spectrum disorder (ASD) were revised in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The objective of this study was to compare the sensitivity and specificity of DSM-IV-Text Revision (DSM-IV-TR) and DSM-5 definitions of ASD in a community-based sample of preschool children.Methods: Children between 2 and 5 years of age were enrolled in the Study to Explore Early Development-Phase 2 (SEED2) and received a comprehensive developmental evaluation. The clinician(s) who evaluated the child completed two diagnostic checklists that indicated the presence and severity of DSM-IV-TR and DSM-5 criteria. Definitions for DSM-5 ASD, DSM-IV-TR autistic disorder, and DSM-IV-TR Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS) were created from the diagnostic checklists.Results: 773 children met SEED2 criteria for ASD and 288 met criteria for another developmental disorder (DD). Agreement between DSM-5 and DSM-IV-TR definitions of ASD were good for autistic disorder (0.78) and moderate for PDD-NOS (0.57 and 0.59). Children who met DSM-IV-TR autistic disorder but not DSM-5 ASD (n = 71) were more likely to have mild ASD symptoms, or symptoms accounted for by another disorder. Children who met PDD-NOS but not DSM-5 ASD (n = 66), or vice versa (n = 120) were less likely to have intellectual disability and more likely to be female. Sensitivity and specificity were best balanced with DSM-5 ASD criteria (0.95 and 0.78, respectively).Conclusions: The DSM-5 definition of ASD maximizes diagnostic sensitivity and specificity in the SEED2 sample. These findings support the DSM-5 conceptualization of ASD in preschool children. [ABSTRACT FROM AUTHOR]
Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 136674394
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: DSM-5 criteria for autism spectrum disorder maximizes diagnostic sensitivity and specificity in preschool children.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Wiggins%2C+Lisa+D%2E%22">Wiggins, Lisa D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rice%2C+Catherine+E%2E%22">Rice, Catherine E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Barger%2C+Brian%22">Barger, Brian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Soke%2C+Gnakub+N%2E%22">Soke, Gnakub N.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lee%2C+Li-Ching%22">Lee, Li-Ching</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Moody%2C+Eric%22">Moody, Eric</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Edmondson-Pretzel%2C+Rebecca%22">Edmondson-Pretzel, Rebecca</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Levy%2C+Susan+E%2E%22">Levy, Susan E.</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22">Social Psychiatry & Psychiatric Epidemiology</searchLink>. Jun2019, Vol. 54 Issue 6, p693-701. 9p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Diagnostic+%26+Statistical+Manual+of+Mental+Disorders%3A+DSM-5+%28Book%29%22">Diagnostic & Statistical Manual of Mental Disorders: DSM-5 (Book)</searchLink><br /><searchLink fieldCode="DE" term="%22Autism+spectrum+disorders%22">Autism spectrum disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Preschool+children%22">Preschool children</searchLink><br /><searchLink fieldCode="DE" term="%22Autistic+children%22">Autistic children</searchLink><br /><searchLink fieldCode="DE" term="%22Pervasive+child+development+disorders%22">Pervasive child development disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Autism%22">Autism</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: <bold>Purpose: </bold>The criteria for autism spectrum disorder (ASD) were revised in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). The objective of this study was to compare the sensitivity and specificity of DSM-IV-Text Revision (DSM-IV-TR) and DSM-5 definitions of ASD in a community-based sample of preschool children.<bold>Methods: </bold>Children between 2 and 5 years of age were enrolled in the Study to Explore Early Development-Phase 2 (SEED2) and received a comprehensive developmental evaluation. The clinician(s) who evaluated the child completed two diagnostic checklists that indicated the presence and severity of DSM-IV-TR and DSM-5 criteria. Definitions for DSM-5 ASD, DSM-IV-TR autistic disorder, and DSM-IV-TR Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS) were created from the diagnostic checklists.<bold>Results: </bold>773 children met SEED2 criteria for ASD and 288 met criteria for another developmental disorder (DD). Agreement between DSM-5 and DSM-IV-TR definitions of ASD were good for autistic disorder (0.78) and moderate for PDD-NOS (0.57 and 0.59). Children who met DSM-IV-TR autistic disorder but not DSM-5 ASD (n = 71) were more likely to have mild ASD symptoms, or symptoms accounted for by another disorder. Children who met PDD-NOS but not DSM-5 ASD (n = 66), or vice versa (n = 120) were less likely to have intellectual disability and more likely to be female. Sensitivity and specificity were best balanced with DSM-5 ASD criteria (0.95 and 0.78, respectively).<bold>Conclusions: </bold>The DSM-5 definition of ASD maximizes diagnostic sensitivity and specificity in the SEED2 sample. These findings support the DSM-5 conceptualization of ASD in preschool children. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=136674394
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s00127-019-01674-1
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 693
    Subjects:
      – SubjectFull: Diagnostic & Statistical Manual of Mental Disorders: DSM-5 (Book)
        Type: general
      – SubjectFull: Autism spectrum disorders
        Type: general
      – SubjectFull: Preschool children
        Type: general
      – SubjectFull: Autistic children
        Type: general
      – SubjectFull: Pervasive child development disorders
        Type: general
      – SubjectFull: Autism
        Type: general
      – SubjectFull: Mental illness
        Type: general
    Titles:
      – TitleFull: DSM-5 criteria for autism spectrum disorder maximizes diagnostic sensitivity and specificity in preschool children.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Wiggins, Lisa D.
      – PersonEntity:
          Name:
            NameFull: Rice, Catherine E.
      – PersonEntity:
          Name:
            NameFull: Barger, Brian
      – PersonEntity:
          Name:
            NameFull: Soke, Gnakub N.
      – PersonEntity:
          Name:
            NameFull: Lee, Li-Ching
      – PersonEntity:
          Name:
            NameFull: Moody, Eric
      – PersonEntity:
          Name:
            NameFull: Edmondson-Pretzel, Rebecca
      – PersonEntity:
          Name:
            NameFull: Levy, Susan E.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 06
              Text: Jun2019
              Type: published
              Y: 2019
          Identifiers:
            – Type: issn-print
              Value: 09337954
          Numbering:
            – Type: volume
              Value: 54
            – Type: issue
              Value: 6
          Titles:
            – TitleFull: Social Psychiatry & Psychiatric Epidemiology
              Type: main
ResultId 1