Journal article
Sensitivity and Specificity of Proposed DSM-5 Criteria for Autism Spectrum Disorder in Toddlers
Journal of autism and developmental disorders, v 43(5), pp 1184-1195
May 2013
PMID: 23543293
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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=.93, specificity=.74) required meeting the ROC-determined cutoffs for 2/3Domain 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.
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Details
- Title
- Sensitivity and Specificity of Proposed DSM-5 Criteria for Autism Spectrum Disorder in Toddlers
- Creators
- Marianne L Barton - University of Connecticut, Department of Psychology, Unit 1020, Storrs, CTDiana L Robins - Georgia State University, Department of Psychology, PO Box 5010, Atlanta, GADasal Jashar - University of Connecticut, Department of Psychology, Unit 1020, Storrs, CTLaura Brennan - University of Connecticut, Department of Psychology, Unit 1020, Storrs, CTDeborah Fein - University of Connecticut, Department of Psychology, Unit 1020, Storrs, CT
- Publication Details
- Journal of autism and developmental disorders, v 43(5), pp 1184-1195
- Publisher
- Springer Nature
- Grant note
- R01 HD039961 || HD / National Institute of Child Health & Human Development : NICHD
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:000317355800017
- Scopus ID
- 2-s2.0-84877921074
- Other Identifier
- 991014878000104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychology, Developmental