Comparison of DSM-IV-TR and DSM-5 Criteria in Diagnosing Autism Spectrum Disorders in Singapore

Autor/inn/en	Sung, Min; Goh, Tze Jui; Tan, Bei Lin Joelene; Chan, Jialei Stephanie; Liew, Hwee Sen Alvin
Titel	Comparison of DSM-IV-TR and DSM-5 Criteria in Diagnosing Autism Spectrum Disorders in Singapore
Quelle	In: Journal of Autism and Developmental Disorders, 48 (2018) 10, S.3273-3281 (9 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Sung, Min)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0162-3257
DOI	10.1007/s10803-018-3594-x
Schlagwörter	Clinical Diagnosis; Classification; Children; Autism; Pervasive Developmental Disorders; Comparative Analysis; Foreign Countries; Singapore + Suchen Sie Ihr Suchwort? Classification system; Klassifikation; Klassifikationssystem; Child; Kind; Kinder; Autismus; Ausland; Singapur
Abstract	Our study examines the Diagnostic and Statistical Manual--Fifth Edition (DSM-5) and Diagnostic and Statistical Manual--Fourth Edition, Text Revision (DSM-IV-TR) when applied concurrently against the best estimate clinical diagnoses for 110 children (5.1-19.6 years old) referred for diagnostic assessments of Autism Spectrum Disorder (ASD) in a Singaporean outpatient speciality clinic. DSM-IV-TR performed slightly better, yielding sensitivity of 0.946 and specificity of 0.889, compared to DSM-5 (sensitivity = 0.837; specificity = 0.833). When considering the ASD sub-categories, sensitivity ranged from 0.667 to 0.933, and specificity ranged from 0.900 to 0.975. More participants with a PDD-NOS best estimate clinical diagnosis (40%) were misclassified on DSM-5. Merits and weaknesses to both classification systems, and implications for access to services and policy changes are discussed. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01