Reliability and Diagnostic Efficiency of the Diagnostic Inventory for Disharmony (DID) in Youths with Pervasive Developmental Disorder and Multiple Complex Developmental Disorder

Autor/inn/en	Xavier, Jean; Vannetzel, Leonard; Viaux, Sylvie; Leroy, Arthur; Plaza, Monique; Tordjman, Sylvie; Mille, Christian; Bursztejn, Claude; Cohen, David; Guile, Jean-Marc
Titel	Reliability and Diagnostic Efficiency of the Diagnostic Inventory for Disharmony (DID) in Youths with Pervasive Developmental Disorder and Multiple Complex Developmental Disorder
Quelle	In: Research in Autism Spectrum Disorders, 5 (2011) 4, S.1493-1499 (7 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1750-9467
DOI	10.1016/j.rasd.2011.02.010
Schlagwörter	Socialization; Autism; Test Validity; Adjustment (to Environment); Daily Living Skills; Phenomenology; Severity (of Disability); Reliability; Pervasive Developmental Disorders; Youth; Interrater Reliability; Correlation; Disabilities; Developmental Disabilities; Developmental Delays; Vineland Adaptive Behavior Scales + Suchen Sie Ihr Suchwort? Socialisation; Sozialisation; Autismus; Testvalidität; Alltagsfertigkeit; Phenomenological psychology; Phänomenologie; Psychologie; Schweregrad; Reliabilität; Jugend; Jugendlicher; Jugendalter; Interrater-Reliabilität; Korrelation; Handicap; Behinderung; Entwicklungsstörung; Entwicklungsverzögerung
Abstract	The Pervasive Developmental Disorder-Not Otherwise Specified (PDD-NOS) category is a psychopathological entity few have described and is poorly, and mainly negatively, defined by autism exclusion. In order to limit PDD-NOS heterogeneity, alternative clinical constructs have been developed. This study explored the reliability and the diagnostic efficiency of the Diagnostic Inventory for Disharmony (DID); its concurrent validity with the Vineland Adaptive Behavior Scales (VBAS); and its concordance with Multiplex Complex Developmental Disorder (MCDD) and PDD-NOS. Mean DID interrater reliabilities and internal consistency were good (0.58 and 0.75, respectively). DID diagnostic efficiency yielded by the ROC analysis was very promising using a cut-off score of 12/36 (AUC = 0.97, sensitivity = 0.93, specificity = 0.91). Spearman correlations between the DID total score and the three subscales in the VABS socialization domain were significantly negative, thus confirming an association between Disharmony and impairments in socialization. However, no correlation was found between Disharmony and community daily living skills, likely reflecting a better autonomy in daily activities. Disharmony phenomenology overlapped with Autism Spectrum Disorders (DID and PDD concordance: kappa: 0.41; p less than 0.01). Nevertheless, the Disharmony construct seemed to differ from PDD-NOS and be closer to MCDD. We conclude that Disharmony and MCDD constitute complementary views on the same group of severely impaired children. (Contains 4 tables.) (As Provided).
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Update	2017/4/10