Defining in Detail and Evaluating Reliability of DSM-5 Criteria for Autism Spectrum Disorder (ASD) Among Children

Rice, C. E.; Carpenter, L. A.; Morrier, M. J.; Lord, C.; DiRienzo, M.; Boan, A.; Skowyra, C.; Fusco, A.; Baio, J.; Esler, A.; Zahorodny, W.; Hobson, N.; Mars, A.; Thurm, A.; Bishop, S.; Wiggins, L. D.

doi:10.1007/s10803-021-05377-y

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CDC STACKS serves as an archival repository of CDC-published products including scientific findings, journal articles, guidelines, recommendations, or other public health information authored or co-authored by CDC or funded partners. As a repository, CDC STACKS retains documents in their original published format to ensure public access to scientific information.

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Defining in Detail and Evaluating Reliability of DSM-5 Criteria for Autism Spectrum Disorder (ASD) Among Children

12 2022
By Rice, C. E. ; Carpenter, L. A. ; Morrier, M. J. ; ...
http://dx.doi.org/10.1007/s10803-021-05377-y
Source: J Autism Dev Disord. 52(12):5308-5320

[PDF-250.72 KB]

English

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Details:

Alternative Title:

J Autism Dev Disord
Personal Author:

Rice, C. E. ; Carpenter, L. A. ; Morrier, M. J. ; Lord, C. ; DiRienzo, M. ; ... More +

Rice, C. E. ; Carpenter, L. A. ; Morrier, M. J. ; Lord, C. ; DiRienzo, M. ; Boan, A. ; Skowyra, C. ; Fusco, A. ; Baio, J. ; Esler, A. ; Zahorodny, W. ; Hobson, N. ; Mars, A. ; Thurm, A. ; Bishop, S. ; Wiggins, L. D. Less -
Description:

This paper describes a process to define a comprehensive list of exemplars for seven core Diagnostic and Statistical Manual (DSM) diagnostic criteria for autism spectrum disorder (ASD), and report on interrater reliability in applying these exemplars to determine ASD case classification. Clinicians completed an iterative process to map specific exemplars from the CDC Autism and Developmental Disabilities Monitoring (ADDM) Network criteria for ASD surveillance, DSM-5 text, and diagnostic assessments to each of the core DSM-5 ASD criteria. Clinicians applied the diagnostic exemplars to child behavioral descriptions in existing evaluation records to establish initial reliability standards and then for blinded clinician review in one site (phase 1) and for two ADDM Network surveillance years (phase 2). Interrater reliability for each of the DSM-5 diagnostic categories and overall ASD classification was high (defined as very good .60-.79 to excellent ≥ .80 Kappa values) across sex, race/ethnicity, and cognitive levels for both phases. Classification of DSM-5 ASD by mapping specific exemplars from evaluation records by a diverse group of clinician raters is feasible and reliable. This framework provides confidence in the consistency of prevalence classifications of ASD and may be further applied to improve consistency of ASD diagnoses in clinical settings.
Subjects:

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Autism Spectrum Disorder Child Diagnostic And Statistical Manual Of Mental Disorders Humans Patient Selection Population Surveillance Prevalence Reproducibility Of Results
Keywords:

[+]

Autism Autism Spectrum Disorder Buprenorphine Classification Clinician Reliability Diagnosis DSM-5 Methadone Mortality Naltrexone Treatment
Source:

J Autism Dev Disord. 52(12):5308-5320
Pubmed ID:

34981308
Pubmed Central ID:

PMC9250939
Document Type:

Journal Article
Funding:

7793/AS/Autism SpeaksUnited States/ ; UL1TR001450/foundation for the national institutes of health/ ; DD10-1002/CC/CDC HHSUnited States/ ; 8408/AS/Autism SpeaksUnited States/ ; CC999999/ImCDC/Intramural CDC HHSUnited States/

7793/AS/Autism SpeaksUnited States/ ; UL1TR001450/foundation for the national institutes of health/ ; DD10-1002/CC/CDC HHSUnited States/ ; 8408/AS/Autism SpeaksUnited States/ ; CC999999/ImCDC/Intramural CDC HHSUnited States/ Less -
Volume:

52
Issue:

12
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha-512:85285bcd0283e22fd452fb9b431835164fcae0b05fe358d8c1a30b859cb84fd7f50642df07120feb9c9e7cde535a139e6a9ac06664a1b3e865d471f960921dbf
Download URL:

https://stacks.cdc.gov/view/cdc/118834/cdc_118834_DS1.pdf
File Type:

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	nihms-1805223-f0001.jpg	jpeg
	nihms-1805223.nxml	xml
	NIHMS1805223-supplement-Supp.pdf	pdf
	NIHMS1805223-supplement-Supp_2.pdf	pdf

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