How to Use the ADI-R for Classifying Autism Spectrum Disorders? Psychometric Properties of Criteria from the Literature in 1,204 Dutch Children
Open accessAbstract
The algorithm of the Autism Diagnostic Interview-Revised provides criteria for autism versus non-autism according to DSM-IV. Criteria for the broader autism spectrum disorders are needed. This study investigated the validity of seven sets of criteria from the literature, in 1,204 Dutch children (aged 3-18 years) with and without mental retardation. The original criteria (Rutter et al. in ADI-R Autism Diagnostic Interview Revised. Manual. Western Psychological Services, Los Angeles, 2003) well discriminated ASD from non-ASD in MR. All other criteria (IMGSAC in Am Soc Hum Genet 69:570-581 2001; Sung et al. in Am J Hum Genet 76: 68-81, 2005; Risi et al. in J Am Acad Child Adolesc Psychiatry 45: 1094-1103, 2006) were sensitive at the cost of specificity, bearing the risk of overinclusiveness. In the group without MR, clinicians should decide whether sensitivity or specificity is aimed for, to choose the appropriate criteria. Including the Autism Diagnostic Observation Schedule revised algorithms in the classification, the specificity increases, at the cost of sensitivity. This study adds to a more valid judgment on which criteria to use for specific objectives.
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- Authors
- de Bildt, A., Oosterling, I. J., van Lang, N. D. J., Kuijper, S., Dekker, V., Sytema, S., Oerlemans, A. M., van Steijn, D. J., Visser, J. C., Rommelse, N. N., Minderaa, R. B., van Engeland, H., van der Gaag, R.-J., Buitelaar, J. K., & de Jonge, M. V.
- Affiliations
- University Medical Center Groningen (NL)
- Accare (NL)
- Radboud University Nijmegen (NL)
- ORCID
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2013-02-09
- Volume
- 43
- Issue
- 10
- Pages
- 2280-2294
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- OpenAlex
- W2123159121
- Cited by
- 30
- References
- 25
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 2 · 2021: 5 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 4 · 2016: 2 · 2015: 4 · 2014: 3 · 2013: 2
- FWCI
- 2.01
- Type
- journal article
- Language
- en
- Open access
- green
- research.rug.nl
- Licence
- other-oa
- www.springer.com/tdm (tdm)
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Leiden Repository (Leiden University) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Funders
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek (#91610024)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Keywords
- ADI-R, autism spectrum disorder, diagnostic classification criteria, criterion validity, sensitivity and specificity, intellectual disability, children
- MeSH terms
- Adolescent, Algorithms, Child, Child Development Disorders, Pervasive, Child, Preschool, Female, Humans, Interview, Psychological, Male, Intellectual Disability, Netherlands, Psychometrics, Reproducibility of Results, Diagnostic and Statistical Manual of Mental Disorders
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