How Well Can we Diagnose Autism in Adults? Evaluating an Informant-based Interview: The Dutch Developmental, Dimensional and Diagnostic Interview – Adult Version (3Di-Adult).

Autor:	Krijnen, L.J.G., Greaves-Lord, K., Mandy, W., Mataw, K.J.S., Hartog, P., Begeer, S.
Předmět:	DIAGNOSIS of autism RESEARCH funding RECEIVER operating characteristic curves RESEARCH methodology evaluation RESEARCH evaluation INTERVIEWING SEX distribution DESCRIPTIVE statistics CLASSIFICATION of mental disorders PSYCHOMETRICS COMMUNICATION ASPERGER'S syndrome COMPARATIVE studies INTERPERSONAL relations INTER-observer reliability SENSITIVITY & specificity (Statistics) ADULTS
Zdroj:	Journal of Autism & Developmental Disorders; Sep2024, Vol. 54 Issue 9, p3492-3503, 12p
Abstrakt:	The current study evaluated a brief, informant-based autism interview: the Developmental, Dimensional and Diagnostic Interview – Adult Version (3Di-Adult). Feasibility, reliability and validity of the Dutch 3Di-Adult was tested amongst autistic participants (n = 62) and a non-autistic comparison group (n = 30) in the Netherlands. The 3Di-Adult consists of two scales based on DSM-5 criteria: A scale 'Social communication and social interaction' and B scale 'Restricted, repetitive patterns of behavior, interests or activities'. ROC curves were used to determine cut-off scores for the A and the B scale, using an ASD diagnosis made by an independent clinician as the criterion. Mean administration time was 42 min. Internal consistency of the A scale (α = 0.92) and the B scale (α = 0.85) were good. Inter-rater reliability (ICCs = 0.99) and inter-rater agreement (ICCs ≥ 0.90) were promising. The 3Di-Adult showed good sensitivity (80.6%) and specificity (93.3%). Positive and negative predictive value were 96.2% and 70.0% respectively. Comparisons with the Autism-Spectrum Quotient-Short to investigate the convergent validity showed moderate, significant correlations with the 3Di-Adult in the total sample. Males, as compared to females, displayed significantly more autistic features on the 3Di-Adult. No relationship was found of the 3Di-Adult with education level, intelligence and age of the participants or informants. The feasibility and psychometric properties of the Dutch 3Di-Adult are promising, indicating that it can be a time-efficient, valid and reliable tool to use in diagnosing autism in adults according to DSM-5 criteria. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
Externí odkaz:	Zobrazit plný text záznamu Full text from SpringerLink