Abstract
Latino children in the US are systematically underdiagnosed with Autism Spectrum Disorder (ASD); therefore, it is important that recent changes to the diagnostic process do not exacerbate this pattern of under-identification. Previous research has found that the Autism Diagnostic Interview-Revised (ADI-R) algorithm, based on the Diagnostic and Statistical Manual of Mental Disorder, Fourth Edition, Text Revision (DSM-IV-TR), has limitations with Latino children of Spanish speaking parents. We evaluated whether an ADI-R algorithm based on the new DSM-5 classification for ASD would be more sensitive in identifying Latino children of Spanish speaking parents who have a clinical diagnosis of ASD. Findings suggest that the DSM-5 algorithm shows better sensitivity than the DSM-IV-TR algorithm for Latino children.
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References
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th edn.). Washington, DC: American Psychiatric Association.
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C: American Psychiatric Association.
American Psychiatric Association. (2016). DSM-5 Update: Supplement to Diagnostic and Statistical Manual of Mental Disorders (5th edn.). Washington, D.C.: American Psychiatric Association.
Barton, M. L., Robins, D. L., Jashar, D., Brennan, L., & Fein, D. (2013). Sensitivity and specificity of proposed DSM-5 criteria for Autism Spectrum Disorders in toddlers. Journal of Autism and Developmental Disorders, 43, 1184–1195. doi:10.1007/s10803-013-1817-8.
Bennett, M., & Goodall, E. (2016). A meta-analysis of DSM-5 Autism diagnoses in relation to DSM-IV and DSM-IV-TR. Review Journal of Autism and Developmental Disorders, 3, 119–124. doi:10.1007/s40489-016-0070-4.
Blacher, J., Cohen, S. R., & Azad, G. (2014). In the eye of the beholder: Reports of autism symptoms by Anglo and Latino mothers. Research in Autism Spectrum Disorders, 8, 1648–1656. doi:10.1016/j.rasd.2014.08.017.
Blanche, E. I., Diaz, J., Barretto, T., & Cermak, S. A. (2015). Caregiving experiences of Latino families with children with autism spectrum disorder. American Journal of Occupational Therapy, 69, 6905185010. doi:10.5014/ajot.2015.017848.
Centers for Disease Control and Prevention (2014). Prevalence of autism spectrum disorder among children aged 8 years – autism and developmental disabilities monitoring network, 11 sites, United States, 2010. Morbidity and Mortality Weekly Report, 63(2), 1–21.
Christiansz, J. A., Gray, K. M., Taffe, J., & Tonge, B. J. (2016). Autism spectrum disorder in the DSM-5: diagnostic sensitivity and specificity in early childhood. Journal of Autism and Developmental Disorders, 46, 2054–2063. doi:10.1007/s10803-016-2734-4.
Durkin, M. S., Elsabbagh, M., Barbaro, J., Gladstone, M., Happé, F., Hoekstra, R. A., … & Shih, A. (2015). Autism screening and diagnosis in low resource settings: Challenges and opportunities to enhance research and services worldwide. Autism Research, 8, 473–476. doi:10.1002/aur.1575.
Dworzynski, K., Ronald, A., Bolton, P., & Happé, F. (2012). How different are girls and boys above and below the diagnostic threshold for autism spectrum disorders? Journal of the American Academy of Child and Adolescent Psychiatry, 51, 788–797. doi:10.1016/j.jaac.2012.05.018.
Falkmer, T., Anderson, K., Falkmer, M., & Horlin, C. (2013). Diagnostic procedures in Autism Spectrum Disorders: A systematic literature review. European Child and Adolescent Psychiatry, 22, 329–340. doi:10.1007/s00787-013-0375-0.
Grzadzinski, R., Dick, C., Lord, C., & Bishop, S. (2016). Parent-reported and clinician-observed autism spectrum disorder (ASD) symptoms in children with attention deficit/hyperactivity disorder (ADHD): Implications for practice under DSM-5. Molecular Autism, 7, 1–12.
Halfon, N., & Kuo, A. A. (2013). What DSM-5 could mean to children with autism and their families. Journal of American Medical Association Pediatrics, 167, 608–613. doi:10.1001/jamapediatrics.2013.2188.
Huerta, M., Bishop, S. L., Duncan, A., Hus, V., & Lord, C. (2012). Application of DSM-5 criteria for autism spectrum disorder to three samples of children with DSM-IV diagnoses of pervasive developmental disorders. American Journal of Psychiatry, 169, 1056–1064.
Lord, C., Rutter, M., DiLavore, P. C., Risi, S., Gotham, K., & Bishop, S. L. (2012). Autism diagnostic observation schedule, 2nd ed. (ADOS-2). Torrance. California: Western Psychological Services.
Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorder, 24, 659–685.
Magaña, S., Lopez, K., Aguinaga, A., & Morton, H. (2013). Access to diagnosis and treatment services among Latino children with autism spectrum disorders. Intellectual and Developmental Disabilities, 51, 141–153. doi:10.1352/1934-9556-51.3.141.
Magaña, S., & Smith, L. (2013). The use of the autism diagnostic interview – revised with a Latino population of adolescents and adults with autism. Journal of Autism and Developmental Disorders, 43, 1098–1105. doi:10.1007/s10803-012-1652-3.
Magaña, S., & Smith, M. J. (2006). Psychological distress and well-being of Latina and non-Latina White mothers of youth and adults with an autism spectrum disorder: Cultural attitudes towards coresidence status. American Journal of Orthopsychiatry, 76, 346–357. doi:10.1007/s10803-012-1652-3.
Mandell, D. S., Wiggins, L. D., Carpenter, L. A., Daniels, J., DiGuiseppi, C., Durkin, M. S., … & Kirby, R. S. (2009). Racial/ethnic disparities in the identification of children with autism spectrum disorders. American Journal of Public Health, 99, 493–498.
Mazefsky, C. A., McPartland, J. C., Gastgeb, H. Z., & Minshew, N. J. (2013). Comparability of DSM-IV and DSM-5 ASD research samples. Journal of Autism and Developmental Disorders, 43, 1236–1242. doi:10.1007/s10803-012-1665-y.
Overton, T., Fielding, C., & Garcia de Alba, R. (2007). Differential diagnosis of Hispanic children referred for autism spectrum disorders: Complex issues. Journal of Autism and Developmental Disorders, 37, 1996–2007. doi:10.1007/s10803-006-0349-x.
Smith, I. C., Reichow, B., & Volkmar, F. R. (2015). The effects of DSM-5 criteria on number of individuals diagnosed with autism spectrum disorder: A systematic review. Journal of Autism and Developmental Disorders, 45, 2541–2552. doi:10.1007/s10803-015-2423-8.
Vanegas, S. B., Magaña, S., Morales, M., & McNamara, E. (2016). Clinical validity of the ADI-R in a US-based Latino population. Journal of Autism and Developmental Disorders, 46, 1623–1635. doi:10.1007/s10803-015-2690-4.
Volkmar, F. R., & Reichow, B. (2013). Autism in DSM-5: Progress and challenges. Molecular Autism, 4, 1–6. doi:10.1186/2040-2392-4-13.
Vrancic, D., Nanclares, V., Soares, D., Kulesz, A., Mordzinski, C., Plebst, C., & Starkstein, S. (2002). Sensitivity and specificity of the Autism Diagnostic Interview – Telephone screening in Spanish. Journal of Autism and Developmental Disorders, 32, 313–320.
World Health Organization (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. Geneva: World Health Organization.
Zuckerman, K. E., Sinche, B., Mejia, A., Cobian, M., Becker, T., & Nicolaidis, C. (2014). Latino parents’ perspectives on barriers to Autism diagnosis. Academic Pediatrics, 14, 301–308.
Acknowledgments
This research was supported by the National Institute on Child Health and Human Development (R03 HD064828-01A1, PI Magaña). Additional Support was provided by the University of Illinois at Chicago Institute for Disability and Human Development. We wish to thank all of the families for their generous participation.
Author Contributions
SM designed the overall study, co-conceptualized the analysis of the current manscript and contributed to writing the introduction, methods and discussion. SM also conducted final editing of the article. SBV co-conceptualized the analysis, conducted the anyalysis, co-wrote the methods section, wrote the results section and co-wrote the discussion.
Funding
This study was funded by the National Institute on Child Health and Human Development (R03 HD064828-01A1).
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All procedures performed in this study involving human participants were in accordance with the ethical standards of the University Institutional Review Board and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Informed consent was obtained from all individual participants included in the study.
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Magaña, S., Vanegas, S.B. Diagnostic Utility of the ADI-R and DSM-5 in the Assessment of Latino Children and Adolescents. J Autism Dev Disord 47, 1278–1287 (2017). https://doi.org/10.1007/s10803-017-3043-2
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DOI: https://doi.org/10.1007/s10803-017-3043-2