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Among these measurements, the Autism Diagnostic Interview-Revised (ADI-R) and the Autism Diagnostic Observation Schedule (ADOS) are considered the "gold standards" for assessing autistic children. [ 24 ] [ 25 ] The ADI-R is a semi-structured parent interview that probes for symptoms of autism by evaluating a child's current behavior and ...
[7] [8] The scoring algorithm was also revised to align with the recent changes in the DSM-5 diagnostic criteria. While the ADOS-G had separate sections for social and communication behaviors, the ADOS-2 combined these into a single domain to represent social affect, and added a new domain to assess restrictive and repetitive behaviors (RRB).
In order to create the algorithm for diagnosis, the writers chose questions from the interview that were most closely related to the criteria for diagnosis of Autism Spectrum Disorder in the DSM-IV and the ICD-10. [3] An autism diagnosis is indicated when scores in all three behavioral areas meet or exceed the specified minimum cutoff scores. [5]
For example, a relatively small 2007 study of 5,484 eight-year-old children in Finland found 2.9 children per 1,000 met the ICD-10 criteria for an AS diagnosis, 2.7 per 1,000 for Gillberg and Gillberg criteria, 2.5 for DSM-IV, 1.6 for Szatmari et al., and 4.3 per 1,000 for the union of the four criteria.
The ICD-10 equivalents also became part of its definition of autism spectrum disorder, as of the ICD-11. PDD-NOS included atypical autism, a diagnosis defined in the ICD-10 for the case that the criteria for autistic disorder were not met because of late age of onset, or atypical symptomatology, or both of these. [5]
Unusual responses to sensory stimuli are more common and prominent in individuals with autism, and sensory abnormalities are commonly recognized as diagnostic criteria in autism spectrum disorder (ASD), as reported in the DSM-5; although there is no good evidence that sensory symptoms differentiate autism from other developmental disorders. [99]
The following diagnostic systems and rating scales are used in psychiatry and clinical psychology. This list is by no means exhaustive or complete. This list is by no means exhaustive or complete. For instance, in the category of depression, there are over two dozen depression rating scales that have been developed in the past eighty years.
Prevalence differences may be a result of gender differences in expression of clinical symptoms, with women and girls with autism showing less atypical behaviors and, therefore, less likely to receive an ASD diagnosis. [368] Using DSM-5 criteria, 92% of the children diagnosed per DSM-IV with one of the disorders which is considered part of ASD ...
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