Diagnostic Utility of the ADI-R and DSM-5 in the Assessment of Latino Children and Adolescents.
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.
Department of Disability and Human Development, University of Illinois at Chicago, 1640 W Roosevelt Road 2080 SSB, Chicago, IL, 60608, USA. maganas@uic.edu.
Sandy
0000-0003-1994-061X
S
Magaña
Department of Disability and Human Development, University of Illinois at Chicago, 1640 W Roosevelt Road 2080 SSB, Chicago, IL, 60608, USA.
Sandra B
SB
Vanegas
D000293:Adolescent; D000465:Algorithms; D000067877:Autism Spectrum Disorder / Q000175:diagnosis*; D002648:Child; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007802:Language; D008297:Male; D010290:Parents; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D012680:Sensitivity and Specificity
ADI-R; ASD Diagnosis; DSM-5; Latino