ERIC Number: EJ1437596
Record Type: Journal
Publication Date: 2024-Sep
Pages: 12
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0162-3257
EISSN: EISSN-1573-3432
How Well Can We Diagnose Autism in Adults? Evaluating an Informant-Based Interview: The Dutch Developmental, Dimensional and Diagnostic Interview -- Adult Version (3Di-Adult)
Journal of Autism and Developmental Disorders, v54 n9 p3492-3503 2024
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 ([alpha] = 0.92) and the B scale ([alpha] = 0.85) were good. Inter-rater reliability (ICCs = 0.99) and inter-rater agreement (ICCs [greater than or equal to] 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.
Descriptors: Autism Spectrum Disorders, Identification, Foreign Countries, Adults, Interviews, Feasibility Studies, Reliability, Validity
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: Netherlands
Grant or Contract Numbers: N/A