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Diagnostic Utility of the ADI-R and DSM-5 in the Assessment of Latino Children and Adolescents

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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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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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Authors and Affiliations

  1. Department of Disability and Human Development, University of Illinois at Chicago, 1640 W Roosevelt Road 2080 SSB, Chicago, IL, 60608, USA

    Sandy Magaña

  2. Department of Disability and Human Development, University of Illinois at Chicago, 1640 W Roosevelt Road 2080 SSB, Chicago, IL, 60608, USA

    Sandra B. Vanegas

Authors
  1. Sandy Magaña
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  2. Sandra B. Vanegas
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Correspondence to Sandy Magaña.

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Conflict of interest

The authors declare they have no conflict of interest.

Ethical Approval

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.

Informed Consent

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

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