Comparison of Diagnostic Methods for Asperger Syndrome
- 309 Downloads
Several different diagnostic sets of criteria exist for Asperger syndrome (AS), but there is no agreement on a gold standard. The aim of this study was to compare four diagnostic sets of criteria for AS: the ICD-10, the DSM-IV, the Gillberg & Gillberg, and the Szatmari criteria. The series consists of 36 children who had been referred to two centers with a tentative diagnosis of AS. The best agreement was between the ICD-10 and the DSM-IV criteria (Kappa coefficient 0.48), and the lowest between the Gillberg & Gillberg and Szatmari criteria (Kappa coefficient −0.21). The poor agreement between these sets of diagnostic criteria compromises the comparability of studies on AS.
KeywordsAsperger syndrome Diagnostic criteria Sensitivity Specificity
- American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.Google Scholar
- Nieminen-von Wendt, T. (2004). On the origins and diagnosis of Asperger syndrome: A clinical, neuroimaging and genetic study. Thesis, University of Helsinki, http://www.urn.fi/URN:ISBN:952-10-2079-2.
- Nieminen-von Wendt, T., Paavonen, E. J., Ylisaukko-oja, T., Sarenius, S., Källman, T., Järvelä, I., & von Wendt, L. (2005). Subjective face recognition difficulties, aberrant sensibility, sleeping disturbances and aberrant eating habits in families with Asperger syndrome. BMC Psychiatry, 5(1), 20.PubMedCrossRefGoogle Scholar
- Szatmari, P., Bremner, R., & Nagy J. (1989). Asperger’s Syndrome: A review of clinical features. Canadian Journal of Psychiatry, 34(6), 554–60.Google Scholar
- World Health Organization (1992). The ICD-10 classification of mental and behavioral disorders: Clinical descriptions and diagnostic guidelines. Geneva, Switzerland: WHO.Google Scholar