Journal of Autism and Developmental Disorders

, Volume 38, Issue 8, pp 1567–1573 | Cite as

Comparison of Diagnostic Methods for Asperger Syndrome

  • Kristiina Kopra
  • Lennart von Wendt
  • Taina Nieminen-von Wendt
  • E. Juulia Paavonen
Original Paper


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.


Asperger syndrome Diagnostic criteria Sensitivity Specificity 


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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Kristiina Kopra
    • 1
  • Lennart von Wendt
    • 1
  • Taina Nieminen-von Wendt
    • 2
    • 3
  • E. Juulia Paavonen
    • 4
    • 5
  1. 1.Department of Child NeurologyHUCH Hospital for Children and AdolescentsHelsinkiFinland
  2. 2.Neuropsychiatric Rehabilitation Centre NeuromentalHelsinkiFinland
  3. 3.Department of Adolescent PsychiatryJorvi HospitalEspooFinland
  4. 4.Department of Child PsychiatryUniversity of HelsinkiHelsinkiFinland
  5. 5.National Research and Development Centre for Welfare and Health (STAKES)HelsinkiFinland

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