Review Article

Increasing Prevalence, Changes in Diagnostic Criteria, and Nutritional Risk Factors for Autism Spectrum Disorders

Table 3

Sensitivity and specificity of DSM-IV-TR, proposed DSM-5, and modified criteria for clinical diagnosis and empirically derived classifications*.

ā€‰Clinical ASD diagnosis Empirically derived classifications
ā€‰SensitivitySpecificitySensitivitySpecificity

DSM-IV-TR 0.95 0.86 0.92 0.83
DSM-5: field trial phase I 0.81 0.97 0.78 0.95
DSM-5: relaxed algorithm 0.93 0.95 0.89 0.92
DSM-5: without high-functioning symptoms 0.64 0.98 0.61 0.97
DSM-5: without sensory sensitivity/interests 0.78 0.97 0.75 0.96
DSM-5: one symptom per criterion 0.96 0.90 0.92 0.87

Comparison of DSM-IV-TR and proposed DSM-5 criteria was done using a subsample with complete data on the Social Communication Questionnaire (SCQ) and Social Responsiveness Scale (SRS) ( = 6,426).
*Adapted from Frazier et al. [6].