Deconstructing the PDD clinical phenotype: internal validity of the DSM-IV
Background: Empirical studies of the structure of autism symptoms have challenged the three‐domain model of impairment currently characterizing pervasive developmental disorders (PDD). The objective of this study was to assess the internal validity of the DSM as a conceptual model for describing PD...
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| Veröffentlicht in: | Journal of child psychology and psychiatry 2009-10, Vol.50 (10), p.1246-1254 |
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| container_title | Journal of child psychology and psychiatry |
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| creator | Lecavalier, Luc Gadow, Kenneth D. DeVincent, Carla J. Houts, Carrie Edwards, Michael C. |
| description | Background: Empirical studies of the structure of autism symptoms have challenged the three‐domain model of impairment currently characterizing pervasive developmental disorders (PDD). The objective of this study was to assess the internal validity of the DSM as a conceptual model for describing PDD, while paying particular attention to certain subject characteristics.
Methods: Parents and teachers completed a DSM‐IV‐referenced rating scale for 3‐ to 12‐year‐old clinic referrals with a PDD (n = 730). Ratings were submitted to confirmatory factor analysis and different models were assessed for fit.
Results: Measures of fit indicated that the three‐factor solution based on the DSM was superior to other models. Most indices of fit were acceptable, but showed room for improvement. Fit indices varied according to the rater (parent or teacher), child’s age (preschool versus school aged), PDD subtype (autism, Asperger’s, pervasive developmental disorder not otherwise specified (PDDNOS)), and IQ.
Conclusions: More research needs to be done before discarding current classification systems. Subject characteristics, modality of assessment, and procedural variations in statistical analyses impact conclusions about the structure of PDD symptoms. |
| doi_str_mv | 10.1111/j.1469-7610.2009.02104.x |
| format | Article |
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Methods: Parents and teachers completed a DSM‐IV‐referenced rating scale for 3‐ to 12‐year‐old clinic referrals with a PDD (n = 730). Ratings were submitted to confirmatory factor analysis and different models were assessed for fit.
Results: Measures of fit indicated that the three‐factor solution based on the DSM was superior to other models. Most indices of fit were acceptable, but showed room for improvement. Fit indices varied according to the rater (parent or teacher), child’s age (preschool versus school aged), PDD subtype (autism, Asperger’s, pervasive developmental disorder not otherwise specified (PDDNOS)), and IQ.
Conclusions: More research needs to be done before discarding current classification systems. Subject characteristics, modality of assessment, and procedural variations in statistical analyses impact conclusions about the structure of PDD symptoms.</description><identifier>ISSN: 0021-9630</identifier><identifier>EISSN: 1469-7610</identifier><identifier>DOI: 10.1111/j.1469-7610.2009.02104.x</identifier><identifier>PMID: 19570046</identifier><identifier>CODEN: JPPDAI</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Autism ; Biological and medical sciences ; Child ; Child clinical studies ; Child Development Disorders, Pervasive - classification ; Child Development Disorders, Pervasive - diagnosis ; Child Development Disorders, Pervasive - psychology ; Child, Preschool ; Classification ; Developmental disabilities ; Developmental disorders ; Diagnostic and Statistical Manual of Mental Disorders ; Factor Analysis ; Factor Analysis, Statistical ; Female ; Genetics ; Goodness of Fit ; Humans ; Infantile autism ; Intelligence Quotient ; Internal validity ; Male ; Measures (Individuals) ; Medical sciences ; Models, Psychological ; Neuropsychological Tests ; New York City ; nosology ; Nosology. Terminology. Diagnostic criteria ; Parent Attitudes ; Parents ; pervasive developmental disorder ; Pervasive Developmental Disorders ; psychiatric disorder ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics ; Psychopathology. Psychiatry ; Rating Scales ; Referral ; Reproducibility of Results ; Research Needs ; Statistical Analysis ; Symptoms ; Symptoms (Individual Disorders) ; Teacher Attitudes ; Teachers ; Techniques and methods ; Validity</subject><ispartof>Journal of child psychology and psychiatry, 2009-10, Vol.50 (10), p.1246-1254</ispartof><rights>2009 The Authors. Journal compilation © 2009 Association for Child and Adolescent Mental Health</rights><rights>2015 INIST-CNRS</rights><rights>Journal Compilation © 2009 ACAMH</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5174-e83db92f626b719adf57c4130f66744b3548c339587c5b56d0c3529fe7b8dd803</citedby><cites>FETCH-LOGICAL-c5174-e83db92f626b719adf57c4130f66744b3548c339587c5b56d0c3529fe7b8dd803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1469-7610.2009.02104.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1469-7610.2009.02104.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,30977,45550,45551</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ855350$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21964221$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19570046$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lecavalier, Luc</creatorcontrib><creatorcontrib>Gadow, Kenneth D.</creatorcontrib><creatorcontrib>DeVincent, Carla J.</creatorcontrib><creatorcontrib>Houts, Carrie</creatorcontrib><creatorcontrib>Edwards, Michael C.</creatorcontrib><title>Deconstructing the PDD clinical phenotype: internal validity of the DSM-IV</title><title>Journal of child psychology and psychiatry</title><addtitle>J Child Psychol Psychiatry</addtitle><description>Background: Empirical studies of the structure of autism symptoms have challenged the three‐domain model of impairment currently characterizing pervasive developmental disorders (PDD). The objective of this study was to assess the internal validity of the DSM as a conceptual model for describing PDD, while paying particular attention to certain subject characteristics.
Methods: Parents and teachers completed a DSM‐IV‐referenced rating scale for 3‐ to 12‐year‐old clinic referrals with a PDD (n = 730). Ratings were submitted to confirmatory factor analysis and different models were assessed for fit.
Results: Measures of fit indicated that the three‐factor solution based on the DSM was superior to other models. Most indices of fit were acceptable, but showed room for improvement. Fit indices varied according to the rater (parent or teacher), child’s age (preschool versus school aged), PDD subtype (autism, Asperger’s, pervasive developmental disorder not otherwise specified (PDDNOS)), and IQ.
Conclusions: More research needs to be done before discarding current classification systems. Subject characteristics, modality of assessment, and procedural variations in statistical analyses impact conclusions about the structure of PDD symptoms.</description><subject>Autism</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child clinical studies</subject><subject>Child Development Disorders, Pervasive - classification</subject><subject>Child Development Disorders, Pervasive - diagnosis</subject><subject>Child Development Disorders, Pervasive - psychology</subject><subject>Child, Preschool</subject><subject>Classification</subject><subject>Developmental disabilities</subject><subject>Developmental disorders</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Factor Analysis</subject><subject>Factor Analysis, Statistical</subject><subject>Female</subject><subject>Genetics</subject><subject>Goodness of Fit</subject><subject>Humans</subject><subject>Infantile autism</subject><subject>Intelligence Quotient</subject><subject>Internal validity</subject><subject>Male</subject><subject>Measures (Individuals)</subject><subject>Medical sciences</subject><subject>Models, Psychological</subject><subject>Neuropsychological Tests</subject><subject>New York City</subject><subject>nosology</subject><subject>Nosology. Terminology. Diagnostic criteria</subject><subject>Parent Attitudes</subject><subject>Parents</subject><subject>pervasive developmental disorder</subject><subject>Pervasive Developmental Disorders</subject><subject>psychiatric disorder</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics</subject><subject>Psychopathology. Psychiatry</subject><subject>Rating Scales</subject><subject>Referral</subject><subject>Reproducibility of Results</subject><subject>Research Needs</subject><subject>Statistical Analysis</subject><subject>Symptoms</subject><subject>Symptoms (Individual Disorders)</subject><subject>Teacher Attitudes</subject><subject>Teachers</subject><subject>Techniques and methods</subject><subject>Validity</subject><issn>0021-9630</issn><issn>1469-7610</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkV1v0zAUhi0EYqXjHyAUISGu0vnbMRdIrBlj1RhFfEncWI7jMJc06exktP9-zlIViRvwja1znvPK530BSBCcoXhOVjNEuUwFjwUMoZxBjCCdbR-AyaHxEExgLKeSE3gEnoSwghBywrLH4AhJJiCkfAIWuTVtEzrfm841P5Pu2ibLPE9M7RpndJ1srm3TdruNfZ24prO-ibVbXbvSdbukre4H8s8f0otvx-BRpetgn-7vKfj67uzL_H16-fH8Yv72MjUMCZrajJSFxBXHvBBI6rJiwlBEYMW5oLQgjGaGEMkyYVjBeAkNYVhWVhRZWWaQTMGrUXfj25vehk6tXTC2rnVj2z6oLM4KgiX6JykIhYwywSL54i9y1fbDrkFhIiCiJNo4BdkIGd-G4G2lNt6ttd8pBNWQi1qpwX412K-GXNR9LmobR5_v9ftibcs_g_sgIvByD-gQba-8bowLBw4jySnGw0rPRs56Zw7ts0XGGGGDN2_G9m9X291__08t5svl8IwC6SjgQme3BwHtfykuiGDq-9W5IvknQU9PfyhG7gBBGr3P</recordid><startdate>200910</startdate><enddate>200910</enddate><creator>Lecavalier, Luc</creator><creator>Gadow, Kenneth D.</creator><creator>DeVincent, Carla J.</creator><creator>Houts, Carrie</creator><creator>Edwards, Michael C.</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><general>Blackwell</general><scope>BSCLL</scope><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>200910</creationdate><title>Deconstructing the PDD clinical phenotype: internal validity of the DSM-IV</title><author>Lecavalier, Luc ; Gadow, Kenneth D. ; DeVincent, Carla J. ; Houts, Carrie ; Edwards, Michael C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5174-e83db92f626b719adf57c4130f66744b3548c339587c5b56d0c3529fe7b8dd803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Autism</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child clinical studies</topic><topic>Child Development Disorders, Pervasive - classification</topic><topic>Child Development Disorders, Pervasive - diagnosis</topic><topic>Child Development Disorders, Pervasive - psychology</topic><topic>Child, Preschool</topic><topic>Classification</topic><topic>Developmental disabilities</topic><topic>Developmental disorders</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>Factor Analysis</topic><topic>Factor Analysis, Statistical</topic><topic>Female</topic><topic>Genetics</topic><topic>Goodness of Fit</topic><topic>Humans</topic><topic>Infantile autism</topic><topic>Intelligence Quotient</topic><topic>Internal validity</topic><topic>Male</topic><topic>Measures (Individuals)</topic><topic>Medical sciences</topic><topic>Models, Psychological</topic><topic>Neuropsychological Tests</topic><topic>New York City</topic><topic>nosology</topic><topic>Nosology. Terminology. Diagnostic criteria</topic><topic>Parent Attitudes</topic><topic>Parents</topic><topic>pervasive developmental disorder</topic><topic>Pervasive Developmental Disorders</topic><topic>psychiatric disorder</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometrics</topic><topic>Psychopathology. Psychiatry</topic><topic>Rating Scales</topic><topic>Referral</topic><topic>Reproducibility of Results</topic><topic>Research Needs</topic><topic>Statistical Analysis</topic><topic>Symptoms</topic><topic>Symptoms (Individual Disorders)</topic><topic>Teacher Attitudes</topic><topic>Teachers</topic><topic>Techniques and methods</topic><topic>Validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lecavalier, Luc</creatorcontrib><creatorcontrib>Gadow, Kenneth D.</creatorcontrib><creatorcontrib>DeVincent, Carla J.</creatorcontrib><creatorcontrib>Houts, Carrie</creatorcontrib><creatorcontrib>Edwards, Michael C.</creatorcontrib><collection>Istex</collection><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of child psychology and psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lecavalier, Luc</au><au>Gadow, Kenneth D.</au><au>DeVincent, Carla J.</au><au>Houts, Carrie</au><au>Edwards, Michael C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ855350</ericid><atitle>Deconstructing the PDD clinical phenotype: internal validity of the DSM-IV</atitle><jtitle>Journal of child psychology and psychiatry</jtitle><addtitle>J Child Psychol Psychiatry</addtitle><date>2009-10</date><risdate>2009</risdate><volume>50</volume><issue>10</issue><spage>1246</spage><epage>1254</epage><pages>1246-1254</pages><issn>0021-9630</issn><eissn>1469-7610</eissn><coden>JPPDAI</coden><abstract>Background: Empirical studies of the structure of autism symptoms have challenged the three‐domain model of impairment currently characterizing pervasive developmental disorders (PDD). The objective of this study was to assess the internal validity of the DSM as a conceptual model for describing PDD, while paying particular attention to certain subject characteristics.
Methods: Parents and teachers completed a DSM‐IV‐referenced rating scale for 3‐ to 12‐year‐old clinic referrals with a PDD (n = 730). Ratings were submitted to confirmatory factor analysis and different models were assessed for fit.
Results: Measures of fit indicated that the three‐factor solution based on the DSM was superior to other models. Most indices of fit were acceptable, but showed room for improvement. Fit indices varied according to the rater (parent or teacher), child’s age (preschool versus school aged), PDD subtype (autism, Asperger’s, pervasive developmental disorder not otherwise specified (PDDNOS)), and IQ.
Conclusions: More research needs to be done before discarding current classification systems. Subject characteristics, modality of assessment, and procedural variations in statistical analyses impact conclusions about the structure of PDD symptoms.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19570046</pmid><doi>10.1111/j.1469-7610.2009.02104.x</doi><tpages>9</tpages></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Autism Biological and medical sciences Child Child clinical studies Child Development Disorders, Pervasive - classification Child Development Disorders, Pervasive - diagnosis Child Development Disorders, Pervasive - psychology Child, Preschool Classification Developmental disabilities Developmental disorders Diagnostic and Statistical Manual of Mental Disorders Factor Analysis Factor Analysis, Statistical Female Genetics Goodness of Fit Humans Infantile autism Intelligence Quotient Internal validity Male Measures (Individuals) Medical sciences Models, Psychological Neuropsychological Tests New York City nosology Nosology. Terminology. Diagnostic criteria Parent Attitudes Parents pervasive developmental disorder Pervasive Developmental Disorders psychiatric disorder Psychology. Psychoanalysis. Psychiatry Psychometrics Psychopathology. Psychiatry Rating Scales Referral Reproducibility of Results Research Needs Statistical Analysis Symptoms Symptoms (Individual Disorders) Teacher Attitudes Teachers Techniques and methods Validity |
| title | Deconstructing the PDD clinical phenotype: internal validity of the DSM-IV |
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