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Diagnostic Rules for Children with PDD-NOS and Multiple Complex Developmental Disorder

Published online by Cambridge University Press:  01 September 1998

Jan K. Buitelaar
Affiliation:
Department of Child Psychiatry and the Rudolph Magnus Institute for Neurosciences, Utrecht, The Netherlands
Rutger Jan van der Gaag
Affiliation:
Veldwijk Research Institute, Ermelo, The Netherlands
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Abstract

This study was designed to examine the classification performance of diagnostic rules for pervasive developmental disorder not otherwise specified (PDD-NOS) and multiple complex developmental disorder (McDD), with clinical diagnosis as the gold standard. McDD is an heuristic concept of a developmental disorder characterised by social impairments, affective dysregulation, and thought disturbance. Detailed information on the symptoms, reliably extracted from the charts of 103 children with PDD-NOS and McDD, 32 with autistic disorder, and 96 with non-PDD disorders, was used to determine the presence of the DSM-IV criteria of autistic disorder and the criteria of McDD. A scoring rule for PDD-NOS based on a short set of seven DSM-IV criteria with a cut-off point of three items and one social interaction item set as mandatory had the best balance between high sensitivity and high specificity. The most effective and simple rule based on McDD criteria had a cut-off of three items, out of six items of anxieties and thought disturbance.

Type
Research Article
Copyright
© 1998 Association for Child Psychology and Psychiatry

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