Abstract
The proposed revision for Autism spectrum disorders (ASDs) in the Diagnostic and Statistical Manual of Mental Disorders—Fifth Edition (DSM-5) represents a shift from the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition, Text Revision (DSM-IV-TR). As the proposed DSM-5 criteria require a higher minimum number of symptoms to be present compared to DSM-IV-TR, there have been some concerns about the impact that this will have on diagnostic outcomes. Therefore, the current study aimed to compare diagnostic outcomes using both DSM-IV-TR and DSM-5 criteria for 132 children. Of the 111 participants who received an ASD diagnosis under DSM-IV-TR, 26 did not meet DSM-5 criteria. The majority of these had received a DSM-IV-TR PDD-NOS diagnosis. Implications of the results and the proposed DSM-5 changes to the ASD criteria are discussed.
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References
Allen, D., Steinberg, M., Dunn, M., Fein, D., Feinstein, L., & Rapin, I. (2001). Autistic Disorder versus other pervasive developmental disorders in young children: Same or different? European Child and Adolescent Psychiatry, 10, 67–78.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders—Fourth edition, text revision. Washington, DC: American Psychiatric Association.
American Psychiatric Association. (2011). A 09 Autism Spectrum Disorder. Retrieved November 23, 2011 from http://www.DSM-5.org/Documents/12-03%20Autism%20Spectrum%20Disorders%20-%20DSM-5.pdf.
American Psychiatric Association. (2012). DSM-5 proposed criteria for autism spectrum disorder designed to provide more accurate diagnosis and treatment. Press release. American Psychiatric Association. http://www.DSM-5.org/Documents/12-03%20Autism%20Spectrum%20Disorders%20-%20DSM-5.pdf. Accessed 15 Feb 2012.
First, M. B. (2008). Autism and other pervasive developmental disorders. Conference Paper. “The Future of Psychiatric Diagnosis: Refining the Research Agenda” administered by the American Psychiatric Institute for Research and Education. Sacramento, California, February 3–5, 2008. http://www.DSM-5.org/Research/Pages/AutismandOtherPervasiveDevelopmentalDisordersConference(February3-5,2008).aspx. Accessed 29 Nov 2011.
Frazier, T., Youngstrom, E., Speer, L., Embacher, R., Law, P., Constantino, J., et al. (2012). Validation of proposed DSM-5 criteria for autism spectrum disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 28–40.
Howlin, P. (2003). Outcome in high functioning adults with autism with and without early language delays: Implications for the differentiation between autism and asperger’s syndrome. Journal of Autism and Developmental Disorders, 33, 3–13.
Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2002). Autism diagnostic observation schedule (ADOS). Los Angeles, CA: Western Psychological Services.
Mattila, M., Kielinen, M., Linna, S., Jussila, K., Ebeling, H., Bloigu, R., et al. (2011). Autism spectrum disorders according to DSM-IV-TR and comparison with DSM-5 draft criteria: An epidemiological study. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 583–592.
McPartland, J., Reichow, B., & Volkmar, F. R. (2012). Sensitivity and specificity of proposed DSM-5 diagnostic criteria for autism spectrum disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 368–383.
Mordre, M., Groholt, B., Knudsen, A., Sponheim, E., Mykletun, A., & Myhre, A. (2011). Is long term prognosis for pervasive developmental disorder not otherwise specified different from prognosis for autistic disorder? Findings from a 30 year follow up study. Journal of Autism and Developmental Disorders. doi:10.1007/s10803-011-1319-5.
Rutter, M., Le Couteur, A., & Lord, C. (2003). Autism diagnostic interview-revised (ADI-R). Los Angeles, CA: Western Psychological Services.
Worley, J. A., & Matson, J. L. (2012). Comparing symptoms of autism spectrum disorders using the current DSM-IV-TR diagnostic criteria and the proposed DSM-5 diagnostic criteria. Research in Autism Spectrum Disorders, 6, 965–970.
Acknowledgments
This research was presented at the Asia Pacific Autism Conference (APAC) which was held in Perth, Australia from 8th to 10th of September 2011.
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Gibbs, V., Aldridge, F., Chandler, F. et al. Brief Report: An Exploratory Study Comparing Diagnostic Outcomes for Autism Spectrum Disorders Under DSM-IV-TR with the Proposed DSM-5 Revision. J Autism Dev Disord 42, 1750–1756 (2012). https://doi.org/10.1007/s10803-012-1560-6
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DOI: https://doi.org/10.1007/s10803-012-1560-6