Abstract
This appears to be the first meta-analysis study which has incorporated articles on the percentage of people with a Diagnostic and Statistical Manual of Mental Disorders-Forth Edition (DSM-IV) autism spectrum disorder (ASD) diagnosis receiving a Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5) ASD diagnosis and articles on the percentage of people with a Diagnostic and Statistical Manual of Mental Disorders-Forth Edition-Text Revision (DSM-IV-TR) ASD diagnosis receiving a DSM-5 ASD diagnosis. Our meta-analysis measured the percentage of people with an ASD diagnosis from the DSM-IV or DSM-IV-TR obtaining an ASD diagnosis from the DSM-5. All 24 studies identified indicated a reduction in the number of people with a DSM-IV or DSM-IV-TR ASD diagnosis being eligible for a DSM-5 ASD diagnosis, a 35 and 37 % reduction respectfully. Our meta-analysis also showed that those with a DSM-IV-TR or DSM-IV diagnosis of PDD-NOS were the least likely to qualify for a DSM-5 ASD diagnosis at 26 and 47 % followed by 55 and 19 %, respectfully of people with Asperger syndrome, and 80 and 87 %, respectfully of people with an autism diagnosis.
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Barton, M. L., Robins, D. L., Jashar, D., Brennan, L., & Fein, D. (2013). Sensitivity and specificity of proposed DSM-5 criteria for autism spectrum disorder in toddlers. Journal of Autism and Developmental Disorders, 43(5), 1184–1195.
Beighley, J. S., & Matson, J. L. (2014). Comparing social skills in children diagnosed with autism spectrum disorder according to the DSM-IV-TR and the DSM-5. Journal of Developmental and Physical Disabilities, 26(6), 689–701.
Beighley, J. S., Matson, J. L., Rieske, R. D., Jang, J., Cervantes, P. E., & Goldin, R. L. (2013). Comparing challenging behaviour in children diagnosed with autism spectrum disorders according to the DSM-IV-TR and the proposed DSM-5. Developmental Neurorehabilitation, 16(6), 375–381.
Beighley, J. S., Matson, J. L., Rieske, R. D., Cervantes, P. E., Goldin, R., & Jang, J. (2014). Differences in stereotypic behaviour in adults diagnosed with autism spectrum disorders using the DSM-IV-TR and the DSM-5. Journal of Developmental and Physical Disabilities, 26(2), 193–202.
Buescher, A. V., Cidav, Z., Knapp, M., & Mandell, D. S. (2014). Costs of Autism Spectrum Disorders in the United Kingdom and the United States. JAMA Paediatrics, 168(8), 721–728.
Frazier, T. W., Youngstrom, E. A., Speer, L., Embacher, R., Law, P., Constantino, J., & Eng, C. (2012). Validation of proposed DSM-5 criteria for autism spectrum disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 51(1), 28–40.
Galligan, M. G., Feinstein, C., Sulkes, S. S., Bisagno, J. M., & Stein, M. T. (2013). Asperger syndrome and DSM-5: a dilemma for a college freshman. Journal of Developmental & Behavioral Pediatrics, 34(7), 529–532.
Gibbs, V., Aldridge, F., Chandler, F., Witzlsperger, E., & Smith, K. (2012). Brief report: an exploratory study comparing diagnostic outcomes for autism spectrum disorders under DSM-IV-TR with the proposed DSM-5 revision. Journal of Autism and Developmental Disorders, 42(8), 1750–1756.
Giles, D. C. (2014). ‘DSM-V is taking away our identity’: the reaction of the online community to the proposed changes in the diagnosis of Asperger’s disorder. Health, 18(2), 179–195.
Hiller, R. M., Young, R. L., & Weber, N. (2014). Sex differences in autism spectrum disorder based on dsm-5 criteria: evidence from clinician and teacher reporting. Journal of Abnormal Child Psychology, 42(8), 1381–1393.
Huerta, M., Bishop, S. L., Duncan, A., Hus, V., & Lord, C. (2012). Application of DSM-5 criteria for autism spectrum disorder to three samples of children with DSM-IV diagnoses of pervasive developmental disorders. American Journal of Psychiatry, 169(10), 1056–1064.
Kim, Y. S., Fombonne, E., Koh, Y. J., Kim, S. J., Cheon, K. A., & Leventhal, B. L. (2014). A comparison of DSM-IV pervasive developmental disorder and DSM-5 autism spectrum disorder prevalence in an epidemiologic sample. Journal of the American Academy of Child & Adolescent Psychiatry, 53(5), 500–508.
Kite, D. M., Gullifer, J., & Tyson, G. A. (2013). Views on the Diagnostic Labels of Autism and Asperger’s Disorder and the Proposed Changes in the DSM. Journal of Autism and Developmental Disorders, 43(7), 1692–1700.
Knapp, M., Romeo, R., & Beecham, J. (2009). Economic cost of autism in the UK. Autism, 13(3), 317–336.
Kulage, K. M., Smaldone, A. M., & Cohn, E. G. (2014). How will DSM-5 affect autism diagnosis? A systematic literature review and meta-analysis. Journal of Autism and Developmental Disorders, 44(8), 1918–1932.
Linton, K. F., Krcek, T. E., Sensui, L. M., & Spillers, J. L. H. (2014). Opinions of People Who Self-Identify With Autism and Asperger’s on DSM-5 Criteria. Research on Social Work Practice, 24(1), 67–77.
Maenner, M. J., Rice, C. E., Arneson, C. L., Cunniff, C., Schieve, L. A., Carpenter, L. A., & Durkin, M. S. (2014). Potential impact of DSM-5 criteria on autism spectrum disorder prevalence estimates. JAMA psychiatry, 71(3), 292–300.
Matson, J. L., Belva, B. C., Horovitz, M., Kozlowski, A. M., & Bamburg, J. W. (2012a). Comparing symptoms of autism spectrum disorders in a developmentally disabled adult population using the current DSM-IV-TR diagnostic criteria and the proposed DSM-5 diagnostic criteria. Journal of Developmental and Physical Disabilities, 24(4), 403–414.
Matson, J. L., Hattier, M. A., & Williams, L. W. (2012b). How does relaxing the algorithm for autism affect DSM-V prevalence rates? Journal of Autism and Developmental Disorders, 432(8), 1549–1556.
Matson, J. L., Kozlowski, A. M., Hattier, M. A., Horovitz, M., & Sipes, M. (2012c). DSM-IV vs DSM-5 diagnostic criteria for toddlers with autism. Developmental Neurorehabilitation, 15(3), 185–190.
Mattila, M. L., Kielinen, M., Linna, S. L., Jussila, K., Ebeling, H., Bloigu, R., & Moilanen, I. (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 & Adolescent Psychiatry, 50(6), 583–592.
Mayes, S. D., Black, A., & Tierney, C. D. (2013). DSM-5 under-identifies PDDNOS: diagnostic agreement between the DSM-5, DSM-IV, and Checklist for Autism Spectrum Disorder. Research in Autism Spectrum Disorders, 7(2), 298–306.
Mazefsky, C. A., McPartland, J. C., Gastgeb, H. Z., & Minshew, N. J. (2013). Brief report: comparability of DSM-IV and DSM-5 ASD research samples. Journal of Autism and Developmental Disorders, 43(5), 1236–1242.
McPartland, J. C., 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(4), 368–383.
Purcal, C., Fisher, K. R., & Laragy, C. (2014). Analysing choice in Australian individual funding disability policies. Australian Journal of Public Administration, 73(1), 88–102.
Rieske, R. D., Matson, J. L., Beighley, J. S., Cervantes, P. E., Goldin, R. L., & Jang, J. (2013). Comorbid psychopathology rates in children diagnosed with autism spectrum disorders according to the DSM-IV-TR and the proposed DSM-5. Developmental Neurorehabilitation, 18(4), 218–223.
Smith, I. C., Reichbow, B., & Volkmar, F. R. (2015). The effects of DSM-5 criteria on number of individuals diagnosed with autism spectrum disorder: a systematic review. Journal of Autism and Developmental Disorders, 45(8), 2541–2552.
Spillers, J. L., Sensui, L. M., & Linton, K. F. (2014). Concerns about Identity and Services Among People with Autism and Asperger’s Regarding DSM-5 Changes. Journal of Social Work in Disability & Rehabilitation, 13(3), 247–260.
Sturmey, P., & Dalfern, S. (2014). The effects of DSM5 autism diagnostic criteria on number of individuals diagnosed with autism spectrum disorders: a systematic review. Review Journal of Autism and Developmental Disorders, 1(4), 249–252.
Taheri, A., & Perry, A. (2012). Exploring the proposed DSM-5 criteria in a clinical sample. Journal of Autism and Developmental Disorders, 42(9), 1810–1817.
Turygin, N., Matson, J. L., Beighley, J., & Adams, H. (2013). The effect of DSM-5 criteria on the developmental quotient in toddlers diagnosed with autism spectrum disorder. Developmental Neurorehabilitation, 16(1), 38–43.
Williams, L. W., Matson, J. L., Jang, J., Beighley, J. S., Rieske, R. D., & Adams, H. L. (2013). Challenging behaviours in toddlers diagnosed with autism spectrum disorders with the DSM-IV-TR and the proposed DSM-5 criteria. Research in Autism Spectrum Disorders, 7(8), 966–972.
Wilson, C. E., Gillan, N., Spain, D., Robertson, D., Roberts, G., Murphy, C. M., & Ohlsen, C. (2013). Comparison of ICD-10R, DSM-IV-TR and DSM-5 in an adult autism spectrum disorder diagnostic clinic. Journal of Autism and Developmental Disorders, 43(11), 2515–2525.
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-V diagnostic criteria. Research in Autism Spectrum Disorders, 6(2), 965–970.
Young, R. L., & Rodi, M. L. (2014). Redefining autism spectrum disorder using DSM-5: the implications of the proposed DSM-5 criteria for autism spectrum disorders. Journal of Autism and Developmental Disorders, 44(4), 758–765.
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Bennett, M., Goodall, E. A Meta-analysis of DSM-5 Autism Diagnoses in Relation to DSM-IV and DSM-IV-TR. Rev J Autism Dev Disord 3, 119–124 (2016). https://doi.org/10.1007/s40489-016-0070-4
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DOI: https://doi.org/10.1007/s40489-016-0070-4