Skip to main content
Originalarbeiten/Original articles

Autismus-Spektrum Störung nach DSM-5

DSM-5 Kommentar

Published Online:https://doi.org/10.1024/1422-4917/a000288

Die Autismus-Spektrum Störung (ASS) wird in DSM-5 als eine Erkrankung aus den ICD-10 bzw. DSM-IV TR-Diagnosen frühkindlicher Autismus, Asperger Syndrom und atypischer Autismus/PDD-nos zusammengefasst und weist entsprechend revidierte Kriterien auf. In dem vorliegenden Artikel werden diese Kriterien vergleichend dargestellt, Studien zu Validität und Reliabilität der neuen ASS-Diagnose präsentiert und offene Fragen diskutiert. Ein Ausblick auf die klinische und wissenschaftliche Bedeutung wird gegeben.


Autism Spectrum Disorder in DSM-5 – concept, validity, and reliability, impact on clinical care and future research

Autism Spectrum Disorder (ASD) in DSM-5 comprises the former DSM-IV-TR diagnoses of Autistic Disorder, Asperger’s Disorder and PDD-nos. The criteria for ASD in DSM-5 were considerably revised from those of ICD-10 and DSM-IV-TR. The present article compares the diagnostic criteria, presents studies on the validity and reliability of ASD, and discusses open questions. It ends with a clinical and research perspective.

Literatur

  • American Psychiatric Association (APA) (2000). Diagnostic and statistical manual of mental disorders, fourth edition (DSM-IV-TR). Washington, DC: Autor. First citation in articleCrossrefGoogle Scholar

  • American Psychiatric Association (APA) (2013). Diagnostic and statistical manual of mental disorders, fifth edition (DSM-5). Washington, DC: Autor. First citation in articleCrossrefGoogle Scholar

  • 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, 1184–1195. First citation in articleCrossref MedlineGoogle Scholar

  • Bölte, S. , Crecelius, K. , Poustka, F. (2000). The Questionnaire on Behaviour and Social Communication (VSK): An autism screening instrument for research and practice. Diagnostica, 46, 149–155. First citation in articleLinkGoogle Scholar

  • Bolte, S. , Poustka, F. , Constantino, J. N. (2008). Assessing autistic traits: Cross-cultural validation of the Social Responsiveness Scale (SRS). Autism Research, 1, 354–363. First citation in articleGoogle Scholar

  • Coghill, D. , Sonuga-Barke, E. J. (2012). Annual research review: Categories versus dimensions in the classification and conceptualisation of child and adolescent mental disorders – Implications of recent empirical study. Journal of Child Psychology and Psychiatry, 53, 469–489. First citation in articleCrossref MedlineGoogle Scholar

  • Cuthbert, B. N. , Insel, T. R. (2013). Toward the future of psychiatric diagnosis: The seven pillars of RDoC. BMC Medicine, 11, 126. First citation in articleCrossref MedlineGoogle Scholar

  • Frances, A. J. , Nardo, J. M. (2013). ICD-11 should not repeat the mistakes made by DSM-5. British Journal of Psychiatry, 203, 1–2. First citation in articleCrossref MedlineGoogle Scholar

  • Frazier, T. W. , Youngstrom, E. A. , 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. First citation in articleCrossref MedlineGoogle Scholar

  • Freitag, C. M. (2009). Diagnostik und Therapie autistischer Störungen. Monatsschrift Kinderheilkunde, 157, 1257–1266. First citation in articleCrossrefGoogle Scholar

  • Freitag, C. M. (2012). Autistische Störungen – State-of-the-Art und neuere Entwicklungen: Epidemiologie, Ätiologie, Diagnostik und Therapie. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 40, 139–149. First citation in articleLinkGoogle Scholar

  • Freitag, C. M. , Staal, W. , Klauck, S. M. , Duketis, E. , Waltes, R. (2010). Genetics of autistic disorders: Review and clinical implications. European Child and Adolescent Psychiatry, 19, 169–178. First citation in articleCrossref MedlineGoogle Scholar

  • 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, 1750–1756. First citation in articleCrossref MedlineGoogle Scholar

  • Gibson, J. , Adams, C. , Lockton, E. , Green, J. (2013). Social communication disorder outside autism? A diagnostic classification approach to delineating pragmatic language impairment, high functioning autism, and specific language impairment. Journal of Child Psychology and Psychiatry, epub ahead of print. First citation in articleGoogle Scholar

  • Greaves-Lord, K. , Eussen, M. L. , Verhulst, F. C. , Minderaa, R. B. , Mandy, W. , Hudziak, J. J. et al. (2013). Empirically based phenotypic profiles of children with pervasive developmental disorders: Interpretation in the light of the DSM-5. Journal of Autism and Developmental Disorders, 43, 1784–1797. First citation in articleCrossref MedlineGoogle Scholar

  • Grzadzinski, R. , Huerta, M. , Lord, C. (2013). DSM-5 and autism spectrum disorders (ASDs): An opportunity for identifying ASD subtypes. Molecular Autism, 4, 12. First citation in articleCrossrefGoogle Scholar

  • Guthrie, W. , Swineford, L. B. , Wetherby, A. M. , Lord, C. (2013). Comparison of DSM-IV and DSM-5 factor structure models for toddlers with autism spectrum disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 52, 797–805. First citation in articleCrossref MedlineGoogle Scholar

  • Halfon, N. , Kuo, A. A. (2013). What DSM-5 could mean to children with autism and their families. JAMA Pediatrics, 167, 608–613. First citation in articleCrossrefGoogle Scholar

  • Howlin, P. (2003). Outcome in high-functioning adults with autism with and without early language delays: Implications for the differentiation between autism and Asperger syndrome. Journal of Autism and Developmental Disorders, 33, 3–13. First citation in articleCrossref MedlineGoogle Scholar

  • 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, 1056–1064. First citation in articleCrossref MedlineGoogle Scholar

  • Kakooza-Mwesige, A. , Wachtel, L. E. , Dhossche, D. M. (2008). Catatonia in autism: Implications across the lifespan. European Child and Adolescent Psychiatry, 17, 327–335. First citation in articleCrossref MedlineGoogle Scholar

  • Kent, R. G. , Carrington, S. J. , Le Couteur, A. , Gould, J. , Wing, L. , Maljaars, J. et al. (2013). Diagnosing Autism Spectrum Disorder: Who will get a DSM-5 diagnosis? Journal of Child Psychology and Psychiatry, 54, 1242–1250. First citation in articleCrossref MedlineGoogle Scholar

  • Lai, M. C. , Lombardo, M. V. , Chakrabarti, B. , Baron-Cohen, S. (2013). Subgrouping the autism «spectrum»: Reflections on DSM-5. PLoS Biology, 11, e1001544. First citation in articleGoogle Scholar

  • Mandy, W. P. , Charman, T. , Skuse, D. H. (2012). Testing the construct validity of proposed criteria for DSM-5 Autism Spectrum Disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 41–50. First citation in articleCrossref MedlineGoogle Scholar

  • 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, 1236–1242. First citation in articleCrossref MedlineGoogle Scholar

  • 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, 368–383. First citation in articleCrossref MedlineGoogle Scholar

  • Regier, D. A. , Narrow, W. E. , Clarke, D. E. , Kraemer, H. C. , Kuramoto, S. J. , Kuhl, E. A. et al. (2013). DSM-5 field trials in the United States and Canada, Part II: Test-retest reliability of selected categorical diagnoses. American Journal of Psychiatry, 170, 59–70. First citation in articleCrossref MedlineGoogle Scholar

  • Remschmidt, H. , Schmidt, M. H. , Poustka, F. (2012). Multiaxiales Klassifikationsschema für psychiatrische Störungen im Kindes- und Jugendalter nach ICD-10 der WHO (6. Aufl.) Bern: Huber. First citation in articleGoogle Scholar

  • Simonoff, E. , Pickles, A. , Charman, T. , Chandler, S. , Loucas, T. , Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 921–929. First citation in articleCrossref MedlineGoogle Scholar

  • Weitlauf, A. S. , Gotham, K. O. , Vehorn, A. C. , Warren, Z. E. (2013). Brief report: DSM-5 «Levels of Support»: A comment on discrepant conceptualizations of severity in ASD. Journal of Autism and Developmental Disorders, 44, 471–476. First citation in articleCrossrefGoogle Scholar

  • Weltgesundheitsorganisation (WHO) (1993). Internationale Klassifikation psychischer Störungen. ICD-10 Kapitel V (F). Klinisch-diagnostische Leitlinien (2. Aufl.). Bern: Huber. First citation in articleGoogle Scholar