Exploring the Proposed DSM-5 Criteria in a Clinical Sample
Abstract
The proposed DSM-5 criteria for Autism Spectrum Disorder (ASD) depart substantially from the previous DSM-IV criteria. In this file review study of 131 children aged 2-12, previously diagnosed with either Autistic Disorder or Pervasive Developmental Disorder-Not Otherwise Specified (PDD-NOS), 63 % met the new DSM-5 ASD criteria, including 81 % previously diagnosed with Autistic Disorder and only 17 % of those with PDD-NOS. The proportion of children meeting DSM-5 differed by IQ grouping as well, with higher rates in lower IQ groups. Children who did meet criteria for ASD had significantly lower levels of cognitive and adaptive skills and greater autism severity but were similar in age. These findings raise concerns that the new DSM-5 criteria may miss a number of children who would currently receive a diagnosis.
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In a couple of studies, the proportion of subjects who no longer met criteria for ASD but did meet criteria for SCD ranged from 4.2% (2/48) to 63.2% (12/19).
“Interestingly, in a couple of studies it was observed that out of the subjects who no longer met criteria for ASD but did meet criteria for the diagnosis of SCD ranged between 4.2 % (2/48) [20] to 63.2% (12/19) [25].”
Earlier studies consisted of patients who were already carrying a diagnostic label and were tried to be fit into DSM-5 ASD criteria.
“Earlier studies [17,18,20,26,44] consisted of patients who were already carrying a diagnostic label and were tried to be fit into DSM-5 ASD criteria.”
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- Authors
- Taheri, A., & Perry, A.
- Affiliations
- York University (CA)
- Corresponding author
- Perry, Adrienne
- ORCID
- Perry, Adrienne
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2012-07-18
- Volume
- 42
- Issue
- 9
- Pages
- 1810-1817
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- OpenAlex
- W1984906688
- Cited by
- 78
- References
- 12
- Citations by year
- 2026: 1 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 4 · 2019: 3 · 2018: 5 · 2017: 2 · 2016: 10 · 2015: 6 · 2014: 18 · 2013: 18 · 2012: 4
- FWCI
- 7.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- autism spectrum disorder, DSM-5 diagnostic criteria, DSM-IV diagnostic criteria, diagnostic criteria revision, autistic disorder, pervasive developmental disorder not otherwise specified, underdiagnosis, IQ, autism severity, children
- MeSH terms
- Activities of Daily Living, Child, Child Development Disorders, Pervasive, Child, Preschool, Cognition, Female, Humans, Male, Neuropsychological Tests, Severity of Illness Index, Social Adjustment, Diagnostic and Statistical Manual of Mental Disorders
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