The Effects of DSM5 Autism Diagnostic Criteria on Number of Individuals Diagnosed with Autism Spectrum Disorders: A Systematic Review
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In meta-analyses by Smith et al., Kulage et al., and Sturmey and Dalfren, re-diagnosing previously diagnosed DSM-IV-TR cases under DSM-5 ASD resulted in reductions of 25-50%, 31%, and 37%, respectively.
“In the meta analyses by Smith et al [41], Kulage et al [42] and Sturmey and Dalfren [43], there was a 25-50%, 31% and 37% reduction when previously diagnosed cases on DSM-IV-TR were re-diagnosed under DSM 5 ASD.”
From Comparison of the diagnostic criteria for Autism spectrum disorder (ASD) using Diagnostic and Statistical Manual (DSM) and International Classification of Diseases (ICD): A study from North India (2021) · cites this paper as [43]
The Results report a median 36.97% reduction across 12 studies, supporting the cited 37% figure. But the Procedure and Results do not describe all cases as previously diagnosed under DSM-IV-TR: some samples included people meeting clinical criteria or only likely to have ASD, and one study used a heterogeneous sample. The paper calls itself a systematic review and reports a median, rather than a pooled meta-analysis. (LLM, conf=0.86)
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“Second, several studies have found that individuals who meet DSM5 criteria have more severe disabilities than individuals that meet DSM-IV, but not DSM5 criteria for ASD (Matson et al. 2012a; McPartland et al. 2012).”
BackgroundMattila, M.-L., Kielinen, M., Linna, S.-L., Jussila, K., Ebeling, H., Bloigu, R., Joseph, R. M., & Moilanen, I. (2011) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2011.04.001 · Cited by 373 · cited 2× · see citing works
“This search located an additional Mattila et al. (2011) 5,484 children aged 8 years Instruments were the Autism Spectrum Screening Questionnaire, ADI-R, ADOS, and WISCR by a clinical and a research psychologist.”
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“The study by Huerta et al. (2012) was excluded since although, this study’s abstract reported a reduction of 9 % in the number of P. Sturmey : S. Dalfern Queens College, City University of New York, New York, NY, USA P. Sturmey (*) : S. Dalfern Queens College, City University of New York, New York,…”
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“…N=85/111 AD: 16.6 % reduction N=15/18 ASD:10.2 % reduction N=53/59 PDDNOS: 50 % reduction N=17/34 Matson et al. (2012a) 36.53 % reduction N=99/156 Matson et al. (2012b) 47.74 % reduction N=404/773 Matson et al. (2012c) 47.79 % reduction N=415/795 PDDNOS: 78.94 % reduction N=72/342 ASD: 24.28 %…”
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“Reductions were not uniform, but were much smaller in individuals with more severe forms of ASD, but were approximately two thirds for less severe forms of Mattila et al. (2011) 54 % Reduction N=12/26 AD: 100 % reduction N=0/11 Low IQ: 0 % reduction N=4/4 IQ=50–69High IQ: 63.6 % reduction N=8/22 IQ >70 Gibbs et al. (2…”
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DSM-5 ASD Moves Forward into the Past
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- Authors
- Sturmey, P., & Dalfern, S.
- Affiliations
- Queens College, CUNY (US)
- Corresponding author
- Sturmey, Peter
- ORCID
- Sturmey, Peter
- Venue
- Review Journal of Autism and Developmental Disorders
- Published
- 2014-06-21
- Volume
- 1
- Issue
- 4
- Pages
- 249-252
- ISSN
- 2195-7177 (ISSN-L)
- 2195-7185
- OpenAlex
- W2003841293
- Cited by
- 27
- References
- 20
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 4 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 1 · 2015: 5
- FWCI
- 0.26
- Type
- journal article
- Language
- en
- Update notices
- correction (2014-08-21)
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Review Journal of Autism and Developmental Disorders (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 revision, autism diagnosis, diagnostic yield, mild autism, autism prevalence
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