Application of DSM-5 Criteria for Autism Spectrum Disorder to Three Samples of Children With DSM-IV Diagnoses of Pervasive Developmental Disorders
Open accessAbstract
OBJECTIVE: Substantial revisions to the DSM-IV criteria for autism spectrum disorders (ASDs) have been proposed in efforts to increase diagnostic sensitivity and specificity. This study evaluated the proposed DSM-5 criteria for the single diagnostic category of autism spectrum disorder in children with DSM-IV diagnoses of pervasive developmental disorders (PDDs) and non-PDD diagnoses. METHOD: Three data sets included 4,453 children with DSM-IV clinical PDD diagnoses and 690 with non-PDD diagnoses (e.g., language disorder). Items from a parent report measure of ASD symptoms (Autism Diagnostic Interview-Revised) and clinical observation instrument (Autism Diagnostic Observation Schedule) were matched to DSM-5 criteria and used to evaluate the sensitivity and specificity of the proposed DSM-5 criteria and current DSM-IV criteria when compared with clinical diagnoses. RESULTS: Based on just parent data, the proposed DSM-5 criteria identified 91% of children with clinical DSM-IV PDD diagnoses. Sensitivity remained high in specific subgroups, including girls and children under 4. The specificity of DSM-5 ASD was 0.53 overall, while the specificity of DSM-IV ranged from 0.24, for clinically diagnosed PDD not otherwise specified (PDD-NOS), to 0.53, for autistic disorder. When data were required from both parent and clinical observation, the specificity of the DSM-5 criteria increased to 0.63. CONCLUSIONS: These results suggest that most children with DSM-IV PDD diagnoses would remain eligible for an ASD diagnosis under the proposed DSM-5 criteria. Compared with the DSM-IV criteria for Asperger's disorder and PDD-NOS, the DSM-5 ASD criteria have greater specificity, particularly when abnormalities are evident from both parents and clinical observation.
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The shift from multiple subcategories to a single dimension resulted in improved diagnostic specificity and good diagnostic sensitivity, with over 90% of children with PDDs meeting DSM-5 ASD criteria, and the remainder likely captured by the new social communication disorder diagnosis.
“Furthermore, the shift from multiple subcategories to a single dimension resulted in improved diagnostic specificity and good diagnostic sensitivity, with over 90% of children with PDDs meeting DSM-5 ASD criteria (Huerta et al. 2012; Mandy et al. 2012), and with the remainder likely captured by the new social communication disorder diagnosis.”
From The Diagnosis of Autism: From Kanner to DSM-III to DSM-5 and Beyond (2021) · cites this paper as Huerta et al. 2012
Split into 2 atoms — 0 confirmed, 1 partially supported, 1 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredHuerta and colleagues reported sufficient sensitivity for PDD-NOS, Asperger's disorder, girls, and children with nonverbal IQ under 70, but the corresponding specificity values varied widely and were frequently too low.
“In addition, they report adequate sensitivity for children diagnosed with PDD-NOS and Asperger's Disorder, and for girls and children with nonverbal IQs below 70.Specificity estimates for those groups were highly variable and often unacceptably low.”
From Sensitivity and Specificity of Proposed DSM-5 Criteria for Autism Spectrum Disorder in Toddlers (2013) · cites this paper as Huerta, Bishop, Duncan, Hus, and Lord (2012)
The Results report DSM-5 sensitivity of .77–.94 for children with Asperger disorder or PDD-NOS, .88–.93 for females, and .93–.97 for children with nonverbal IQ ≤70. The Results also describe low specificity that varies by sample and assessment method, but the cited passages do not give corresponding specificity estimates for each of those diagnostic and demographic groups. Page numbers were unavailable in our copy. (LLM, conf=0.83)
Experimental — accuracy not yet measuredRetrospective analyses of large ASD data repositories indicate that the majority of individuals with DSM-IV PDD will continue to meet criteria for ASD under DSM-5.
“Retrospective analyses of large ASD data repositories indicate that the majority of individuals with DSM-IV PDD will continue to meet criteria for ASD under DSM-5, but prospective studies are needed to understand how diagnoses of ASD and social (pragmatic) communication disorder, as well as new ASD specifiers, modifiers, and severity ratings, will function in practice.”
From Recent Advances in Autism Research as Reflected in DSM-5 Criteria for Autism Spectrum Disorder (2015) · cites this paper as Huerta et al. 2012
The Conclusions (page not provided) say that the majority of children with DSM-IV PDD diagnoses would remain eligible for an ASD diagnosis under DSM-5. The Methods describe analysis of previously collected data from three large datasets. The claim says “individuals,” but the study included children aged 2–17; its Limitations explicitly call for replication in adults. (LLM, conf=0.86)
Experimental — accuracy not yet measuredData from older children and adolescents suggested that by far the greatest majority of those with DSM-IV diagnoses of any PDD met DSM-5 social communication criteria currently.
“The data from older children and adolescents suggested that by far the greatest majority of those with DSM-IV diagnoses of any PDD met DSM-5 social communication criteria currently (Huerta et al. 2012)”
From Recent Advances in Autism Research as Reflected in DSM-5 Criteria for Autism Spectrum Disorder (2015) · cites this paper as Huerta et al. 2012
The Results (DSM-5 Domains; page unavailable) show that relatively few participants with DSM-IV PDD diagnoses failed the DSM-5 social communication domain, supporting the claim’s main point. The Methods (Statistical Analysis; page unavailable) include ages 2–17, but the cited passages do not establish this finding specifically for older children and adolescents or show that all qualifying symptoms reflected current functioning. (LLM, conf=0.82)
Experimental — accuracy not yet measuredWhen datasets were examined, almost all individuals with any ASD had behaviors from at least one RRB subdomain, and when history was taken into account, the vast majority had behaviors from at least two or even three of the different DSM-5 subdomains.
“when datasets were examined, almost all individuals with any ASD (i.e., PDD-NOS, Asperger's, or autism) had behaviors from at least one RRB subdomain, and when history was taken into account, the vast majority had behaviors from at least two or even three of the different DSM-5 subdomains (Huerta et al. 2012).”
From Recent Advances in Autism Research as Reflected in DSM-5 Criteria for Autism Spectrum Disorder (2015) · cites this paper as Huerta et al. 2012
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
There is some overlap between criterion A1 and criterion A3 in social communication.
“there is some overlap between criterion A 1 and criterion A 3 (Huerta et al., 2012)”
From Sensitivity and Specificity of Proposed DSM-5 Criteria for Autism Spectrum Disorder in Toddlers (2013) · cites this paper as Huerta et al., 2012
Huerta and colleagues reported that the new criteria detected 91% of children who had a DSM-IV-TR PDD diagnosis, with specificity estimated at .53.
“They report that the new DSM-5 criteria identified 91% of the children with DSM-IV-TR diagnoses of PDD with specificity estimated at .53.”
From Sensitivity and Specificity of Proposed DSM-5 Criteria for Autism Spectrum Disorder in Toddlers (2013) · cites this paper as Huerta, Bishop, Duncan, Hus, and Lord (2012)
Another substantially large retrospective study using data from three existing datasets found few differences between the two systems in sensitivity.
“However, another substantially large retrospective study using data from three existing datasets found few differences between the two systems in sensitivity [15].”
From Subgrouping the Autism Spectrum: Reflections on DSM-5 (2013) · cites this paper as [15]
A large study using major databases found that more than four times as many autistic children failed to meet the social communication domain requirement only (more than 6.2%) as compared to the restricted and repetitive behavior domain (less than 1.5%).
“a large study using major databases found that more than four times as many autistic children failed to meet the social communication domain requirement only (more than 6.2%) as compared to the restricted and repetitive behavior domain (less than 1.5%; Huerta et al. [35]).”
From Lobbying Autism's Diagnostic Revision in the DSM-5 (2020) · cites this paper as [35]
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.”
Analyses that include both ASD and non-ASD participants highlight the poor specificity that is achieved when only symptom counts (from DSM-IV or DSM-5) are considered.
“Moreover, analyses that include both ASD and non-ASD participants highlight the poor specificity that is achieved when only symptom counts (from DSM-IV or DSM-5) are considered (e.g., Huerta et al. 2012).”
From Recent Advances in Autism Research as Reflected in DSM-5 Criteria for Autism Spectrum Disorder (2015) · cites this paper as Huerta et al. 2012
An investigation of large datasets that included multiple questions about behavior indicated that few children with any former PDD diagnosis (including PDD-NOS) would fail to meet ASD criteria.
“An investigation of large datasets that included multiple questions about behavior, such as the ADI-R or the Social Responsiveness Scale (Constantino & Gruber 2005), indicated that few children with any former PDD diagnosis (including PDD-NOS) would fail to meet ASD criteria (Frazier et al. 2012, Huerta et al. 2012).”
From Recent Advances in Autism Research as Reflected in DSM-5 Criteria for Autism Spectrum Disorder (2015) · cites this paper as Huerta et al. 2012
DSM-IV subtypes have poor predictive ability of later outcome.
“and poor predictive ability of later outcome based on these subtypes [17,18]”
From DSM-5 and autism spectrum disorders (ASDs): an opportunity for identifying ASD subtypes (2013) · cites this paper as [18]
The Introduction describes the study as comparing DSM-IV and proposed DSM-5 diagnostic criteria, and the Results report classification sensitivity and specificity against current diagnoses. Neither passage addresses whether DSM-IV subtypes predict later outcomes; searches for outcome, predictive validity, and diagnostic stability found no such finding in our copy. Page numbers were not available. (LLM, conf=0.73)
Experimental — accuracy not yet measured
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Wilson, C. E., Gillan, N., Spain, D., Robertson, D., Roberts, G., Murphy, C. M., Maltezos, S., Zinkstok, J., Johnston, K., Dardani, C., et al. (2013) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-013-1799-6 · Cited by 99 · see citing works
“Reassuringly, however, a large study of children diagnosed within the PDD category according to DSM-IV-TR suggested that sensitivity of DSM-5 is very good (0.91) although sensitivity in this study was much lower (0.53) (Huerta et al. 2012).”
BackgroundInfluentialMichelini, G., Carlisi, C. O., Eaton, N. R., Elison, J. T., Haltigan, J. D., Kotov, R., Krueger, R. F., Latzman, R. D., Li, J. J., Levin-Aspenson, H. F., et al. (2024) · World Psychiatry · doi:10.1002/wps.21225 · Cited by 99 · see citing works
“At the same time, many individuals who do not meet criteria for a DSM-5 diagnosis nonetheless still show features of ASD 350,351 and other psychiatric conditions 30 .”
Autism, females, and the DSM-5: Gender bias in autism diagnosis
Haney, J. L. (2015) · Social Work in Mental Health · doi:10.1080/15332985.2015.1031858 · Cited by 93 · see citing works
“(Huerta et al., 2012, 2012; McPartland et al., 2012; Taheri & Perry, 2012). To date, just two studies have conducted prospective analyses comparing final DSM-5 criteria to DSM-IV (APA, 1994) criteria for diagnosing autism (Kim et al., 2014; Mayes et al., 2014). As yet, there appears to be no research focusing on gende…”
BackgroundInfluentialBolis, D., & Schilbach, L. (2017) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2017.01.009 · Cited by 92 · see citing works
“Autism is a pervasive developmental condition, which is charcterized by difficulties in social interaction and communication, and, second, a group of non-specifically or less social (hereafter, for simplicity, non-social) aspects (e.g. Huerta et al., 2012; Fitzgibbon et al., 2013).”
Kupfer, D. J., Kuhl, E. A., & Regier, D. A. (2013) · JAMA · doi:10.1001/jama.2013.2298 · Cited by 82 · see citing works
Diagnosing Autism Spectrum Disorder: who will get a DSM‐5 diagnosis?
Kent, R. G., Carrington, S. J., Couteur, A. S. L., Gould, J., Wing, L., Maljaars, J., Noens, I. L. J., van Berckelaer‐Onnes, I., & Leekam, S. (2013) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12085 · Cited by 82 · see citing works
“…improve sensitivity in studies including higher functioning individuals with ASD has been to propose alterations to the DSM-5 rules (mostly through relaxing the criteria for domain A from 3/3 subdomains to 2/3), an approach that has typically resulted in good sensitivity (e.g. Heurta et al., 2012).”
BackgroundMethodResultInfluentialDiagnostic heterogeneity in psychiatry: towards an empirical solution
Wardenaar, K. J., & de Jonge, P. (2013) · BMC Medicine · doi:10.1186/1741-7015-11-201 · Cited by 81 · see citing works
“With the launch of the fifth version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the debate about current psychiatric diagnostics has come into the limelight again, focusing on specific alterations in the DSM-5, such as the deletion of pervasive developmental disorder not otherwise specified…”
BackgroundDell’Osso, L., Luche, R. D., Gesi, C., Moroni, I., Carmassi, C., & Maj, M. (2016) · Clinical Practice and Epidemiology in Mental Health · doi:10.2174/1745017901612010120 · Cited by 79 · see citing works
“[38] Huerta M, Bishop SL, Duncan A, Hus V, Lord C.”
BackgroundKatsigianni, M., Karageorgiou, V., Lambrinoudaki, I. V., & Siristatidis, C. S. (2019) · Molecular Psychiatry · doi:10.1038/s41380-019-0398-0 · Cited by 73 · see citing works
Autism-associated SHANK3 mutations impair maturation of neuromuscular junctions and striated muscles
Lutz, A.-K., Pfaender, S., Incearap, B., Ioannidis, V., Ottonelli, I., Föhr, K. J., Cammerer, J., Zoller, M., Higelin, J., Giona, F., et al. (2020) · Science Translational Medicine · doi:10.1126/scitranslmed.aaz3267 · Cited by 73 · see citing works
“INTRODUCTION Autism spectrum disorders (ASDs) are complex neurodevelopmental diseases affecting 1 to 2% of the population (1) and are mainly characterized by deficits in social interaction and repetitive behavior (2).”
BackgroundEvaluating social (pragmatic) communication disorder
Mandy, W., Wang, A., Lee, I., & Skuse, D. (2017) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12785 · Cited by 70 · see citing works
Yuen, T., Penner, M., Carter, M. T., Szatmári, P., & Ungar, W. J. (2018) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.13964 · Cited by 69 · see citing works
“First, the diagnostic criteria for ASD have changed from the Diagnostic and Statistical Manual of Mental Disorders (DSM) IV to 5,(36) and validation studies reported that children with severe ASD remain on the spectrum but that some with milder symptoms or those without repetitive behavior do not.(37,38) In turn, the…”
BackgroundChiang, H.-M., Tsai, L. Y., Cheung, Y. K., Brown, A., & Li, H. (2014) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-013-2025-2 · Cited by 66 · see citing works
“Huerta et al. (2012) stated that ‘‘most children with DSM-IV PDD diagnoses would remain eligible for an ASD diagnosis under the proposed DSM-5 criteria.’’”
BackgroundMethodDiagnostic Domain Defense: Autism Spectrum Disorder and the DSM-5
Barker, K., & Galardi, T. R. (2015) · Social Problems · doi:10.1093/socpro/spu001 · Cited by 67 · see citing works
“Some early field trials confirm that, despite the elimination of the Asperger’s and PDD-NOS labels, nearly all existing diagnosed cases will be captured by the new ASD criteria (Huerta et al. 2012).”
BackgroundTrajectories of internalizing and externalizing symptoms among adults with autism spectrum disorders
Woodman, A. C., Seltzer, M. M., & Greenberg, J. S. (2015) · Development and Psychopathology · doi:10.1017/s095457941500108x · Cited by 65 · see citing works
Change in Autism Diagnoses Prior to and Following the Introduction of DSM-5
Bent, C. A., Barbaro, J., & Dissanayake, C. (2016) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-016-2942-y · Cited by 65 · see citing works
The influence of parental concern on the utility of autism diagnostic instruments
Havdahl, K. A., Bishop, S. L., Surén, P., Øyen, A., Lord, C., Pickles, A., von Tetzchner, S., Schjølberg, S., Gunnes, N., Hornig, M., et al. (2017) · Autism Research · doi:10.1002/aur.1817 · Cited by 64 · see citing works
Self-citationNational study of school psychologists’ use of evidence-based assessment in autism spectrum disorder
Aiello, R., Ruble, L., & Esler, A. (2017) · Journal of Applied School Psychology · doi:10.1080/15377903.2016.1236307 · Cited by 65 · see citing works
Update on diagnostic classification in autism
King, B. H., Navot, N., Bernier, R., & Webb, S. J. (2014) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000040 · Cited by 64 · see citing works
“[29] reported relatively high specificity (95%) and sensitivity (91%) with the suggested DSM-5 criteria in their retrospective data analysis on a large database including 4453 children and adolescents with DSM-IV PDD using just parent data [Autism Diagnostic Interview-Revised (ADI-R)].”
BackgroundYoung, R. L., & Rodi, M. L. (2014) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-013-1927-3 · Cited by 99 · see citing works
Mayes, S. D., Calhoun, S. L., Murray, M. J., Pearl, A. M., Black, A., & Tierney, C. D. (2013) · Research in Autism · doi:10.1016/j.rasd.2013.11.002 · Cited by 60 · see citing works
Kerin, T., Volk, H. E., Li, W., Lurmann, F. W., Eckel, S. P., McConnell, R., & Hertz‐Picciotto, I. (2017) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-017-3304-0 · Cited by 60 · see citing works
“statistics, published in 2016, reflect diagnostic criteria prior to the adoption of DSM-5, early comparisons of diagnoses appear similar suggesting that prevalence may also be so across criteria revisions (Huerta et al. 2012; Kim et al. 2014; Mattila et al. 2011).”
BackgroundLobar, S. L. (2015) · Journal of Pediatric Health Care · doi:10.1016/j.pedhc.2015.09.005 · Cited by 59 · see citing works
Diagnosing autism in neurobiological research studies
Jones, R. M., & Lord, C. (2013) · Behavioural Brain Research · doi:10.1016/j.bbr.2012.10.037 · Cited by 56 · see citing works
Self-citationThe profile of pragmatic language impairments in children with ADHD: A systematic review
Carruthers, S., Taylor, L. J., Sadiq, H., & Tripp, G. (2021) · Development and Psychopathology · doi:10.1017/s0954579421000328 · Cited by 57 · see citing works
Comparison of DSM-IV and DSM-5 Factor Structure Models for Toddlers With Autism Spectrum Disorder
Guthrie, W., Swineford, L. B., Wetherby, A. M., & Lord, C. (2013) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2013.05.004 · Cited by 55 · see citing works
Self-citationA Concise History of Asperger Syndrome: The Short Reign of a Troublesome Diagnosis
Barahona-Corrêa, B., & Filipe, C. N. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.02024 · Cited by 55 · see citing works
“In fact, field trials showed that DSM-5 ASD has improved specificity at the cost of excluding more cognitively able individuals, including up to 75% of those previously diagnosed with AS (Frazier et al., 2012; Huerta et al., 2012; McPartland et al., 2012; Mayes et al., 2013).”
BackgroundAlnajjar, F. S. K., Cappuccio, M. L., Renawi, A., Mubin, O., & Loo, C. K. (2020) · International Journal of Social Robotics · doi:10.1007/s12369-020-00639-8 · Cited by 55 · see citing works
Joshi, G., Wozniak, J. R., Fitzgerald, M., Faraone, S. V., Fried, R. S., Galdo, M., Furtak, S. L., Conroy, K., Kilcullen, J. R., Belser, A. H., et al. (2018) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-018-3542-9 · Cited by 53 · see citing works
“The ASD diagnoses were based on DSM-IV, and as a minority of the ASD were of the PDD-NOS subtype, most of the ASD subjects with ASD diagnoses were of autistic disorder and Asperger’s disorder subtype will still meet diagnostic criteria in the DSM-V as suggested by literature on diagnostic stability between the two DSM…”
MethodJonsson, U., Olsson, N. C., & Bölte, S. (2015) · Autism · doi:10.1177/1362361315583817 · Cited by 51 · see citing works
“The use of PDD-NOS as a diagnostic category may vary between countries depending on diagnostic routines, traditions, and applied diagnostic systems (Elsabbagh et al., 2012; Huerta et al., 2012).”
MethodDSM-5 Changes and the Prevalence of Parent-Reported Autism Spectrum Symptoms in Fragile X Syndrome
Wheeler, A., Mussey, J. L., Villagomez, A. N., Bishop, E. E., Raspa, M., Edwards, A., Bodfish, J. W., Bann, C., & Bailey, D. B. (2014) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-014-2246-z · Cited by 51 · see citing works
“Although significant changes in criteria were made with the most recent revision of the DSM, projected estimates recorded before the DSM-5’s official publication suggested that more than 90 % of individuals who were classified by one of the previous DSM-IV-TR diagnoses would meet criteria for an ASD diagnosis by propo…”
BackgroundMazurek, M. O., Lu, F., Symecko, H., Butter, E., Bing, N. M., Hundley, R. J., Poulsen, M., Kanne, S. M., Macklin, E. A., & Handen, B. L. (2017) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-017-3200-7 · Cited by 49 · see citing works
“Across studies of draft criteria, sensitivity was markedly lower among those with PDD NOS (Huerta et al. 2012; Matson et al. 2012; McPartland et al. 2012; Taheri and Perry 2012) and for those with higher IQ (McPartland et al.”
BackgroundBertelsen, N., Landi, I., Bethlehem, R. A. I., Seidlitz, J., Busuoli, E. M., Mandelli, V., Satta, E., Trakoshis, S., Bonnie Auyeung, B., Kundu, P., et al. (2021) · Communications Biology · doi:10.1038/s42003-021-02015-2 · Cited by 50 · see citing works
Deep brain stimulation for severe autism: from pathophysiology to procedure
Sinha, S. R., McGovern, R. A., & Sheth, S. A. (2015) · Neurosurgical FOCUS · doi:10.3171/2015.3.focus1548 · Cited by 51 · see citing works
The Yin and Yang of Autism Genetics: How Rare De Novo and Common Variations Affect Liability
Chaste, P., Roeder, K., & Devlin, B. (2017) · Annual Review of Genomics and Human Genetics · doi:10.1146/annurev-genom-083115-022647 · Cited by 49 · see citing works
“Complex repetitive behaviors observed in ASD rarely occur in typically developing children (47), whereas they cluster with socio-affective symptoms in the clinical population (63, 148).”
BackgroundAge-related trends in treatment use for children with autism spectrum disorder
Mire, S. S., Raff, N. S., Brewton, C. M., & Goin‐Kochel, R. P. (2015) · Research in Autism · doi:10.1016/j.rasd.2015.03.001 · Cited by 49 · see citing works
Kulage, K. M., Goldberg, J., Usseglio, J., Romero, D., Bain, J., & Smaldone, A. M. (2019) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-019-03967-5 · Cited by 47 · see citing works
Health care transition services for youth with autism spectrum disorders.
Cheak‐Zamora, N., Farmer, J. E., Mayfield, W. A., Clark, M. J., Marvin, A. R., Law, K., & Law, P. A. (2014) · Rehabilitation Psychology · doi:10.1037/a0036725 · Cited by 46 · see citing works
Altered Gesture and Speech Production in ASD Detract from In-Person Communicative Quality
Morett, L. M., O’Hearn, K. M., Luna, B., & Ghuman, A. S. (2015) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-015-2645-9 · Cited by 45 · see citing works
“Thus, given that about 91 % of individuals who meet DSM-IV criteria for PDDs other than Rett’s also meet DSM-5 criteria for autism spectrum disorder (Huerta et al. 2014), it may be the case that not all of the participants would be diagnosed with autism spectrum disorder under DSM-5 criteria.”
BackgroundComparing Diagnostic Outcomes of Autism Spectrum Disorder Using DSM-IV-TR and DSM-5 Criteria
Harstad, E. B., Fogler, J., Sideridis, G. D., Weas, S., Mauras, C. P., & Barbaresi, W. J. (2014) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-014-2306-4 · Cited by 45 · see citing works
Wright, S. D., Wright, S. D., Brooks, D., D’Astous, V., & Grandin, T. (2013) · Autism Insights · doi:10.4137/aui.s11072 · Cited by 45 · see citing works
Disorders of speech, language, and communication
Norbury, C., & Paul, R. (2015) · Wiley eBooks · doi:10.1002/9781118381953.ch52 · Cited by 44 · see citing works
Audunsdottir, K., Sartorius, A. M., Kang, H., Glaser, B. D., Bøen, R., Nærland, T., Alaerts, K., Kildal, E. S.-M., Westlye, L. T., Andreassen, O. A., et al. (2024) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2024.107067 · Cited by 41 · see citing works
“Despite this change, the DSV-V criteria for ASD captures over 90% of people who meet criteria for PDD (Huerta et al., 2012).”
Treating clients with Asperger’s syndrome and autism
Woods, A. G., Mahdavi, E., & Ryan, J. P. (2013) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/1753-2000-7-32 · Cited by 43 · see citing works
“In contrast, other studies have suggested that the impact of the revisions may be to reduce false positive diagnoses of ASDs [10] or that most children with DSM-IV ASD diagnoses will remain diagnosed under DSM-5 criteria [11].”
ResultModeling Neurodevelopmental Disorders Using Human Pluripotent Stem Cells
Telias, M., & Ben-Yosef, D. (2014) · Stem Cell Reviews and Reports · doi:10.1007/s12015-014-9507-2 · Cited by 42 · see citing works
“ASDs include four separate disorders: autism, Asperger's disorder, childhood disintegrative disorder (CDD) and otherwise not specified pervasive developmental disorder (PDD) [94] [95].”
Matheis, M., Matson, J. L., Hong, E. S., & Cervantes, P. E. (2018) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-018-3819-z · Cited by 42 · see citing works
Foley-Nicpon, M., L. Fosenburg, S., G. Wurster, K., & Assouline, S. G. (2017) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-016-2973-4 · Cited by 41 · see citing works
DSM-5 Autism Spectrum Disorder: In search of essential behaviours for diagnosis
Carrington, S. J., Kent, R. G., Maljaars, J., Couteur, A. S. L., Gould, J., Wing, L., Noens, I. L. J., van Berckelaer‐Onnes, I., & Leekam, S. (2014) · Research in Autism · doi:10.1016/j.rasd.2014.03.017 · Cited by 41 · see citing works
Developmental Language Disorders: Challenges and Implications of Cross-Group Comparisons
Weismer, S. E. (2013) · Folia Phoniatrica et Logopaedica · doi:10.1159/000353896 · Cited by 41 · see citing works
Hoppenbrouwers, M., Vandermosten, M., & Boets, B. (2014) · Research in Autism · doi:10.1016/j.rasd.2013.12.018 · Cited by 40 · see citing works
Couteur, A. S. L., & Szatmári, P. (2015) · Wiley eBooks · doi:10.1002/9781118381953.ch51 · Cited by 45 · see citing works
Impact of DSM-5 on epidemiology of Autism Spectrum Disorder
Tsai, L. Y. (2014) · Research in Autism Spectrum Disorders · doi:10.1016/j.rasd.2014.07.016 · Cited by 39 · see citing works
Goin-Kochel, R., Esler, A., Kanne, S., & Hus, V. (2014) · Research in Autism · doi:10.1016/j.rasd.2014.04.002 · Cited by 36 · see citing works
Miller, V. M., Zhu, Y., Bucher, C., McGinnis, W., Ryan, L. K., Siegel, A., & Zalcman, S. (2013) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2013.07.002 · Cited by 36 · see citing works
Taylor, L. J., & Whitehouse, A. (2016) · Australian Psychologist · doi:10.1111/ap.12222 · Cited by 38 · see citing works
Global and local visual processing in autism: An objective assessment approach
Nayar, K., Voyles, A. C., Kiorpes, L., & Martino, A. D. (2017) · Autism Research · doi:10.1002/aur.1782 · Cited by 39 · see citing works
Xavier, J., Bursztejn, C., Stiskin, M., Canitano, R., & Cohen, D. (2015) · Research in Autism · doi:10.1016/j.rasd.2015.06.011 · Cited by 36 · see citing works
WhatDSM-5Could Mean to Children With Autism and Their Families
Halfon, N., & Kuo, A. A. (2013) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2013.2188 · Cited by 35 · see citing works
McEwen, F. S., Stewart, C. S., Colvert, E., Woodhouse, E., Curran, S. R., Gillan, N., Hallett, V., Lietz, S., Garnett, T., Ronald, A., et al. (2015) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12447 · Cited by 35 · see citing works
A Meta-analysis of DSM-5 Autism Diagnoses in Relation to DSM-IV and DSM-IV-TR
Bennett, M., & Goodall, E. (2016) · Review Journal of Autism and Developmental Disorders · doi:10.1007/s40489-016-0070-4 · Cited by 38 · see citing works
Trends in concept and nosology of autism spectrum disorder: A review
Gyawali, S., & Patra, B. N. (2019) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2019.01.021 · Cited by 35 · see citing works
Lobbying Autism's Diagnostic Revision in the DSM-5
Kapp, S. K., & Ne’eman, A. (2020) · Autistic Community and the Neurodiversity Movement · doi:10.1007/978-981-13-8437-0_13 · Cited by 33 · see citing works
The Interrater Reliability of the Autism Diagnostic Interview-Revised (ADI-R) in Clinical Settings
Zander, E., Willfors, C., Berggren, S., Coco, C., Holm, A., Jifält, I., Kosieradzki, R., Linder, J., Nordin, V., Olafsdottir, K., et al. (2017) · Psychopathology · doi:10.1159/000474949 · Cited by 33 · see citing works
de la Peña, F. R., Rosetti, M., Rodríguez-Delgado, A., Villavicencio, L. R., Palacio, J. D., Montiel‐Nava, C., Mayer, P. A., Félix, F. J., Marcela Larraguibel, Q., Viola, L., et al. (2018) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2018.02.029 · Cited by 33 · see citing works
“The results of the current study support the inclusion of ASD as part of the K-SADS-PL, which was considered a limitation of the previous version (Leffler et al., 2014), and add validity to the report of Zavaleta-Ramirez et al. (2014) which found good interrater reliability for ASD in the K-SADS-PL Spanish version.”
BackgroundInfluentialHyperperfusion of Frontal White and Subcortical Gray Matter in Autism Spectrum Disorder
Peterson, B. S., Zargarian, A., Peterson, J. B., Goh, S., Sawardekar, S., Williams, S., Lythgoe, D. J., Zelaya, F. O., & Bansal, R. (2018) · Biological Psychiatry · doi:10.1016/j.biopsych.2018.11.026 · Cited by 33 · see citing works
“Because substantial evidence suggests that most individuals with DSM-IV-based PDD diagnoses also meet DSM 5 criteria for a diagnosis of ASD(59), for ease of reference we herein used the DSM 5 designation.”
MethodICD-11—Comparison With DSM-5 and Implications for Child & Adolescent Psychiatric Disorders
Garralda, M. E. (2016) · Elsevier eBooks · doi:10.1016/b978-0-12-804394-3.00002-4 · Cited by 32 · see citing works
Yuen, T., Carter, M. T., Szatmári, P., & Ungar, W. J. (2018) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-018-3571-4 · Cited by 33 · see citing works
“Inputs for the diagnostic accuracy were the inverse-variance weighted averages of published values (Huerta et al. 2012; McPartland et al. 2012).”
Method
- Authors
- Huerta, M., Bishop, S. L., Duncan, A., Hus, V., & Lord, C.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- Venue
- American Journal of Psychiatry
- Published
- 2012-10
- Volume
- 169
- Issue
- 10
- Pages
- 1056-1064
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- PMC
- PMC6003412
- OpenAlex
- W2111411972
- Semantic Scholar
- ce429d77f9bbe9de7d0d8aa97f126480971490e9
- Cited by
- 341
- References
- 19
- Citations by year
- 2026: 3 · 2025: 13 · 2024: 7 · 2023: 11 · 2022: 13 · 2021: 28 · 2020: 16 · 2019: 20 · 2018: 28 · 2017: 30 · 2016: 35 · 2015: 37 · 2014: 50 · 2013: 43 · 2012: 6
- FWCI
- 22.26
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Rutgers University Community Repository (Rutgers University) (submittedVersion)
- Funders
- National Institutes of Health (5rc1mh089721-02)
- National Institute of Mental Health (RC1 MH-089721, R01MH081873)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD065277)
- 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 › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- autism spectrum disorder, DSM-5 diagnostic criteria, DSM-IV, pervasive developmental disorders, sensitivity and specificity, Asperger syndrome, pervasive developmental disorder not otherwise specified, autistic disorder, children
- MeSH terms
- Adolescent, Autistic Disorder, Child, Child Development Disorders, Pervasive, Child, Preschool, Female, Humans, Male, Psychometrics, Sensitivity and Specificity, Asperger Syndrome, Diagnostic and Statistical Manual of Mental Disorders
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