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Application of DSM-5 Criteria for Autism Spectrum Disorder to Three Samples of Children With DSM-IV Diagnoses of Pervasive Developmental Disorders
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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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“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
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“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)
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“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
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“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
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“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
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“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
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“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)
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“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]
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“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]
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“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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“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
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“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
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“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]
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Cited by
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Loomes, R., Hull, L., & Mandy, W. P. L. (2017) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2017.03.013 · Cited by 2,804
Identification, Evaluation, and Management of Children With Autism Spectrum Disorder
Hyman, S. L., Levy, S. E., Myers, S. M., COUNCIL ON CHILDREN WITH DISABILITIES, S. O. D. A. B. P., Kuo, D. Z., Apkon, S., Davidson, L. F., Ellerbeck, K. A., Foster, J. E. A., Noritz, G. H., et al. (2020) · Pediatrics · doi:10.1542/peds.2019-3447 · Cited by 1,798
Autism spectrum disorder: Definition, epidemiology, causes, and clinical evaluation
Hodges, H., Fealko, C., & Soares, N. (2020) · Translational Pediatrics · doi:10.21037/tp.2019.09.09 · Cited by 1,127
“One study found that with parental report of ASD symptoms alone, the DSM-5 criteria identified 91% of children with clinical DSM-IV PDD diagnoses (8).”
BackgroundAutism Spectrum Disorder: Classification, diagnosis and therapy
Sharma, S., Gonda, X., & Tarazi, F. I. (2018) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2018.05.007 · Cited by 745
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Self-citationBehavioural and emotional disorders in childhood: A brief overview for paediatricians
Ogundele, M. O. (2018) · World Journal of Clinical Pediatrics · doi:10.5409/wjcp.v7.i1.9 · Cited by 472
DSM-5 and autism spectrum disorders (ASDs): an opportunity for identifying ASD subtypes
Grzadzinski, R., Huerta, M., & Lord, C. (2013) · Molecular Autism · doi:10.1186/2040-2392-4-12 · Cited by 378
“[21] found that over 90% of children with DSM-IV -defined PDDs were identified by DSM-5 criteria, and”
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Lai, M.-C., Lombardo, M. V., Chakrabarti, B., & Baron-Cohen, S. (2013) · PLoS Biology · doi:10.1371/journal.pbio.1001544 · Cited by 330
The Diagnosis of Autism: From Kanner to DSM-III to DSM-5 and Beyond
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Self-citationPotential Impact of DSM-5 Criteria on Autism Spectrum Disorder Prevalence Estimates
Maenner, M. J., Rice, C. E., Arneson, C. L., Cunniff, C., Schieve, L. A., Carpenter, L. A., Van Naarden Braun, K., Kirby, R. S., Bakian, A. V., & Durkin, M. S. (2014) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2013.3893 · Cited by 292
From Kanner to DSM-5: Autism as an Evolving Diagnostic Concept
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“However, Huerta et al. (2012) reported that only 1.5% of their participant pool met social communication criteria for ASD, but did not meet threshold criteria for RRIBs.”
BackgroundInfluentialAutism spectrum disorder in adults: diagnosis, management, and health services development
Murphy, C. M., Wilson, C., Robertson, D., Ecker, C., Daly, E., Hammond, N., Galanopoulos, A., Dud, I., Murphy, D., & McAlonan, G. M. (2016) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s65455 · Cited by 287
“The impact of changes to the diagnostic criteria for people with ASD is yet to be established.(68) However, a recent study investigating ASD diagnoses made in adulthood compared DSM-5 ASD criteria with ICD-10R and DSM-IV; while the specificity of DSM-5 ASD criteria was good, the sensitivity was relatively poor.”
Autism spectrum disorder: advances in evidence-based practice
Anagnostou, E. A., Zwaigenbaum, L., Szatmári, P., Fombonne, E. J., Fernandez, B. A., Woodbury‐Smith, M., Brian, J. A., Bryson, S. E., Smith, I. M., Drmic, I., et al. (2014) · Canadian Medical Association Journal · doi:10.1503/cmaj.121756 · Cited by 234
“excluded from diagnosis, and thereby from benefits and supports, have not been supported by field trials that compared diagnoses made under DSM-IV and DSM-5.(31)”
Recent Advances in Autism Research as Reflected in DSM-5 Criteria for Autism Spectrum Disorder
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“When evaluated by the 11 QAREL components for overall quality and rigor, only five of the 14 studies (Huerta et al. 2012; Matson et al. 2012c; Mattila et al. 2011; McPartland et al. 2012; Taheri and Perry 2012) met at least half of the applicable quality criteria.”
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“Table 1 Included studies, participant characteristics, and diagnostic tools Study Location Total N Age: M (SD) Se Sp Diagnostic tool DSM-5 tool Version DSM-5 Barton et al. (2013) US 422 2.2 (.4) .84 .55 ADOS & ADI-R ADOS & ADI-R Proposed Beighley and Matson (2014) US 205 8 (3.4) .58 DSM/ICD Checklist Based on DSM-IV-T…”
InfluentialChen, J., Lei, L., Tian, L., Hou, F., Roper, C., Ge, X., Zhao, Y., Chen, Y., Dong, Q., Tanguay, R. L., et al. (2018) · Neurotoxicology and Teratology · doi:10.1016/j.ntt.2018.01.002 · Cited by 125
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“11 % (Huerta et al. 2012)].”
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Self-citationObsessive-Compulsive Disorder and Autism Spectrum Disorders: Longitudinal and Offspring Risk
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“Despite these difficulties, the sensitivity of classification criteria for autism can be considered as remarkable high [39, 40].”
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“patients will retain their diagnosis under the proposed DSM-5 criteria [9].”
BackgroundA meta-analysis of the social communication questionnaire: Screening for autism spectrum disorder
Chesnut, S. R., Wei, T., Barnard-Brak, L. M., & Richman, D. M. (2016) · Autism · doi:10.1177/1362361316660065 · Cited by 117
“; DSM-5; APA, 2012; Huerta et al., 2012; Maenner et al., 2014) as well as the different international standards for diagnosis under the International Classification of Diseases, 10th revision (ICD-10) (Baron and Linden, 2008; Castro et al., 2013).”
BackgroundSensitivity and Specificity of Proposed DSM-5 Criteria for Autism Spectrum Disorder in Toddlers
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Comparison of ICD-10R, DSM-IV-TR and DSM-5 in an Adult Autism Spectrum Disorder Diagnostic Clinic
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“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).”
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“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
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“(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…”
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“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).”
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Diagnosing Autism Spectrum Disorder: who will get a DSM‐5 diagnosis?
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“…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).”
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“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 80
“[38] Huerta M, Bishop SL, Duncan A, Hus V, Lord C.”
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Autism-associated SHANK3 mutations impair maturation of neuromuscular junctions and striated muscles
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“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
Yuen, T., Penner, M., Carter, M. T., Szatmári, P., & Ungar, W. J. (2018) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.13964 · Cited by 74
“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
“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
“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
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
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
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
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
“[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
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
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 62
“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
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
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 72
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 58
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 73
“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., 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 58
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
“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
“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 59
“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
“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 53
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 52
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 54
“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
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
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
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 54
“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 47
Wright, S. D., Wright, S. D., Brooks, D., D’Astous, V., & Grandin, T. (2013) · Autism Insights · doi:10.4137/aui.s11072 · Cited by 56
Disorders of speech, language, and communication
Norbury, C., & Paul, R. (2015) · Wiley eBooks · doi:10.1002/9781118381953.ch52 · Cited by 44
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 43
“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 48
“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 43
“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 47
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
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
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
Hoppenbrouwers, M., Vandermosten, M., & Boets, B. (2014) · Research in Autism · doi:10.1016/j.rasd.2013.12.018 · Cited by 42
Couteur, A. S. L., & Szatmári, P. (2015) · Wiley eBooks · doi:10.1002/9781118381953.ch51 · Cited by 49
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
Goin‐Kochel, R. P., Esler, A., Kanne, S. M., & Bal, V. H. (2014) · Research in Autism · doi:10.1016/j.rasd.2014.04.002 · Cited by 40
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
Taylor, L. J., & Whitehouse, A. (2016) · Australian Psychologist · doi:10.1111/ap.12222 · Cited by 38
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 40
Xavier, J., Bursztejn, C., Stiskin, M., Canitano, R., & Cohen, D. (2015) · Research in Autism · doi:10.1016/j.rasd.2015.06.011 · Cited by 38
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
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
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
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 40
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
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
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
“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 34
“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
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
“Inputs for the diagnostic accuracy were the inverse-variance weighted averages of published values (Huerta et al. 2012; McPartland et al. 2012).”
Method
Metadata
- 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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