Comparison of ICD-10R, DSM-IV-TR and DSM-5 in an Adult Autism Spectrum Disorder Diagnostic Clinic

被引：52

作者：

Wilson, C. Ellie ^{[1
,2
]}

Gillan, Nicola ^{[1
,2
]}

Spain, Deborah ^{[1
,2
]}

Robertson, Dene ^{[2
]}

Roberts, Gedeon ^{[1
,2
]}

Murphy, Clodagh M. ^{[1
,2
]}

Maltezos, Stefanos ^{[1
,2
]}

Zinkstok, Janneke ^{[1
,2
]}

Johnston, Katie ^{[2
]}

Dardani, Christina ^{[1
]}

Ohlsen, Chris ^{[2
]}

Deeley, P. Quinton ^{[1
,2
]}

Craig, Michael ^{[1
,2
]}

Mendez, Maria A. ^{[1
,2
]}

Happe, Francesca ^{[3
]}

Murphy, Declan G. M. ^{[1
,2
]}

机构：

[1] Kings Coll London, Dept Forens & Neurodev Sci, Inst Psychiat, London SE5 8AF, England

[2] South London & Maudsley NHS Fdn Trust, Behav Genet Clin, Maudsley Hosp, London SE5 8AZ, England

[3] Kings Coll London, Dept Social Genet Dev & Psychiat Ctr, Inst Psychiat, London SE5 8AF, England

来源：

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS | 2013年 / 43卷 / 11期

基金：

英国医学研究理事会;

关键词：

Autism Spectrum Disorder; Diagnosis; Prevalence; DSM-5; OBSESSIVE-COMPULSIVE INVENTORY; CRITERIA; VALIDATION; INTERVIEW;

D O I：

10.1007/s10803-013-1799-6

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

An Autism Spectrum Disorder (ASD) diagnosis is often used to access services. We investigated whether ASD diagnostic outcome varied when DSM-5 was used compared to ICD-10R and DSM-IV-TR in a clinical sample of 150 intellectually able adults. Of those diagnosed with an ASD using ICD-10R, 56 % met DSM-5 ASD criteria. A further 19 % met DSM-5 (draft) criteria for Social Communication Disorder. Of those diagnosed with Autistic Disorder/Asperger Syndrome on DSM-IV-TR, 78 % met DSM-5 ASD criteria. Sensitivity of DSM-5 was significantly increased by reducing the number of criteria required for a DSM-5 diagnosis, or by rating 'uncertain' criteria as 'present', without sacrificing specificity. Reduced rates of ASD diagnosis may mean some ASD individuals will be unable to access clinical services.

引用

页码：2515 / 2525

页数：11

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