The Effects of DSM-5 Criteria on Number of Individuals Diagnosed with Autism Spectrum Disorder: A Systematic Review

被引：59

作者：

Smith, Isaac C. ^{[1
]}

Reichow, Brian ^{[2
]}

Volkmar, Fred R. ^{[1
]}

机构：

[1] Yale Child Study Ctr, New Haven, CT 06520 USA

[2] Univ Florida, Coll Educ, Gainesville, FL USA

来源：

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS | 2015年 / 45卷 / 08期

关键词：

ASD; Asperger's; Autism; DSM-IV-TR; DSM-5; Diagnosis; PERVASIVE DEVELOPMENTAL DISORDER; IV-TR; III-R; CHILDREN; TODDLERS; SPECIFICITY; SENSITIVITY; PREVALENCE; CHECKLIST; AGREEMENT;

D O I：

10.1007/s10803-015-2423-8

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

A growing body of research has raised concerns about the number of individuals diagnosed with autism spectrum disorder (ASD) according to DSM-IV-TR who may no longer qualify for diagnoses under the new DSM-5 criteria, published in May 2013. The current study systematically reviews 25 articles evaluating samples according to both DSM-IV-TR and DSM-5 ASD criteria. Consistent with previous reviews, the majority of included studies indicated between 50 and 75 % of individuals will maintain diagnoses. We conducted visual analyses of subgroups using harvest plots and found the greatest decreases among high-functioning populations with IQs over 70 and/or previous diagnoses of PDD-NOS or Asperger's disorder. We discuss the potential research and clinical implications of reduced numbers of individuals diagnosed with ASD.

引用

页码：2541 / 2552

页数：12

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