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The New DSM-5 Impairment Criterion : A Challenge to Early Autism Spectrum Disorder Diagnosis?

Zander, Eric LU and Bölte, Sven (2015) In Journal of Autism and Developmental Disorders 45(11). p.43-3634
Abstract

The possible effect of the DSM-5 impairment criterion on diagnosing autism spectrum disorder (ASD) in young children was examined in 127 children aged 20-47 months with a DSM-IV-TR clinical consensus diagnosis of ASD. The composite score of the Vineland Adaptive Behavior Scales (VABS) served as a proxy for the DSM-5 impairment criterion. When applying a mild level of impairment (cutoff: 1 SD below the mean on the VABS), 88 % of the cases fulfilled the impairment criterion. Sixty-nine percent fulfilled the impairment criterion at a moderate level (1.5 SDs) and 33 % at a severe level (2 SDs). Findings indicate that a strict application of the new DSM-5 impairment criterion might compromise early diagnosis of ASD.

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author
and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Age Factors, Autism Spectrum Disorder/diagnosis, Child, Preschool, Cognition Disorders/complications, Diagnostic and Statistical Manual of Mental Disorders, Early Diagnosis, Female, Humans, Infant, Male, Sex Factors
in
Journal of Autism and Developmental Disorders
volume
45
issue
11
pages
10 pages
publisher
Springer
external identifiers
  • pmid:26123009
  • scopus:84944512461
ISSN
0162-3257
DOI
10.1007/s10803-015-2512-8
language
English
LU publication?
no
id
41a235c6-a25f-4cf9-b9e2-f08eea07d457
date added to LUP
2019-05-29 22:18:41
date last changed
2024-01-01 08:27:56
@article{41a235c6-a25f-4cf9-b9e2-f08eea07d457,
  abstract     = {{<p>The possible effect of the DSM-5 impairment criterion on diagnosing autism spectrum disorder (ASD) in young children was examined in 127 children aged 20-47 months with a DSM-IV-TR clinical consensus diagnosis of ASD. The composite score of the Vineland Adaptive Behavior Scales (VABS) served as a proxy for the DSM-5 impairment criterion. When applying a mild level of impairment (cutoff: 1 SD below the mean on the VABS), 88 % of the cases fulfilled the impairment criterion. Sixty-nine percent fulfilled the impairment criterion at a moderate level (1.5 SDs) and 33 % at a severe level (2 SDs). Findings indicate that a strict application of the new DSM-5 impairment criterion might compromise early diagnosis of ASD.</p>}},
  author       = {{Zander, Eric and Bölte, Sven}},
  issn         = {{0162-3257}},
  keywords     = {{Age Factors; Autism Spectrum Disorder/diagnosis; Child, Preschool; Cognition Disorders/complications; Diagnostic and Statistical Manual of Mental Disorders; Early Diagnosis; Female; Humans; Infant; Male; Sex Factors}},
  language     = {{eng}},
  number       = {{11}},
  pages        = {{43--3634}},
  publisher    = {{Springer}},
  series       = {{Journal of Autism and Developmental Disorders}},
  title        = {{The New DSM-5 Impairment Criterion : A Challenge to Early Autism Spectrum Disorder Diagnosis?}},
  url          = {{http://dx.doi.org/10.1007/s10803-015-2512-8}},
  doi          = {{10.1007/s10803-015-2512-8}},
  volume       = {{45}},
  year         = {{2015}},
}