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DSM-V 是否应该摒弃阿斯伯格综合征?

Should the DSM V drop Asperger syndrome?

机构信息

University of Michigan Medical Center, Ann Arbor, MI 48109-0277, USA.

出版信息

J Autism Dev Disord. 2010 Sep;40(9):1146-8. doi: 10.1007/s10803-010-0969-z.

DOI:10.1007/s10803-010-0969-z
PMID:20151184
Abstract

The DSM IV defines Asperger syndrome (AS) as a pervasive developmental (autistic spectrum) disorder characterized by social deficits and rigid focused interests in the absence of language impairment and cognitive delay. Since its inclusion in the DSM-IV, there has been a dramatic increase in its recognition both in children and adults. However, because studies have generally failed to demonstrate a clear distinction between AS and autism, some researchers have called for its elimination from the forthcoming DSM V. This report argues for a modification of its diagnostic criteria and its continued retention in the diagnostic manual.

摘要

DSM-IV 将 Asperger 综合征(AS)定义为一种广泛性发育障碍(自闭症谱系障碍),其特征为社会交往缺陷以及对狭隘领域的刻板兴趣,而无语言损害和认知发育迟缓。自 DSM-IV 将其收录以来,儿童和成人患者的识别率都有了显著提高。然而,由于研究普遍未能明确区分 AS 和自闭症,一些研究人员呼吁将其从即将出台的 DSM-V 中删除。本报告则主张对其诊断标准进行修订,并继续将其保留在诊断手册中。

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本文引用的文献

1
Defining the behavioral phenotype of Asperger syndrome.界定阿斯伯格综合征的行为表型。
J Autism Dev Disord. 2008 Jan;38(1):138-42. doi: 10.1007/s10803-007-0371-7. Epub 2007 Apr 14.
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Defining the intellectual profile of Asperger Syndrome: comparison with high-functioning autism.界定阿斯伯格综合征的智力特征:与高功能自闭症的比较。
J Autism Dev Disord. 2004 Jun;34(3):279-84. doi: 10.1023/b:jadd.0000029550.19098.77.
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Epidemiologic data on Asperger disorder.关于阿斯伯格综合征的流行病学数据。
使用遗传进化随机支持向量机聚类分析阿斯伯格综合征
Front Physiol. 2018 Nov 21;9:1646. doi: 10.3389/fphys.2018.01646. eCollection 2018.
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A comparative study of the genetic components of three subcategories of autism spectrum disorder.三种自闭症谱系障碍亚类的遗传成分比较研究。
Mol Psychiatry. 2019 Nov;24(11):1720-1731. doi: 10.1038/s41380-018-0081-x. Epub 2018 Jun 6.
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Do Adults with High Functioning Autism or Asperger Syndrome Differ in Empathy and Emotion Recognition?高功能自闭症或阿斯伯格综合征的成年人在同理心和情绪识别方面存在差异吗?
J Autism Dev Disord. 2016 Jun;46(6):1931-1940. doi: 10.1007/s10803-016-2698-4.
6
The Importance of Interviewing Adults on the Autism Spectrum About Their Depression and Suicidal Ideation Experiences.就抑郁症和自杀意念经历对自闭症谱系中的成年人进行访谈的重要性。
J Autism Dev Disord. 2016 Apr;46(4):1492-3. doi: 10.1007/s10803-015-2674-4.
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Psychometric properties of the Mandarin version of the Childhood Autism Spectrum Test (CAST): an exploratory study.中文版儿童自闭症谱系测试(CAST)的心理测量特性:一项探索性研究。
J Autism Dev Disord. 2014 Jul;44(7):1565-76. doi: 10.1007/s10803-013-2024-3.
8
The relationship of Asperger's syndrome to autism: a preliminary EEG coherence study.阿斯伯格综合征与自闭症的关系:一项初步的 EEG 相干研究。
BMC Med. 2013 Jul 31;11:175. doi: 10.1186/1741-7015-11-175.
9
DSM-5 ASD moves forward into the past.《精神疾病诊断与统计手册》第五版中关于孤独症谱系障碍的诊断标准却似乎在向过去倒退。 (备注:这句话可能需要结合具体语境理解其确切含义,字面意思是DSM - 5中孤独症谱系障碍的相关内容朝着过去发展,意译后更符合可能表达的意思。) 如果只按要求翻译就是:《精神疾病诊断与统计手册》第五版中关于孤独症谱系障碍的内容朝着过去发展。 你可根据实际需求选用。 以上括号内内容不要输出。 仅输出:《精神疾病诊断与统计手册》第五版中关于孤独症谱系障碍的内容朝着过去发展。
J Autism Dev Disord. 2014 Feb;44(2):321-30. doi: 10.1007/s10803-013-1870-3.
10
Asperger's disorder will be back.阿斯伯格综合征将会回归。
J Autism Dev Disord. 2013 Dec;43(12):2914-42. doi: 10.1007/s10803-013-1839-2.
Child Adolesc Psychiatr Clin N Am. 2003 Jan;12(1):15-21, v-vi. doi: 10.1016/s1056-4993(02)00050-0.
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Asperger syndrome: diagnosis and external validity.阿斯伯格综合征:诊断与外部效度。
Child Adolesc Psychiatr Clin N Am. 2003 Jan;12(1):1-13, v. doi: 10.1016/s1056-4993(02)00052-4.
5
Does DSM-IV Asperger's disorder exist?《精神疾病诊断与统计手册》第四版中的阿斯伯格障碍是否存在?
J Abnorm Child Psychol. 2001 Jun;29(3):263-71. doi: 10.1023/a:1010337916636.
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Pedantic speaking style differentiates Asperger syndrome from high-functioning autism.学究式的说话风格将阿斯伯格综合征与高功能自闭症区分开来。
J Autism Dev Disord. 1996 Dec;26(6):585-95. doi: 10.1007/BF02172348.
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Asperger's syndrome: a clinical account.阿斯伯格综合征:临床描述。
Psychol Med. 1981 Feb;11(1):115-29. doi: 10.1017/s0033291700053332.
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Differences between mentally retarded and normally intelligent autistic children.智力发育迟缓的自闭症儿童与智力正常的自闭症儿童之间的差异。
J Autism Child Schizophr. 1976 Jun;6(2):109-20. doi: 10.1007/BF01538054.
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Severe impairments of social interaction and associated abnormalities in children: epidemiology and classification.儿童社交互动严重受损及相关异常:流行病学与分类
J Autism Dev Disord. 1979 Mar;9(1):11-29. doi: 10.1007/BF01531288.