University of Michigan Medical Center, Ann Arbor, MI 48109-0277, USA.
J Autism Dev Disord. 2010 Sep;40(9):1146-8. doi: 10.1007/s10803-010-0969-z.
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.
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。