Diagnostic Assessment Service, Autism Spectrum Australia (Aspect), PO BOX 361, Forestville, NSW, 2087, Australia.
J Autism Dev Disord. 2012 Aug;42(8):1750-6. doi: 10.1007/s10803-012-1560-6.
The proposed revision for Autism spectrum disorders (ASDs) in the Diagnostic and Statistical Manual of Mental Disorders--Fifth Edition (DSM-5) represents a shift from the Diagnostic and Statistical Manual of Mental Disorders--Fourth Edition, Text Revision (DSM-IV-TR). As the proposed DSM-5 criteria require a higher minimum number of symptoms to be present compared to DSM-IV-TR, there have been some concerns about the impact that this will have on diagnostic outcomes. Therefore, the current study aimed to compare diagnostic outcomes using both DSM-IV-TR and DSM-5 criteria for 132 children. Of the 111 participants who received an ASD diagnosis under DSM-IV-TR, 26 did not meet DSM-5 criteria. The majority of these had received a DSM-IV-TR PDD-NOS diagnosis. Implications of the results and the proposed DSM-5 changes to the ASD criteria are discussed.
DSM-5 中自闭症谱系障碍（ASD）的修订提案代表了从《精神障碍诊断与统计手册——第四版，文字修订版》（DSM-IV-TR）的转变。由于与 DSM-IV-TR 相比，DSM-5 提出的标准需要存在更高数量的症状，因此有人担心这会对诊断结果产生影响。因此，本研究旨在比较使用 DSM-IV-TR 和 DSM-5 标准对 132 名儿童进行诊断的结果。在 111 名根据 DSM-IV-TR 被诊断为 ASD 的参与者中，有 26 名不符合 DSM-5 标准。其中大多数人被诊断为 DSM-IV-TR PDD-NOS。讨论了结果的意义和 DSM-5 对 ASD 标准的修改建议。
