[《精神疾病诊断与统计手册》第五版中的自闭症谱系障碍——概念、效度与信度、对临床护理及未来研究的影响]

[Autism Spectrum Disorder in DSM-5 - concept, validity, and reliability, impact on clinical care and future research].

作者信息

Freitag Christine M

机构信息

Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Universitätsklinikum der JW Goethe Universität, <location>Frankfurt am Main</location>

出版信息

Z Kinder Jugendpsychiatr Psychother. 2014 May;42(3):185-92. doi: 10.1024/1422-4917/a000288.

DOI:10.1024/1422-4917/a000288

PMID:24846867

Abstract

Autism Spectrum Disorder (ASD) in DSM-5 comprises the former DSM-IV-TR diagnoses of Autistic Disorder, Asperger's Disorder and PDD-nos. The criteria for ASD in DSM-5 were considerably revised from those of ICD-10 and DSM-IV-TR. The present article compares the diagnostic criteria, presents studies on the validity and reliability of ASD, and discusses open questions. It ends with a clinical and research perspective.

摘要

《精神疾病诊断与统计手册》第五版（DSM-5）中的自闭症谱系障碍（ASD）涵盖了《精神疾病诊断与统计手册》第四版修订版（DSM-IV-TR）中自闭症、阿斯伯格综合征和未特定的广泛性发育障碍的诊断。与《国际疾病分类》第十版（ICD-10）和DSM-IV-TR相比，DSM-5中ASD的诊断标准有了很大修订。本文比较了诊断标准，介绍了关于ASD有效性和可靠性的研究，并讨论了一些未解决的问题。最后从临床和研究角度进行了阐述。