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Rebecca Grzadzinski, Marisela Huerta, Catherine Lord (2013). DSM-5 and autism spectrum disorders (ASDs): an opportunity for identifying ASD subtypes. Molecular Autism, 4(1), 12. Springer Science and Business Media LLC.

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Fred R Volkmar, Brian Reichow (2013). Autism in DSM-5: progress and challenges. Molecular Autism, 4(1), 13. Springer Science and Business Media LLC.

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Rebecca Grzadzinski, Marisela Huerta, Catherine Lord (2013). DSM-5 and autism spectrum disorders (ASDs): an opportunity for identifying ASD subtypes. Molecular Autism, 4(1), 12. Springer Science and Business Media LLC.

Publication date
2013
Identifier
10.1186/2040-2392-4-12
Authors
Rebecca Grzadzinski, Marisela Huerta, Catherine Lord
Source
Molecular Autism
Details
4(1), 12
Reference type
article
Publisher
Springer Science and Business Media LLC
Metadata source
crossref

Abstract

The heterogeneous clinical presentations of individuals with autism spectrum disorders (ASDs) poses a significant challenge for sample characterization and limits the interpretability and replicability of research studies. The Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) diagnostic criteria for ASD, with its dimensional approach, may be a useful framework to increase the homogeneity of research samples. In this review, we summarize the revisions to the diagnostic criteria for ASD, briefly highlight the literature supporting these changes, and illustrate how DSM-5 can improve sample characterization and provide opportunities for researchers to identify possible subtypes within ASD.

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DOI work Fetched Post crossref

Fred R Volkmar, Brian Reichow (2013). Autism in DSM-5: progress and challenges. Molecular Autism, 4(1), 13. Springer Science and Business Media LLC.

Publication date
2013
Identifier
10.1186/2040-2392-4-13
Authors
Fred R Volkmar, Brian Reichow
Source
Molecular Autism
Details
4(1), 13
Reference type
article
Publisher
Springer Science and Business Media LLC
Metadata source
crossref

Abstract

BACKGROUND: Since Kanner's first description of autism there have been a number of changes in approaches to diagnosis with certain key continuities. Since the Fourth edition of the Diagnostic and Statistical Manual (DSM-IV) appeared in 1994 there has been an explosion in research publications. The advent of changes in DSM-5 presents some important moves forward as well as some potential challenges. METHODS: The various relevant studies are summarized. RESULTS: If research diagnostic instruments are available, many (but not all) cases with a DSM-IV diagnosis of autism continue to have this diagnosis. The overall efficiency of this system falls if only one source of information is available and, particularly, if the criteria are used outside the research context. The impact is probably greatest among the most cognitively able cases and those with less classic autism presentations. CONCLUSIONS: Significant discontinuities in diagnostic practice raise significant problems for both research and clinical services. For DSM-5, the impact of these changes remains unclear.

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