The new DSM-5 impairment criterion: a challenge to early autism spectrum disorder diagnosis?

The possible effect of the DSM-5 impairment criterion on diagnosing autism spectrum disorder (ASD) in young children was examined in 127 children aged 20-47 months with a DSM-IV-TR clinical consensus diagnosis of ASD. The composite score of the Vineland Adaptive Behavior Scales (VABS) served as a pr...

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Hauptverfasser: Zander, Eric (VerfasserIn) , Bölte, Sven (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 28 June 2015
In: Journal of autism and developmental disorders
Year: 2015, Jahrgang: 45, Heft: 11, Pages: 3634-3643
ISSN:1573-3432
DOI:10.1007/s10803-015-2512-8
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1007/s10803-015-2512-8
Verlag, Volltext: https://doi.org/10.1007/s10803-015-2512-8
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Verfasserangaben:Eric Zander, Sven Bölte

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520 |a The possible effect of the DSM-5 impairment criterion on diagnosing autism spectrum disorder (ASD) in young children was examined in 127 children aged 20-47 months with a DSM-IV-TR clinical consensus diagnosis of ASD. The composite score of the Vineland Adaptive Behavior Scales (VABS) served as a proxy for the DSM-5 impairment criterion. When applying a mild level of impairment (cutoff: 1 SD below the mean on the VABS), 88 % of the cases fulfilled the impairment criterion. Sixty-nine percent fulfilled the impairment criterion at a moderate level (1.5 SDs) and 33 % at a severe level (2 SDs). Findings indicate that a strict application of the new DSM-5 impairment criterion might compromise early diagnosis of ASD. 
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