DSM-IV vs DSM-5 diagnostic criteria for toddlers with Autism
DSM-IV vs DSM-5 diagnostic criteria for toddlers with Autism
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DOI：
10.3109/17518423.2012.672341
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发表时间：
2012-01-01
影响因子：
1.3
通讯作者：
Sipes, Megan
中科院分区：
文献类型：
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作者：
Matson, Johnny L.;Kozlowski, Alison M.;Sipes, Megan
目的：用DSM-IV和DSM-5标准评价幼儿自闭症患病率和自闭症症状。方法：参与了两千七百二十一名有发育障碍风险的幼儿。应用DSM-IV和DSM-5标准，并根据每组标准确定总体患病率。各组还比较了BISCUIT-Part 1分数，以确定各组在自闭症症状上是否存在差异。结果：与DSM-IV相比，DSM-5中被诊断为ASD的幼儿减少了47.79%。根据DSM-5诊断的幼儿比用dsm - 4诊断的幼儿表现出更高水平的自闭症症状，但后者仍然表现出显著水平的自闭症症状。结论：拟议的DSM-5将导致更少的人被诊断为ASD。这些结果重复了之前两项针对年龄较大的儿童/青少年和成年人的研究结果。由于这些新标准，有资格获得所需自闭症服务的人要少得多。
Purpose: To evaluate prevalence rates of autism and autism symptomatology in toddlers using DSM-IV vs DSM-5 criteria.Method: Two thousand seven hundred and twenty-one toddlers at risk for a developmental disability participated. DSM-IV and DSM-5 criteria were applied and overall prevalence using each set of criteria was established. Groups were also compared on BISCUIT-Part 1 scores to determine if groups differed on autism symptomatology.Results: DSM-5 resulted in 47.79% fewer toddlers being diagnosed with ASD compared to those on the DSM-IV. Toddlers diagnosed according to DSM-5 exhibited greater levels of autism symptomatology than those diagnosed with DSM-IV, but the latter group still exhibited significant levels of autism symptomatology.Conclusion: The proposed DSM-5 will result in far fewer persons being diagnosed with ASD. These results replicate findings from two previous studies, with older children/adolescents and adults. As a result of these new criteria, far fewer people will qualify for needed autism services.