Severity of Autism Spectrum Disorders: Current Conceptualization, and Transition to DSM-5
Severity of Autism Spectrum Disorders: Current Conceptualization, and Transition to DSM-5
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DOI：
10.1007/s10803-016-2731-7
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发表时间：
2016-06-01
影响因子：
3.9
通讯作者：
Tasse, Marc J.
中科院分区：
文献类型：
--
作者：
Mehling, Margaret H.;Tasse, Marc J.
诊断过程的变化反映了自闭症概念化的演变，包括最近对DSM-5的修订，以及根据所需支持的强度分配的基于严重程度的诊断修饰符。最近的文献回顾表明，在研究中，根据自闭症的严重程度对个体进行分层，核心ASD神经病学是主要考虑因素。这种概念化与DSM-5中提出的概念化不同，DSM-5中的严重程度确定是基于所需支持的水平，这也受到认知，语言，行为和适应功能的影响。本文回顾了这方面的文献，并讨论了可能的工具，可能是有用的，以告知临床判断，在确定ASD的严重程度。
Mirroring the evolution of the conceptualization of autism has been changes in the diagnostic process, including the most recent revisions to the DSM-5 and the addition of severity-based diagnostic modifiers assigned on the basis of intensity of needed supports. A review of recent literature indicates that in research stratifying individuals on the basis of autism severity, core ASD symptomology is the primary consideration. This conceptualization is disparate from the conceptualization put forth in DSM-5 in which severity determination is based on level of needed support, which is also impacted by cognitive, language, behavioral, and adaptive functioning. This paper reviews literature in this area and discusses possible instruments that may be useful to inform clinical judgment in determining ASD severity levels.