Rates of Autism Spectrum Disorder Diagnosis Under the DSM-5 Criteria Compared to DSM-IV-TR Criteria in a Hospital-Based Clinic
Rates of Autism Spectrum Disorder Diagnosis Under the DSM-5 Criteria Compared to DSM-IV-TR Criteria in a Hospital-Based Clinic
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DOI：
10.1016/j.pediatrneurol.2016.01.012
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发表时间：
2016-04-01
影响因子：
3.8
通讯作者：
Crawford, Donald
中科院分区：
文献类型：
--
作者：
Hartley-McAndrew, Michelle;Mertz, Jana;Crawford, Donald
背景技术背景：我们的目的是确定在实施2013年5月出版的《精神卫生疾病诊断和统计手册》第五版中概述的新诊断标准后，被诊断为自闭症谱系的儿童数量是否减少。方法：我们回顾了布法罗妇女儿童医院自闭症谱系障碍门诊评估的1552例儿童病历。一个比较是由儿童诊断为自闭症谱系障碍（孤独症、自闭症、广泛性发育障碍，未另作说明），使用《精神健康障碍诊断和统计手册》第四版，2013年6月至2015年6月根据《精神卫生疾病诊断和统计手册》第五版诊断的儿童的文本修订标准版.研究结果：使用卡方检验，2013-2015年自闭症谱系障碍诊断率（39%）显著低于（P < 0.01）2010 - 2013年5月样本年诊断率（50%）。结论：根据最近实施的《精神卫生疾病诊断和统计手册》第五版标准，自闭症谱系障碍的诊断率明显较低。爱思唯尔公司出版
BACKGROUND: We aimed to determine whether there was a decrease in the number of children diagnosed on the autism spectrum after the implementation of the new diagnostic criteria as outlined in the Diagnostic and Statistical Manual of Mental Health Disorders Fifth Edition published in May 2013. METHOD: We reviewed 1552 charts of children evaluated at the Women and Children's Hospital of Buffalo, Autism Spectrum Disorders Clinic. A comparison was made of children diagnosed with autism spectrum disorder (autism, Asperger disorder, pervasive developmental disorder not otherwise specified) from 2010 to May 2013 using the Diagnostic and Statistical Manual of Mental Health Disorders Fourth Edition, Text Revision criteria with children diagnosed from June 2013 through June 2015 under the Diagnostic and Statistical Manual of Mental Health Disorders Fifth Edition. RESULTS: Using chi(2) analysis, the 2013-2015 rate of autism spectrum disorder diagnosis (39%) was significantly lower (P < 0.01) than the 2010 to May 2013 sample years rate (50%). CONCLUSION: The rate of autism spectrum disorder diagnosis was significantly lower under the recently implemented Diagnostic and Statistical Manual of Mental Health Disorders Fifth Edition criteria. Published by Elsevier Inc.