Autism Spectrum Disorders According to DSM-IV-TR and Comparison With DSM-5 Draft Criteria: An Epidemiological Study
Autism Spectrum Disorders According to DSM-IV-TR and Comparison With DSM-5 Draft Criteria: An Epidemiological Study
复制标题
DOI：
10.1016/j.jaac.2011.04.001
复制
发表时间：
2011-06-01
影响因子：
13.3
通讯作者：
Moilanen, Irma
中科院分区：
文献类型：
--
作者：
Mattila, Marja-Leena;Kielinen, Marko;Moilanen, Irma
目的：2000年DSM-IV-TR对自闭症谱系障碍(ASD)进行了最新定义。DSM-5标准计划在2013年实施。在这里，我们根据DSM-IV-TR估计了自闭症和自闭症的患病率，澄清了关于诊断标准的混淆，并评估了美国精神病学协会(APA)于2010年2月发布的自闭症DSM-5标准草案。方法：对芬兰5484名8岁儿童进行流行病学调查，其中4472名(81%)儿童通过家长和/或教师的自闭症谱筛查问卷进行评定，110名儿童通过结构化访谈、半结构化观察、智商测量、上学观察和患者记录进行检查。根据DSM-IV-TR标准和DSM-5草案标准对智商(FSIQ)和GT；=50的儿童进行诊断。对FSIQ<；50分的儿童的患者记录进行评估，以发现ASD的诊断。结果：根据DSM-IV-TR，自闭症患病率为8.4‰，孤独症患病率为4.1‰。在患有自闭症和自闭症的受试者中，高功能者分别占65%和61%(FSIQ>；=70)。由于DSM-IV-TRR标准的不一致，未对未作特别说明的普及性发育障碍的患病率进行估计。DSM-5标准草案在识别自闭症受试者方面不那么敏感，特别是那些患有阿斯伯格综合症的受试者和一些患有自闭症的高功能受试者。结论：DSM-IV-TR仅在一定程度上有助于ASD的定义。我们建议对《行政程序法》2010年2月公布的DSM-5标准草案的五个细节进行修改。完成ASD的DSM标准修订是一项具有挑战性的任务。J.Am阿卡德。青春期儿童。精神病学，2011；50(6)：583-592。
Objective: The latest definitions of autism spectrum disorders (ASDs) were specified in DSM-IV-TR in 2000. DSM-5 criteria are planned for 2013. Here, we estimated the prevalence of ASDs and autism according to DSM-IV-TR, clarified confusion concerning diagnostic criteria, and evaluated DSM-5 draft criteria for ASD posted by the American Psychiatry Association (APA) in February 2010. Method: This was an epidemiological study of 5,484 eight-year-old children in Finland, 4,472 (81%) of them rated via the Autism Spectrum Screening Questionnaire by parents and/or teachers, and 110 examined by using a structured interview, semi-structured observation, IQ measurement, school-day observation, and patient records. Diagnoses were assigned according to DSM-IV-TR criteria and DSM-5 draft criteria in children with a full-scale IQ (FSIQ) >= 50. Patient records were evaluated in children with an FSIQ < 50 to discover diagnoses of ASDs. Results: The prevalence of ASDs was 8.4 in 1,000 and that of autism 4.1 in 1,000 according to DSM-IV-TR. Of the subjects with ASDs and autism, 65% and 61% were high-functioning (FSIQ >= 70), respectively. The prevalence of pervasive developmental disorder not otherwise specified was not estimated because of inconsistency in DSM-IV-TR criteria. DSM-5 draft criteria were shown to be less sensitive in regard to identification of subjects with ASDs, particularly those with Asperger's syndrome and some high-functioning subjects with autism. Conclusions: DSM-IV-TR helps with the definition of ASDs only up to a point. We suggest modifications to five details of DSM-5 draft criteria posted by the APA in February 2010. Completing revision of DSM criteria for ASDs is a challenging task. J. Am. Acad. Child Adolesc. Psychiatry, 2011;50(6): 583-592.