DSM-5: the debate continues.
DSM-5: the debate continues.
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DOI：
10.1186/2040-2392-4-11
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发表时间：
2013-05-15
期刊：
影响因子：
6.2
通讯作者：
Baron-Cohen S
中科院分区：
文献类型：
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作者：
Buxbaum JD;Baron-Cohen S
我们有幸邀请到Cathy Lord博士和Fred Volkmar博士的实验室发表评论，介绍他们对新版《精神疾病诊断与统计手册》(DSM)-5自闭症谱系标准的看法。两篇评论都注意到DSM-5是如何将广泛性发育障碍的早期诊断类别瓦解为自闭症谱系障碍的单一类别的。此外，DSM-5将社交和通信领域分解为一个单独的组合领域。评论接着讨论了这些变化的积极方面，并提出了一些潜在的关注领域。我们支持DSM-5中自闭症诊断的循证变化，并期待对自闭症表型的进一步研究，因为这对诊断和治疗具有重要意义。随着我们对自闭症机制理解的提高，基于行为参数的诊断将继续为针对行为的干预提供机会，而病因学诊断将为针对病因的干预提供机会。
We are fortunate to have invited commentaries from the laboratories of Dr Cathy Lord and Dr Fred Volkmar offering their perspectives on the new Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 criteria for the autism spectrum. Both commentaries note how DSM-5 collapses the earlier diagnostic categories of the pervasive developmental disorders into a single category of autism spectrum disorder. In addition, DSM-5 collapses social and communication domains into a single combined domain. The commentaries go on to discuss the positive aspects of these changes and raise some areas of potential concern. We support the evidence-based changes to autism diagnosis found in DSM-5, and look forward to further studies on the autism phenotype as this has implications for diagnosis and treatment. As our mechanistic understanding of autism improves, diagnoses based on behavioral parameters will continue to provide opportunities for interventions targeting the behaviors, while etiological diagnoses will provide opportunities for interventions tailored to etiology.