Autism according to diagnostic and statistical manual of mental disorders 5(th) edition: The need for further improvements.
Autism according to diagnostic and statistical manual of mental disorders 5(th) edition: The need for further improvements.
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DOI：
10.4103/1817-1745.159195
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发表时间：
2015-04
影响因子：
0.5
通讯作者：
Visconti P
中科院分区：
文献类型：
--
作者：
Posar A;Resca F;Visconti P
第五版《精神障碍诊断与统计手册》（DSM-5）对自闭症谱系障碍（ASD）的分类进行了重大修改，包括取消了dsm - iv -文本修订中提出的诊断子类别。DSM-5将ASD的严重程度分为三个等级。作者报告了两个关于自闭症谱系障碍（7岁半左右，无智力障碍，会说话的男孩）的解释案例。根据DSM-5，这两种情况都属于ASD的最低严重程度。然而，他们的神经心理和神经行为特征差异很大。当第一个男孩表现出视觉结构和视觉感知能力的普遍缺陷时，第二个男孩表现出语言功能的主要参与，在沟通方面有质的缺陷。建议将症状的强度和质量考虑在内，进一步对ASD进行定义和分类，以便制定可靠的预后，计划个体化治疗并监测临床病程。
The fifth edition of the diagnostic and statistical manual of mental disorders (DSM-5) introduced significant changes in the classification of autism spectrum disorders (ASD), including the abolition of the diagnostic subcategories proposed by DSM-IV-Text Revision. DSM-5 describes three levels of increasing severity of ASD. The authors report two explanatory cases with ASD (verbal boys, aged about 7 and a half years, without intellectual disability). According to DSM-5, both cases fall into the lowest severity level of ASD. However, their neuropsychological and neurobehavioral profile varies significantly. While the first boy showed a prevalent impairment of visuoconstructional and visuoperceptual abilities, the second one presented a predominant involvement of verbal functions, with qualitative impairments in communication. A further step forward in the definition and classification of ASD, taking into account both intensity and quality of symptoms, is recommended in order to formulate a reliable prognosis, plan an individualized treatment and monitor the clinical course over time.