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Autism in DSM-5: progress and challenges

BACKGROUND: Since Kanner’s first description of autism there have been a number of changes in approaches to diagnosis with certain key continuities . Since the Fourth edition of the Diagnostic and Statistical Manual (DSM-IV) appeared in 1994 there has been an explosion in research publications. The...

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Autores principales: Volkmar, Fred R, Reichow, Brian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3716827/
https://www.ncbi.nlm.nih.gov/pubmed/23675688
http://dx.doi.org/10.1186/2040-2392-4-13
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author Volkmar, Fred R
Reichow, Brian
author_facet Volkmar, Fred R
Reichow, Brian
author_sort Volkmar, Fred R
collection PubMed
description BACKGROUND: Since Kanner’s first description of autism there have been a number of changes in approaches to diagnosis with certain key continuities . Since the Fourth edition of the Diagnostic and Statistical Manual (DSM-IV) appeared in 1994 there has been an explosion in research publications. The advent of changes in DSM-5 presents some important moves forward as well as some potential challenges. METHODS: The various relevant studies are summarized. RESULTS: If research diagnostic instruments are available, many (but not all) cases with a DSM-IV diagnosis of autism continue to have this diagnosis. The overall efficiency of this system falls if only one source of information is available and, particularly, if the criteria are used outside the research context. The impact is probably greatest among the most cognitively able cases and those with less classic autism presentations. CONCLUSIONS: Significant discontinuities in diagnostic practice raise significant problems for both research and clinical services. For DSM-5, the impact of these changes remains unclear.
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spelling pubmed-37168272013-07-20 Autism in DSM-5: progress and challenges Volkmar, Fred R Reichow, Brian Mol Autism Review BACKGROUND: Since Kanner’s first description of autism there have been a number of changes in approaches to diagnosis with certain key continuities . Since the Fourth edition of the Diagnostic and Statistical Manual (DSM-IV) appeared in 1994 there has been an explosion in research publications. The advent of changes in DSM-5 presents some important moves forward as well as some potential challenges. METHODS: The various relevant studies are summarized. RESULTS: If research diagnostic instruments are available, many (but not all) cases with a DSM-IV diagnosis of autism continue to have this diagnosis. The overall efficiency of this system falls if only one source of information is available and, particularly, if the criteria are used outside the research context. The impact is probably greatest among the most cognitively able cases and those with less classic autism presentations. CONCLUSIONS: Significant discontinuities in diagnostic practice raise significant problems for both research and clinical services. For DSM-5, the impact of these changes remains unclear. BioMed Central 2013-05-15 /pmc/articles/PMC3716827/ /pubmed/23675688 http://dx.doi.org/10.1186/2040-2392-4-13 Text en Copyright © 2013 Volkmar and Reichow; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Volkmar, Fred R
Reichow, Brian
Autism in DSM-5: progress and challenges
title Autism in DSM-5: progress and challenges
title_full Autism in DSM-5: progress and challenges
title_fullStr Autism in DSM-5: progress and challenges
title_full_unstemmed Autism in DSM-5: progress and challenges
title_short Autism in DSM-5: progress and challenges
title_sort autism in dsm-5: progress and challenges
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3716827/
https://www.ncbi.nlm.nih.gov/pubmed/23675688
http://dx.doi.org/10.1186/2040-2392-4-13
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