The New DSM-5 Impairment Criterion: A Challenge to Early Autism Spectrum Disorder Diagnosis?

The possible effect of the DSM-5 impairment criterion on diagnosing autism spectrum disorder (ASD) in young children was examined in 127 children aged 20–47 months with a DSM-IV-TR clinical consensus diagnosis of ASD. The composite score of the Vineland Adaptive Behavior Scales (VABS) served as a pr...

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Main Authors: Zander, E., Bölte, Sven
Format: Journal Article
Published: Springer New York LLC 2015
Online Access:http://hdl.handle.net/20.500.11937/59592
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author Zander, E.
Bölte, Sven
author_facet Zander, E.
Bölte, Sven
author_sort Zander, E.
building Curtin Institutional Repository
collection Online Access
description The possible effect of the DSM-5 impairment criterion on diagnosing autism spectrum disorder (ASD) in young children was examined in 127 children aged 20–47 months with a DSM-IV-TR clinical consensus diagnosis of ASD. The composite score of the Vineland Adaptive Behavior Scales (VABS) served as a proxy for the DSM-5 impairment criterion. When applying a mild level of impairment (cutoff: 1 SD below the mean on the VABS), 88 % of the cases fulfilled the impairment criterion. Sixty-nine percent fulfilled the impairment criterion at a moderate level (1.5 SDs) and 33 % at a severe level (2 SDs). Findings indicate that a strict application of the new DSM-5 impairment criterion might compromise early diagnosis of ASD.
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publishDate 2015
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spelling curtin-20.500.11937-595922018-03-08T08:45:11Z The New DSM-5 Impairment Criterion: A Challenge to Early Autism Spectrum Disorder Diagnosis? Zander, E. Bölte, Sven The possible effect of the DSM-5 impairment criterion on diagnosing autism spectrum disorder (ASD) in young children was examined in 127 children aged 20–47 months with a DSM-IV-TR clinical consensus diagnosis of ASD. The composite score of the Vineland Adaptive Behavior Scales (VABS) served as a proxy for the DSM-5 impairment criterion. When applying a mild level of impairment (cutoff: 1 SD below the mean on the VABS), 88 % of the cases fulfilled the impairment criterion. Sixty-nine percent fulfilled the impairment criterion at a moderate level (1.5 SDs) and 33 % at a severe level (2 SDs). Findings indicate that a strict application of the new DSM-5 impairment criterion might compromise early diagnosis of ASD. 2015 Journal Article http://hdl.handle.net/20.500.11937/59592 10.1007/s10803-015-2512-8 Springer New York LLC restricted
spellingShingle Zander, E.
Bölte, Sven
The New DSM-5 Impairment Criterion: A Challenge to Early Autism Spectrum Disorder Diagnosis?
title The New DSM-5 Impairment Criterion: A Challenge to Early Autism Spectrum Disorder Diagnosis?
title_full The New DSM-5 Impairment Criterion: A Challenge to Early Autism Spectrum Disorder Diagnosis?
title_fullStr The New DSM-5 Impairment Criterion: A Challenge to Early Autism Spectrum Disorder Diagnosis?
title_full_unstemmed The New DSM-5 Impairment Criterion: A Challenge to Early Autism Spectrum Disorder Diagnosis?
title_short The New DSM-5 Impairment Criterion: A Challenge to Early Autism Spectrum Disorder Diagnosis?
title_sort new dsm-5 impairment criterion: a challenge to early autism spectrum disorder diagnosis?
url http://hdl.handle.net/20.500.11937/59592