A Comparison of DSM-IV-TR and DSM-5 Diagnostic Classifications in the Clinical Diagnosis of Autistic Spectrum Disorder

Yaylaci F., Miral S.

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, vol.47, no.1, pp.101-109, 2017 (SSCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 47 Issue: 1
  • Publication Date: 2017
  • Doi Number: 10.1007/s10803-016-2937-8
  • Journal Name: JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
  • Journal Indexes: Social Sciences Citation Index (SSCI), Scopus
  • Page Numbers: pp.101-109
  • Keywords: Pervasive developmental disorder, Autism spectrum disorder, DSM-IV-TR, DSM-5, PERVASIVE DEVELOPMENTAL DISORDERS, PROPOSED DSM-5, CRITERIA, CHILDREN, PREVALENCE
  • Dokuz Eylül University Affiliated: Yes

Abstract

Aim of this study was to compare children diagnosed with Pervasive Developmental Disorder (PDD) according to DSM-IV-TR and DSM-5 diagnostic systems. One hundred fifty children aged between 3 and 15 years diagnosed with PDD by DSM-IV-TR were included. PDD symptoms were reviewed through psychiatric assessment based on DSM-IV-TR and DSM-5 criteria. Clinical severity was determined using Childhood Autism Rating Scale (CARS) and Autism Behavior Checklist (ABC). A statistically significant decrease (19.3 %) was detected in the diagnostic ratio with DSM-5. Age and symptom severity differed significantly between those who were and were not diagnosed with PDD using DSM-5. B4 criteria in DSM-5 was most common criterion. Results indicate that individuals diagnosed with PDD by DSM-IV-TR criteria may not be diagnosed using DSM-5 criteria.