![]() ![]() Marisela Huerta of NewYork-Presbyterian/Weill Cornell Medical Center, relied on a standardized 96-item parent report and a clinician-based measure of autism spectrum disorder impairments. The analysis, which included a team of independent reviewers led by the study's lead author, Dr. ![]() ![]() The study used three large databases to evaluate DSM-5 criteria in groups of children with DSM-IV clinical diagnoses. The study researchers also concluded that DSM-5 has higher specificity than DSM-IV-in their study, DSM-5 criteria resulted in fewer misclassifications. Lord, who is also a member of the American Psychiatric Association's DSM-5 Neurodevelopmental Disorders Work Group. Many of the remaining nine percent would likely be reincluded once a clinician can offer input, says Dr. The study, the largest to date and arguably, the most rigorous, finds that when relying on parent report, 91 percent of the 4,453 children in the sample currently diagnosed with a DSM-IV autism spectrum disorder would be diagnosed with ASD using DSM-V. Lord, who is also a DeWitt Wallace Senior Scholar at Weill Cornell and an attending psychologist at NewYork-Presbyterian Hospital. The DSM-5 proposal redefines autism as a single category - autism spectrum disorder (ASD) - whereas DSM-IV had multiple categories and included Autistic Disorder, Asperger's Disorder, and Pervasive Developmental Disorder, Not Otherwise Specified (PDD-NOS).Ĭritics have particularly worried that among the excluded will be children now diagnosed with PPD-NOS and Asperger's disorder. Catherine Lord, director of the Center for Autism and the Developing Brain at NewYork-Presbyterian Hospital's Westchester campus, along with its affiliated medical schools Weill Cornell Medical College and Columbia University College of Physicians and Surgeons.Īt issue is whether DSM-5 will "capture" the same individuals diagnosed with different forms of autism by the DSM-IV. "I know that parents worry, but I don't believe there is any substantial reason to fear that children who need to be diagnosed with autism spectrum disorders, and provided with vital services, will not be included in the new criteria in this updated manual," says the study's senior investigator, Dr. These manuals provide diagnostic criteria for people seeking mental-health-related medical services. Their new study, published in the October 1 issue of the American Journal of Psychiatry, is the largest to date that has tried to unpack the differences between the diagnostic criteria for autism spectrum disorders in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and the proposed revision in the fifth edition (DSM-5), which is expected to be published in May 2013. 1, 2012) - Parents should not worry that proposed changes to the medical criteria redefining a diagnosis of autism will leave their children excluded and deemed ineligible for psychiatric and medical care, says a team of researchers led by psychologists at Weill Cornell Medical College. ![]()
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