Comparison of ICD-10R, DSM-IV-TR and DSM-5 in an Adult Autism Spectrum Disorder Diagnostic Clinic

An Autism Spectrum Disorder (ASD) diagnosis is often used to access services. We investigated whether ASD diagnostic outcome varied when DSM-5 was used compared to ICD-10R and DSM-IV-TR in a clinical sample of 150 intellectually able adults. Of those diagnosed with an ASD using ICD-10R, 56 % met DSM...

Full description

Saved in:
Bibliographic Details
Published in:Journal of autism and developmental disorders 2013-11, Vol.43 (11), p.2515-2525
Main Authors: Wilson, C. Ellie, Gillan, Nicola, Spain, Deborah, Robertson, Dene, Roberts, Gedeon, Murphy, Clodagh M., Maltezos, Stefanos, Zinkstok, Janneke, Johnston, Katie, Dardani, Christina, Ohlsen, Chris, Deeley, P. Quinton, Craig, Michael, Mendez, Maria A., Happé, Francesca, Murphy, Declan G. M.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adults
Aged
Algorithms
Antisocial Behavior
Asperger Syndrome
Asperger Syndrome - diagnosis
Asperger's syndrome
Autism
Autism Spectrum Disorders
Autistic Disorder - diagnosis
Autistic spectrum disorders
Behavioral Science and Psychology
Biological and medical sciences
Child and School Psychology
Child clinical studies
Child Development Disorders, Pervasive - diagnosis
Clinical Diagnosis
Clinics
Communication disorders
Communication Problems
Criteria
Developmental disorders
Diagnosis
Diagnostic and Statistical Manual of Mental Disorders
Diagnostic Tests
Drafts
Female
Humans
Infantile autism
Male
Medical sciences
Middle Aged
Neurosciences
Nosology
Original Paper
Pediatrics
Pervasive Developmental Disorders
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public Health
Sensitivity and Specificity
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:An Autism Spectrum Disorder (ASD) diagnosis is often used to access services. We investigated whether ASD diagnostic outcome varied when DSM-5 was used compared to ICD-10R and DSM-IV-TR in a clinical sample of 150 intellectually able adults. Of those diagnosed with an ASD using ICD-10R, 56 % met DSM-5 ASD criteria. A further 19 % met DSM-5 (draft) criteria for Social Communication Disorder. Of those diagnosed with Autistic Disorder/Asperger Syndrome on DSM-IV-TR, 78 % met DSM-5 ASD criteria. Sensitivity of DSM-5 was significantly increased by reducing the number of criteria required for a DSM-5 diagnosis, or by rating ‘uncertain’ criteria as ‘present’, without sacrificing specificity. Reduced rates of ASD diagnosis may mean some ASD individuals will be unable to access clinical services.
ISSN:0162-3257
1573-3432
DOI:10.1007/s10803-013-1799-6