Journal
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
Volume 44, Issue 4, Pages 758-765Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10803-013-1927-3
Keywords
Autism; Diagnosis; DSM-IV; DSM-5
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A number of changes were made to pervasive developmental disorders (PDDs) in the recently released diagnostic and statistical manual of mental disorders (APA, Diagnostic and statistical manual of mental disorders, American Psychiatric Publishing, Arlington, VA, 2013). Of the 210 participants in the present study who met DSM-IV-TR criteria for a PDD [i.e., autistic disorder, Asperger's disorder and pervasive developmental disorder-not otherwise specified (PDD-NOS)], only 57.1 % met DSM-5 criteria (specificity = 1.0) for autism spectrum disorder when criteria were applied concurrently during diagnostic assessment. High-functioning individuals (i.e., Asperger's disorder and PDD-NOS) were less likely to meet DSM-5 criteria than those with autistic disorder. A failure to satisfy all three criteria in the social-communication domain was the most common reason for exclusion (39 %). The implications of these results are discussed.
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