ERIC Number: EJ1078639
Record Type: Journal
Publication Date: 2015-Nov
Abstractor: As Provided
Reference Count: 70
The New DSM-5 Impairment Criterion: A Challenge to Early Autism Spectrum Disorder Diagnosis?
Zander, Eric; Bölte, Sven
Journal of Autism and Developmental Disorders, v45 n11 p3634-3643 Nov 2015
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.
Descriptors: Autism, Pervasive Developmental Disorders, Clinical Diagnosis, Identification, Young Children, Adjustment (to Environment), Behavior Rating Scales, Criteria, Severity (of Disability), Classification
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A
Identifiers - Assessments and Surveys: Vineland Adaptive Behavior Scales