New Research on DSM-V – More confusion

J Autism Dev Disord. 2012 Sep 26. [Epub ahead of print]

Brief Report: Comparability of DSM-IV and DSM-5 ASD Research Samples.

http://www.ncbi.nlm.nih.gov/pubmed/23011251

Source

Department of Psychiatry, University of Pittsburgh, Webster Hall, Suite 300, 3811 O’Hara Street, Pittsburgh, PA, 15213, USA, mazefskyca@upmc.edu.

Abstract

Diagnostic and Statistical Manual (DSM-5) criteria for ASD have been criticized for being too restrictive, especially for more cognitively-able individuals.

It is unclear, however, if high-functioning individuals deemed eligible for research via standardized diagnostic assessments would meet DSM-5 criteria.

This study investigated the impact of DSM-5 on the diagnostic status of 498 high-functioning participants with ASD research diagnoses.

The percent of participants satisfying all DSM-5-requirements varied significantly with reliance on data from the Autism Diagnostic Observation Schedule (ADOS; 33 %) versus Autism Diagnostic Interview-Revised (ADI-R; 83 %), highlighting the impact of diagnostic methodology on ability to document DSM-5 symptoms. Utilizing combined ADOS/ADI-R data, 93 % of participants met DSM-5 criteria, which suggests likely continuity between DSM-IV and DSM-5 research samples characterized with these instruments in combination.

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Comment – It’s just not good enough.

http://en.wikipedia.org/wiki/Autism_Diagnostic_Observation_Schedule

http://en.wikipedia.org/wiki/Autism_Diagnostic_Interview-Revised

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