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Gepubliceerd in: Journal of Autism and Developmental Disorders 2/2014

01-02-2014 | Brief Report

Brief Report: DSM-5 “Levels of Support:” A Comment on Discrepant Conceptualizations of Severity in ASD

Auteurs: Amy S. Weitlauf, Katherine O. Gotham, Alison C. Vehorn, Zachary E. Warren

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 2/2014

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Abstract

Proposed DSM-5 revisions to the diagnosis of autism spectrum disorder (ASD) include a “severity” marker based on degree of impairment. Although qualitative differences between support levels are described, quantitative methods or practice recommendations for differentiating between levels remain undetermined. This leaves the field vulnerable to potential discrepancies between severity categorizations that may have inadvertent service implications. We examined overlap between mild, moderate, and severe impairment classifications based on autism symptoms, cognitive skills, and adaptive functioning in 726 participants (15 months—17 years) with ASD. Participants with mild, moderate, and severe autism symptoms demonstrated varying levels of adaptive and cognitive impairment. These discrepancies highlight the need for a clearly elucidated method of classifying level of support in ASD diagnosis.
Literatuur
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, (4th ed., tr). Washington, DC: Author. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, (4th ed., tr). Washington, DC: Author.
go back to reference Bayley, N. (1993). Bayley scales of infant development (2nd ed.). San Antonio, TX: The Psychological Corporation. Bayley, N. (1993). Bayley scales of infant development (2nd ed.). San Antonio, TX: The Psychological Corporation.
go back to reference Elliott, C. D. (2007). Differential ability scales (2nd ed.). San Antonio, TX: Harcourt Assessment. Elliott, C. D. (2007). Differential ability scales (2nd ed.). San Antonio, TX: Harcourt Assessment.
go back to reference Goin-Kochel, R. P., Mackintosh, V. H., & Myers, B. J. (2006). How many doctors does it take to make an autism spectrum diagnosis? Autism, 10, 439–451. PubMedCrossRef Goin-Kochel, R. P., Mackintosh, V. H., & Myers, B. J. (2006). How many doctors does it take to make an autism spectrum diagnosis? Autism, 10, 439–451. PubMedCrossRef
go back to reference Hus, V., Gotham, K., & Lord, C. (2012). Standardizing ADOS Domain scores: Separating severity of social affect and restricted and repetitive behaviors. Journal of Autism and Developmental Disorders. doi: 10.​1007/​s10803-012-1719-1. Hus, V., Gotham, K., & Lord, C. (2012). Standardizing ADOS Domain scores: Separating severity of social affect and restricted and repetitive behaviors. Journal of Autism and Developmental Disorders. doi: 10.​1007/​s10803-012-1719-1.
go back to reference Kanne, S. M., Gerber, A. J., Quirmbach, L. M., Sparrow, S. S., Cicchetti, D. V., & Saulnier, C. A. (2011). The role of adaptive behavior in autism spectrum disorders: Implications for functional outcome. Journal of Autism and Developmental Disorders, 41, 1007–1018. PubMedCrossRef Kanne, S. M., Gerber, A. J., Quirmbach, L. M., Sparrow, S. S., Cicchetti, D. V., & Saulnier, C. A. (2011). The role of adaptive behavior in autism spectrum disorders: Implications for functional outcome. Journal of Autism and Developmental Disorders, 41, 1007–1018. PubMedCrossRef
go back to reference Kaufman, A. S., & Kaufman, N. L. (1990). Kaufman brief intelligence test: Manual. Circle Pines, MN: American Guidance Service. Kaufman, A. S., & Kaufman, N. L. (1990). Kaufman brief intelligence test: Manual. Circle Pines, MN: American Guidance Service.
go back to reference Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Jr, Leventhal, B. L., DiLavore, P. C., et al. (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205–223. Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Jr, Leventhal, B. L., DiLavore, P. C., et al. (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205–223.
go back to reference Lord, C., Rutter, M., DiLavore, P., Risi, S., Gotham, K., & Bishop, S. L. (2012a). Autism diagnostic observation schedule (ADOS-2): manual (2nd ed.). Los Angeles: Western Psychological Services. Lord, C., Rutter, M., DiLavore, P., Risi, S., Gotham, K., & Bishop, S. L. (2012a). Autism diagnostic observation schedule (ADOS-2): manual (2nd ed.). Los Angeles: Western Psychological Services.
go back to reference Mullen, E. M. (1995). Mullen scales of early learning. Circle Pines, MN: American Guidance Service. Mullen, E. M. (1995). Mullen scales of early learning. Circle Pines, MN: American Guidance Service.
go back to reference Nissenbaum, M. S., Tollefson, N., & Reese, R. M. (2002). The interpretative conference: Sharing a diagnosis of autism with families. Focus on Autism and Other Developmental Disabilities, 17, 30–43. CrossRef Nissenbaum, M. S., Tollefson, N., & Reese, R. M. (2002). The interpretative conference: Sharing a diagnosis of autism with families. Focus on Autism and Other Developmental Disabilities, 17, 30–43. CrossRef
go back to reference Roid, G. H. (2003). Stanford-binet intelligence scales, examiner manual (5th ed.). Itasca, IL: Riverside. Roid, G. H. (2003). Stanford-binet intelligence scales, examiner manual (5th ed.). Itasca, IL: Riverside.
go back to reference Roid, G. M., & Miller, L. J. (1997). Leiter international performance scale—revised: Examiners manual . Wood Dale, IL: Stoelting Co. Roid, G. M., & Miller, L. J. (1997). Leiter international performance scale—revised: Examiners manual . Wood Dale, IL: Stoelting Co.
go back to reference Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland adaptive behavior scales, (Vineland-II). Circle Pines, MN: American Guidance Services. Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland adaptive behavior scales, (Vineland-II). Circle Pines, MN: American Guidance Services.
go back to reference Warren, Z. E., & Stone, W. L. (2011). Clinical best practices: Diagnosis and assessment of young children. In D. Amaral, G. Dawson, & D. Gerschwind (Eds.), Autism spectrum disorders (pp. 1269–1280). New York: Oxford University Press. Warren, Z. E., & Stone, W. L. (2011). Clinical best practices: Diagnosis and assessment of young children. In D. Amaral, G. Dawson, & D. Gerschwind (Eds.), Autism spectrum disorders (pp. 1269–1280). New York: Oxford University Press.
go back to reference Wechsler, D. (2002). Wechsler preschool and primary scale of intelligence (3rd ed.). San Antonio, TX: Harcourt Assessment, Inc. Wechsler, D. (2002). Wechsler preschool and primary scale of intelligence (3rd ed.). San Antonio, TX: Harcourt Assessment, Inc.
go back to reference Wechsler, D. (2003). Wechsler intelligence scale for children—fourth edition administration & scoring manual. San Antonio, TX: Psychological Corporation. Wechsler, D. (2003). Wechsler intelligence scale for children—fourth edition administration & scoring manual. San Antonio, TX: Psychological Corporation.
Metagegevens
Titel
Brief Report: DSM-5 “Levels of Support:” A Comment on Discrepant Conceptualizations of Severity in ASD
Auteurs
Amy S. Weitlauf
Katherine O. Gotham
Alison C. Vehorn
Zachary E. Warren
Publicatiedatum
01-02-2014
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 2/2014
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-013-1882-z

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