Top

Gepubliceerd in:

24-08-2016 | Original Article

DSM Criteria that Best Differentiate Intellectual Disability from Autism Spectrum Disorder

Auteurs: Anita L. Pedersen, Sydney Pettygrove, Zhenqiang Lu, Jennifer Andrews, F. John Meaney, Margaret Kurzius-Spencer, Li-Ching Lee, Maureen S. Durkin, Christopher Cunniff

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2017

Abstract

Clinical characteristics of autism spectrum disorder (ASD) and intellectual disability (ID) overlap, creating potential for diagnostic confusion. Diagnostic and statistical manual of mental disorders (DSM) criteria that best differentiate children with ID and some ASD features from those with comorbid ID and ASD were identified. Records-based surveillance of ASD among 8-year-old children across 14 US populations ascertained 2816 children with ID, with or without ASD. Area under the curve (AUC) was conducted to determine discriminatory power of DSM criteria. AUC analyses indicated that restricted interests or repetitive behaviors best differentiated between the two groups. A subset of 6 criteria focused on social interactions and stereotyped behaviors was most effective at differentiating the two groups (AUC of 0.923), while communication-related criteria were least discriminatory. Matching children with appropriate treatments requires differentiation between ID and ASD. Shifting to DSM-5 may improve differentiation with decreased emphasis on language-related behaviors.

vorige artikel Anxiety and Atopic Disease: Comorbidity in a Youth Mental Health Setting

volgende artikel The Moderating Role of Maternal Depression in the Relation Between Adolescent Behavioral Inhibition and Maternal Critical Expressed Emotion

American Psychiatric Association (2013) DSM 5 [Internet]. Am J Psychiatry

(2009) Autism and Developmental Disabilities Monitoring Network 2006 Principal Investigators. Prevalence of autism spectrum disorders—autism and developmental disabilities monitoring network, United States, 2006. Morb Mortal Wkly Rep Surveill Summ 58(SS-10):1–20

(2007) Autism and Developmental Disabilities Monitoring Network 2000 Principal Investigators. Prevalence of autism spectrum disorders—Autism and Developmental Disabilities Monitoring Network, six sites, United States, 2000. Morb Mortal Wkly Rep Surveill Summ 56(SS-1):1–11

(2007) Autism and Developmental Disabilities Monitoring Network Surveillance Year 2002 Principal Investigators. Prevalence of autism spectrum disorders—Autism and Developmental Disabilities Monitoring Network, 14 sites, United States, 2002. Morb Mortal Wkly Rep Surveill Summ 55(SS-1):12–28

(2014) Autism and Developmental Disabilities Monitoring Network Surveillance Year 2010 Principal Investigators. Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years—Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2010. Morb Mortal Wkly Rep Surveill Summ 63(SS-02):1–13

Croen LA, Grether JK, Hoogstrate J, Selvin S (2002) The changing prevalence of autism in California. J Autism Dev Disord 32(3):207–215CrossRefPubMed

Lazoff T, Zhong L, Piperni T, Fombonne E (2010) Prevalence of pervasive developmental disorders among children at the English Montreal school board. Can J Psychiatry 55(11):715–720CrossRefPubMed

Rice C, Nicholas J, Baio J, Pettygrove S, Lee LC, Van Naarden Braun K et al (2010) Changes in autism spectrum disorder prevalence in 4 areas of the United States. Disabil Health J 3(3):186–201CrossRefPubMed

Hertz-Picciotto I, Delwiche L (2009) The rise in autism and the role of age at diagnosis. Epidemiology 20(1):84–90CrossRefPubMedPubMedCentral

10.

Fombonne E (1992) Diagnostic assessment in a sample of autistic and developmentally impaired adolescents. J Autism Dev Disord 22(4):563–581CrossRefPubMed

11.

Maulik PK, Mascarenhas MN, Mathers CD, Dua T, Saxena S (2011) Prevalence of intellectual disability: a meta-analysis of population-based studies. Res Dev Disabil 32:419–436CrossRefPubMed

12.

Boyle CA, Boulet S, Schieve LA, Cohen RA, Blumberg SJ, Yeargin-Allsopp M et al (2011) Trends in the prevalence of developmental disabilities in US children, 1997–2008. Pediatrics 127(6):1034–1042CrossRefPubMed

13.

Van Naarden Braun K, Christensen D, Doernberg N, Schieve L, Rice C, Wiggins L et al (2015) Trends in the prevalence of autism spectrum disorder, cerebral palsy, hearing loss, intellectual disability, and vision impairment, metropolitan Atlanta, 1991–2010. PLoS One0(4):e0124120. http://dx.plos.org/10.1371/journal.pone.0124120

14.

Elsabbagh M, Divan G, Koh YJ, Kim YS, Kauchali S, Marcín C et al (2012) Global prevalence of autism and other pervasive developmental disorders. Autism Res 5(3):160–179CrossRefPubMedPubMedCentral

15.

Edelson MG (2006) Are the majority of children with autism mentally retarded? A systematic evaluation of the data. Focus Autism Other Dev Disabl. 21(2):66–83CrossRef

16.

American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn., text rev. American Psychiatric Association, Washington, DC

17.

Croen LA, Grether JK, Selvin S (2002) Descriptive epidemiology of autism in a California population: who is at risk? J Autism Dev Disord 32(3):217–224CrossRefPubMed

18.

Jick H, Kaye JA (2003) Epidemiology and possible causes of autism. Pharmacotherapy 23(12):1524–1530CrossRefPubMed

19.

King M, Bearman P (2009) Diagnostic change and the increased prevalence of autism. Int J Epidemiol 38(5):1224–1234CrossRefPubMedPubMedCentral

20.

Gillott A, Standen PJ (2007) Levels of anxiety and sources of stress in adults with autism. J Intellect Disabil 11(4):359–370CrossRefPubMed

21.

Estes AM, Dawson G, Sterling L, Munson J (2007) Level of intellectual functioning predicts patterns of associated symptoms in school-age children with autism spectrum disorder. Am J Ment Retard 112(6):439–449CrossRefPubMed

22.

Hove O, Havik OE (2010) Developmental level and other factors associated with symptoms of mental disorders and problem behaviour in adults with intellectual disabilities living in the community. Soc Psychiatry Psychiatr Epidemiol 45(1):105–113CrossRefPubMed

23.

Bakken TL, Helverschou SB, Eilertsen DE, Heggelund T, Myrbakk E, Martinsen H (2010) Psychiatric disorders in adolescents and adults with autism and intellectual disability: a representative study in one county in Norway. Res Dev Disabil 31(6):1669–1677CrossRefPubMed

24.

Hepburn SL, MacLean WE (2009) Maladaptive and repetitive behaviors in children with Down syndrome and autism spectrum disorders: implications for screening. J Ment Health Res Intellect Disabil 2:67–88CrossRef

25.

Rojahn J, Wilkins J, Matson JL, Boisjoli J (2010) A comparison of adults with intellectual disabilities with and without ASD on parallel measures of challenging behaviour: the Behavior Problems Inventory-01 (BPI-01) and Autism Spectrum Disorders-Behavior Problems for Intellectually Disabled Adults (ASD-B). J Appl Res Intellect Disabil 23(2):179–185CrossRef

26.

Totsika V, Felce D, Kerr M, Hastings RP (2010) Behavior problems, psychiatric symptoms, and quality of life for older adults with intellectual disability with and without autism. J Autism Dev Disord 40(10):1171–1178CrossRefPubMed

27.

Rice CE, Baio J, Van Naarden Braun K, Doernberg N, Meaney FJ, Kirby RS (2007) A public health collaboration for the surveillance of autism spectrum disorders. Paediatr Perinat Epidemiol 21(2):179–190CrossRefPubMed

28.

Office of Management and Budget (1997) Revisions to the standards for the classification of federal data on race and ethnicity. Fed Regist 62(210):58782–58790

29.

Krieger N, Chen JT, Waterman PD, Soobader MJ, Subramanian SV, Carson R (2002) Geocoding and monitoring of US socioeconomic inequalities in mortality and cancer incidence: does the choice of area-based measure and geographic level matter? The public health disparities geocoding project. Am J Epidemiol 156(5):471–482CrossRefPubMed

30.

Hartley SL, Sikora DM (2010) Detecting autism spectrum disorder in children with intellectual disability: which DSM-IV-TR criteria are most useful? Focus Autism Other Dev Disabil 25(2):85–97CrossRef

31.

Matson JL, Wilkins J, Ancona M (2008) Autism in adults with severe intellectual disability: an empirical study of symptom presentation. J Intellect Dev Disabil 33(1):36–42CrossRefPubMed

32.

Stone WL, Hogan KL (1993) A structured parent interview for identifying young children with autism. J Autism Dev Disord 23(4):639–652CrossRefPubMed

33.

Van Bourgondien ME, Marcus LM, Schopler E (1992) Comparison of DSM-III-R and childhood autism rating scale diagnoses of autism. J Autism Dev Disord 22(4):493–506CrossRefPubMed

34.

Bodfish JW, Symons FJ, Parker DE, Lewis MH (2000) Varieties of repetitive behavior in autism: comparisons to mental retardation. J Autism Dev Disord 30(3):237–243CrossRefPubMed

35.

Lord C, Storoschuk S, Rutter M, Pickles A (1993) Using the ADI-R to diagnose autism in preschool children. Infant Ment Health J [Internet]. 14(3):234–252CrossRef

36.

Vig S, Jedrysek E (1999) Autistic features in young children with significant cognitive impairment: autism or mental retardation? J Autism Dev Disord 29(3):235–248CrossRefPubMed

37.

Peters-Scheffer N, Didden R, Sigafoos J, Green VA, Korzilius H (2013) Behavioral flexibility in children with autism spectrum disorder and intellectual disability. Res Autism Spectr Disord 7(6):669–709CrossRef

38.

Osterling JA, Dawson G, Munson JA (2002) Early recognition of 1-year-old infants with autism spectrum disorder versus mental retardation. Dev Psychopathol 14(2):239–251CrossRefPubMed

39.

Freeman BJ, Ritvo ER, Schroth PC, Tonick I, Guthrie D, Wake L (1981) Behavioral characteristics of high- and low-IQ autistic children. Am J Psychiatry 138(1):25–29CrossRefPubMed

40.

Sigman M, Ungerer JA (1984) Cognitive and language skills in autistic, mentally retarded, and normal children. Dev Psychol 20:293–302CrossRef

41.

Lord C (1995) Follow-up of two-year-olds referred for possible autism. J Child Psychol Psychiatry 36(8):1365–1382CrossRefPubMed

42.

Baron-Cohen S, Baldwin DA, Crowson M (1997) Do children with autism use the speaker’s direction of gaze strategy to crack the code of language? Child Dev 65(1):48–57CrossRef

43.

Wilkins J, Matson JL (2009) A comparison of social skills profiles in intellectually disabled adults with and without ASD. Behav Modif 33(2):143–155CrossRefPubMed

44.

Ahmad S, Mahmood Z (2011) Differential diagnosis of autism and mental retardation: issues and possible solutions. FWU J Soc Sci 5(1):16–33

45.

Matson JL, Dempsey T, LoVullo SV, Wilkins J (2008) The effects of intellectual functioning on the range of core symptoms of autism spectrum disorders. Res Dev Disabil 29(4):341–350CrossRefPubMed

46.

Maenner MJ, Schieve LA, Rice CE, Cunniff C, Giarelli E, Kirby RS et al (2013) Frequency and Pattern of documented diagnostic features and the age of autism identification. J Am Acad Child Adolesc Psychiatry 52(4):401–413CrossRefPubMedPubMedCentral

Titel: DSM Criteria that Best Differentiate Intellectual Disability from Autism Spectrum Disorder
Auteurs: Anita L. Pedersen
Sydney Pettygrove
Zhenqiang Lu
Jennifer Andrews
F. John Meaney
Margaret Kurzius-Spencer
Li-Ching Lee
Maureen S. Durkin
Christopher Cunniff
Publicatiedatum: 24-08-2016
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development / Uitgave 4/2017
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-016-0681-0

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 4/2017

Callous-Unemotional Traits Moderate the Relation Between Prenatal Testosterone (2D:4D) and Externalising Behaviours in Children

Testing Reciprocal Links Between Trouble Getting to Sleep and Internalizing Behavior Problems, and Bedtime Resistance and Externalizing Behavior Problems in Toddlers

The Moderating Role of Maternal Depression in the Relation Between Adolescent Behavioral Inhibition and Maternal Critical Expressed Emotion

Developmental Trajectories of Youth Conduct Problems: Testing Later Development and Related Outcomes in a 12-Year Period

Personality Development Within a Generational Context: Life Course Outcomes of Shy Children

The Parenting Anxious Kids Ratings Scale-Parent Report (PAKRS-PR): Initial Scale Development and Psychometric Properties