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Gepubliceerd in: Journal of Autism and Developmental Disorders 6/2020

09-03-2019 | OriginalPaper

How has DSM-5 Affected Autism Diagnosis? A 5-Year Follow-Up Systematic Literature Review and Meta-analysis

Auteurs: Kristine M. Kulage, MA, MPH, Johanna Goldberg, John Usseglio, Danielle Romero, Jennifer M. Bain, Arlene M. Smaldone

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 6/2020

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Abstract

We conducted a 5-year follow-up systematic review and meta-analysis to determine change in frequency of autism spectrum disorder (ASD) diagnosis since diagnostic and statistical manual 5 (DSM-5) publication and explore the impact of Social Communication Disorder (SCD). For 33 included studies, use of DSM-5 criteria suggests decreases in diagnosis for ASD [20.8% (16.0–26.7), p < 0.001], DSM-IV-TR Autistic Disorder [10.1% (6.2–16.0), p < 0.001], and Asperger’s [23.3% (12.9–38.5), p = 0.001]; pervasive developmental disorder-not otherwise specified decrease was not significant [46.1% (34.6–58.0), p = 0.52]. Less than one-third [28.8% (13.9–50.5), p = 0.06] of individuals diagnosed with DSM-IV-TR but not DSM-5 ASD would qualify for SCD. Findings suggest smaller decreases in ASD diagnoses compared to earlier reviews. Future research is needed as concerns remain for impaired individuals without a diagnosis.
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Metagegevens
Titel
How has DSM-5 Affected Autism Diagnosis? A 5-Year Follow-Up Systematic Literature Review and Meta-analysis
Auteurs
Kristine M. Kulage, MA, MPH
Johanna Goldberg
John Usseglio
Danielle Romero
Jennifer M. Bain
Arlene M. Smaldone
Publicatiedatum
09-03-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 6/2020
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-019-03967-5

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