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01-08-2014 | Original Paper | Uitgave 8/2014

How Will DSM-5 Affect Autism Diagnosis? A Systematic Literature Review and Meta-analysis

Tijdschrift:: Journal of Autism and Developmental Disorders > Uitgave 8/2014

Auteurs:: Kristine M. Kulage, Arlene M. Smaldone, Elizabeth G. Cohn

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Electronic supplementary material

The online version of this article (doi:10.1007/s10803-014-2065-2) contains supplementary material, which is available to authorized users.

Abstract

We conducted a systematic review and meta-analysis to determine the effect of changes to the Diagnostic and Statistical Manual (DSM)-5 on autism spectrum disorder (ASD) and explore policy implications. We identified 418 studies; 14 met inclusion criteria. Studies consistently reported decreases in ASD diagnosis (range 7.3–68.4 %) using DSM-5 criteria. There were statistically significant pooled decreases in ASD [31 % (20–44), p = 0.006] and DSM-IV-TR subgroups of Autistic disorder [22 % (16–29), p < 0.001] and pervasive developmental disorder-not otherwise specified (PDD-NOS) [70 % (55–82), p = 0.01]; however, Asperger’s disorder pooled decrease was not significant [70 % (26–94), p = 0.38]. DSM-5 will likely decrease the number of individuals diagnosed with ASD, particularly the PDD-NOS subgroup. Research is needed on policies regarding services for individuals lacking diagnosis but requiring assistance.

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Supplementary material 1 (DOC 54 kb)

10803_2014_2065_MOESM1_ESM.doc

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Titel: How Will DSM-5 Affect Autism Diagnosis? A Systematic Literature Review and Meta-analysis
Auteurs:: Kristine M. Kulage
Arlene M. Smaldone
Elizabeth G. Cohn
Publicatiedatum: 01-08-2014
DOI: https://doi.org/10.1007/s10803-014-2065-2
Uitgeverij: Springer US
Tijdschrift: Journal of Autism and Developmental Disorders
Uitgave 8/2014
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432

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