Abstract
The revision of the diagnostic criteria for ASD has been widely anticipated and is expected to be an important contribution to the refinement of the definition of ASD. In the upcoming DSM-5, several changes have been made compared to the previous diagnostic criteria. They include no emphasis on language delay and age of onset except that ASD is defined as a neurodevelopmental disorder with symptoms in early childhood although the disorder may first be diagnosed later in life. The three areas of impairments in ASD are reduced to two areas, namely a social-communication domain and a behavioral domain including fixated interests and repetitive behaviors. In addition, the clinical presentation of ASD in the individual is described in more detail in terms of clinical specifiers. In addition to reporting these changes in the classification, the major international guidelines are introduced and a brief description of good clinical practice of assessment and the overall principles of intervention is provided.
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References
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders. American Psychiatric Association, Washington, DC, USA
World Health Organization (1993) The ICD-10 Classification of Mental and Behavioural Disorders. World Health Organization, Geneva
Lord C, Petkova E, Hus V, Gan W, Lu F, Martin DM, Ousley O, Guy L, Bernier R, Gerdts J, Algermissen M, Whitaker A, Sutcliffe JS, Warren Z, Klin A, Saulnier C, Hanson E, Hundley R, Piggot J, Fombonne E, Steiman M, Miles J, Kanne SM, Goin-Kochel RP, Peters SU, Cook EH, Guter S, Tjernagel J, Green-Snyder LA, Bishop S, Esler A, Gotham K, Luyster R, Miller F, Olson J, Richler J, Risi S (2012) A multisite study of the clinical diagnosis of different autism spectrum disorders. Arch Gen Psychiatry 69:306–313
Walker DR, Thompson A, Zwaigenbaum L, Goldberg J, Bryson SE, Mahoney WJ, Strawbridge CP, Szatmari P (2004) Specifying PDD-NOS: a comparison of PDD-NOS, Asperger syndrome, and autism. J Am Acad Child Adolesc Psychiatry 43:172–180
Witwer AN, Lecavalier L (2008) Examining the validity of autism spectrum disorder subtypes. J Autism Dev Disord 38:1611–1624
Sharma S, Woolfson LM, Hunter SC (2011) Confusion and inconsistency in diagnosis of Asperger syndrome: a review of studies from 1981 to 2010. Autism 16:465–486
Ozonoff S, Heung K, Byrd R, Hansen R, Hertz-Picciotto I (2008) The onset of autism: patterns of symptom emergence in the first years of life. Autism Res 1:320–328
Barbaro J, Dissanayake C (2009) Autism spectrum disorders in infancy and toddlerhood: a review of the evidence on early signs, early identification tools, and early diagnosis. J Dev Behav Pediatr 30:447–459
Yirmiya N, Charman T (2010) The prodrome of autism: early behavioral and biological signs, regression, peri- and post-natal development and genetics. J Child Psychol Psychiatry 51:432–458
Rogers SJ (2009) What are infant siblings teaching us about autism in infancy? Autism Res 2:125–137
Howlin P (2003) Outcome in high-functioning adults with autism with and without early language delays: implications for the differentiation between autism and Asperger syndrome. J Autism Dev Disord 33:3–13
Rosenberg RE, Law JK, Yenokyan G, McGready J, Kaufmann WE, Law PA (2009) Characteristics and concordance of autism spectrum disorders among 277 twin pairs. Arch Pediatr Adolesc Med 163:907–914
Ronald A, Butcher LM, Docherty S, Davis OS, Schalkwyk LC, Craig IW, Plomin R (2010) A genome-wide association study of social and non-social autistic-like traits in the general population using pooled DNA, 500 K SNP microarrays and both community and diagnosed autism replication samples. Behav Genet 40:31–45
Johnson CP, Myers SM (2007) Identification and evaluation of children with autism spectrum disorders. Pediatrics 120:1183–1215
Myers SM, Johnson CP (2007) Management of children with autism spectrum disorders. Pediatrics 120:1162–1182
National Autistic Society (2003) National Autism Plan for Children. National Autistic Society, London. (Ref Type: Report)
Palmer E, Ketteridge C, Parr JR, Baird G, Le CA (2011) Autism spectrum disorder diagnostic assessments: improvements since publication of the National Autism Plan for Children. Arch Dis Child 96:473–475
Scottish Intercollegiate Guidelines Network (2007) Assessment, diagnosis and clinical interventions for children and young people with autism spectrum disorders. SIGN, Edinburgh (Ref Type: Report)
National Collaborating Centre for Woman’s and Children’s Health (2011) Autism: Recognition, referral and Diagnosis of Children and Young People on the Autism Spectrum (NICE Clinical Guidelines, No. 128). RCOG Press, London (Ref Type: Report)
Ministries of Health and Education (2008) New Zealand Autism Spectrum Disorder Guideline. Ministry of Health, Wellington (Ref Type: Report)
Gotham K, Risi S, Dawson G, Tager-Flusberg H, Joseph R, Carter A, Hepburn S, McMahon W, Rodier P, Hyman SL, Sigman M, Rogers S, Landa R, Spence MA, Osann K, Flodman P, Volkmar F, Hollander E, Buxbaum J, Pickles A, Lord C (2008) A replication of the Autism Diagnostic Observation Schedule (ADOS) revised algorithms. J Am Acad Child Adolesc Psychiatry 47:642–651
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This article is part of the supplement ‘‘The Future of Child and Adolescent Psychiatry and Psychology: The Impact of DSM 5 and of Guidelines for Assessment and Treatment”. This supplement was not sponsored by outside commercial interests.
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Lauritsen, M.B. Autism spectrum disorders. Eur Child Adolesc Psychiatry 22 (Suppl 1), 37–42 (2013). https://doi.org/10.1007/s00787-012-0359-5
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DOI: https://doi.org/10.1007/s00787-012-0359-5