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A Comparison of DSM-IV-TR and DSM-5 Diagnostic Classifications in the Clinical Diagnosis of Autistic Spectrum Disorder

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Abstract

Aim of this study was to compare children diagnosed with Pervasive Developmental Disorder (PDD) according to DSM-IV-TR and DSM-5 diagnostic systems. One hundred fifty children aged between 3 and 15 years diagnosed with PDD by DSM-IV-TR were included. PDD symptoms were reviewed through psychiatric assessment based on DSM-IV-TR and DSM-5 criteria. Clinical severity was determined using Childhood Autism Rating Scale (CARS) and Autism Behavior Checklist (ABC). A statistically significant decrease (19.3 %) was detected in the diagnostic ratio with DSM-5. Age and symptom severity differed significantly between those who were and were not diagnosed with PDD using DSM-5. B4 criteria in DSM-5 was most common criterion. Results indicate that individuals diagnosed with PDD by DSM-IV-TR criteria may not be diagnosed using DSM-5 criteria.

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Funding

No grant or financial support was received for the study.

Author Contributions

FY conceived of the study, participated in its design and coordination, performed the measurement and assessments, interpreted the data and drafted the manuscript. SM participated in the conception and design, assisted in data collection and assessment process, assisted in interpretation of data and revised it critically to result in the final draft. Each author have given final approval of the version to be published.

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Authors and Affiliations

  1. Karaman State Hospital, Child and Adolescent Psychiatry Unit, Universite Mah., 1984 Sk., No: 1, Karaman, Turkey

    Ferhat Yaylaci

  2. Dokuz Eylul University Hospital, Child and Adolescent Psychiatry Unit, Izmir, Turkey

    Suha Miral

Authors
  1. Ferhat Yaylaci
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  2. Suha Miral
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Correspondence to Ferhat Yaylaci.

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Conflict of Interest

Dr. Ferhat Yaylaci declares he has no conflict of interest, Dr. Suha Miral declares she has no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Yaylaci, F., Miral, S. A Comparison of DSM-IV-TR and DSM-5 Diagnostic Classifications in the Clinical Diagnosis of Autistic Spectrum Disorder. J Autism Dev Disord 47, 101–109 (2017). https://doi.org/10.1007/s10803-016-2937-8

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  • DOI: https://doi.org/10.1007/s10803-016-2937-8

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