Abstract
Die Autismus-Spektrum Störung (ASS) wird in DSM-5 als eine Erkrankung aus den ICD-10 bzw. DSM-IV TR-Diagnosen frühkindlicher Autismus, Asperger Syndrom und atypischer Autismus/PDD-nos zusammengefasst und weist entsprechend revidierte Kriterien auf. In dem vorliegenden Artikel werden diese Kriterien vergleichend dargestellt, Studien zu Validität und Reliabilität der neuen ASS-Diagnose präsentiert und offene Fragen diskutiert. Ein Ausblick auf die klinische und wissenschaftliche Bedeutung wird gegeben.
Autism Spectrum Disorder (ASD) in DSM-5 comprises the former DSM-IV-TR diagnoses of Autistic Disorder, Asperger’s Disorder and PDD-nos. The criteria for ASD in DSM-5 were considerably revised from those of ICD-10 and DSM-IV-TR. The present article compares the diagnostic criteria, presents studies on the validity and reliability of ASD, and discusses open questions. It ends with a clinical and research perspective.
Literatur
2000). Diagnostic and statistical manual of mental disorders, fourth edition (DSM-IV-TR). Washington, DC: Autor.
(2013). Diagnostic and statistical manual of mental disorders, fifth edition (DSM-5). Washington, DC: Autor.
(2013). Sensitivity and specificity of proposed DSM-5 criteria for autism spectrum disorder in toddlers. Journal of Autism and Developmental Disorders, 43, 1184–1195.
(2000). The Questionnaire on Behaviour and Social Communication (VSK): An autism screening instrument for research and practice. Diagnostica, 46, 149–155.
(2008). Assessing autistic traits: Cross-cultural validation of the Social Responsiveness Scale (SRS). Autism Research, 1, 354–363.
(2012). Annual research review: Categories versus dimensions in the classification and conceptualisation of child and adolescent mental disorders – Implications of recent empirical study. Journal of Child Psychology and Psychiatry, 53, 469–489.
(2013). Toward the future of psychiatric diagnosis: The seven pillars of RDoC. BMC Medicine, 11, 126.
(2013). ICD-11 should not repeat the mistakes made by DSM-5. British Journal of Psychiatry, 203, 1–2.
(2012). Validation of proposed DSM-5 criteria for Autism Spectrum Disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 28–40.
(2009). Diagnostik und Therapie autistischer Störungen. Monatsschrift Kinderheilkunde, 157, 1257–1266.
(2012). Autistische Störungen – State-of-the-Art und neuere Entwicklungen: Epidemiologie, Ätiologie, Diagnostik und Therapie. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 40, 139–149.
(2010). Genetics of autistic disorders: Review and clinical implications. European Child and Adolescent Psychiatry, 19, 169–178.
(2012). Brief report: An exploratory study comparing diagnostic outcomes for autism spectrum disorders under DSM-IV-TR with the proposed DSM-5 revision. Journal of Autism and Developmental Disorders, 42, 1750–1756.
(2013). Social communication disorder outside autism? A diagnostic classification approach to delineating pragmatic language impairment, high functioning autism, and specific language impairment. Journal of Child Psychology and Psychiatry, epub ahead of print.
(2013). Empirically based phenotypic profiles of children with pervasive developmental disorders: Interpretation in the light of the DSM-5. Journal of Autism and Developmental Disorders, 43, 1784–1797.
(2013). DSM-5 and autism spectrum disorders (ASDs): An opportunity for identifying ASD subtypes. Molecular Autism, 4, 12.
(2013). Comparison of DSM-IV and DSM-5 factor structure models for toddlers with autism spectrum disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 52, 797–805.
(2013). What DSM-5 could mean to children with autism and their families. JAMA Pediatrics, 167, 608–613.
(2003). Outcome in high-functioning adults with autism with and without early language delays: Implications for the differentiation between autism and Asperger syndrome. Journal of Autism and Developmental Disorders, 33, 3–13.
(2012). Application of DSM-5 criteria for Autism Spectrum Disorder to three samples of children with DSM-IV diagnoses of Pervasive Developmental Disorders. American Journal of Psychiatry, 169, 1056–1064.
(2008). Catatonia in autism: Implications across the lifespan. European Child and Adolescent Psychiatry, 17, 327–335.
(2013). Diagnosing Autism Spectrum Disorder: Who will get a DSM-5 diagnosis? Journal of Child Psychology and Psychiatry, 54, 1242–1250.
(2013). Subgrouping the autism «spectrum»: Reflections on DSM-5. PLoS Biology, 11, e1001544.
(2012). Testing the construct validity of proposed criteria for DSM-5 Autism Spectrum Disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 41–50.
(2013). Brief report: Comparability of DSM-IV and DSM-5 ASD research samples. Journal of Autism and Developmental Disorders, 43, 1236–1242.
(2012). Sensitivity and specificity of proposed DSM-5 diagnostic criteria for Autism Spectrum Disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 368–383.
(2013). DSM-5 field trials in the United States and Canada, Part II: Test-retest reliability of selected categorical diagnoses. American Journal of Psychiatry, 170, 59–70.
(2012). Multiaxiales Klassifikationsschema für psychiatrische Störungen im Kindes- und Jugendalter nach ICD-10 der WHO (6. Aufl.) Bern: Huber.
(2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 921–929.
(2013). Brief report: DSM-5 «Levels of Support»: A comment on discrepant conceptualizations of severity in ASD. Journal of Autism and Developmental Disorders, 44, 471–476.
(1993). Internationale Klassifikation psychischer Störungen. ICD-10 Kapitel V (F). Klinisch-diagnostische Leitlinien (2. Aufl.). Bern: Huber.
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