DSM-5 – Aufmerksamkeitsdefizit-/Hyperaktivitätsstörungen
DSM-5 Kommentar
Abstract
Die Modifikationen, die im DSM-5 bei den Kriterien für die Diagnose einer Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS) vorgenommen wurden, werden vorgestellt und kritisch diskutiert. Die wichtigsten Veränderungen beziehen sich auf den Beginn der Symptomatik, die Reduktion der Anzahl der notwendigen Kriterien ab dem Alter von 17 Jahren und die Streichung von Autismusspektrumstörungen als Ausschlussdiagnose. Diese Veränderungen sind überwiegend zu begrüßen, bei der Heraufsetzung des Alters für den Störungsbeginn müssen jedoch auch problematische Aspekte bedacht werden.
Modifications to the DSM-5 criteria for the diagnosis of attention-deficit/hyperactivity disorders are described and discussed. The main modifications concern the onset of the disorder, the reduction on the number of criteria fulfilled for a diagnosis in patients aged 17 years or older, and the elimination of autism spectrum disorders as an exclusion criterion for this diagnosis. These changes are mainly welcomed. However, the demanded increase in the age for the latest onset of the disorder may prove to be problematic.
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