Journal of Autism and Developmental Disorders

, Volume 45, Issue 5, pp 1437–1450 | Cite as

Comparing Diagnostic Outcomes of Autism Spectrum Disorder Using DSM-IV-TR and DSM-5 Criteria

  • Elizabeth B. Harstad
  • Jason Fogler
  • Georgios Sideridis
  • Sarah Weas
  • Carrie Mauras
  • William J. Barbaresi
Original Paper


Controversy exists regarding the DSM-5 criteria for ASD. This study tested the psychometric properties of the DSM-5 model and determined how well it performed across different gender, IQ, and DSM-IV-TR sub-type, using clinically collected data on 227 subjects (median age = 3.95 years, majority had IQ > 70). DSM-5 was psychometrically superior to the DSM-IV-TR model (Comparative Fit Index of 0.970 vs 0.879, respectively). Measurement invariance revealed good model fit across gender and IQ. Younger children tended to meet fewer diagnostic criteria. Those with autistic disorder were more likely to meet social communication and repetitive behaviors criteria (p < .001) than those with PDD-NOS. DSM-5 is a robust model but will identify a different, albeit overlapping population of individuals compared to DSM-IV-TR.


Autism spectrum disorder (ASD) DSM-5 Confirmatory factor analysis Measurement invariance 


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Elizabeth B. Harstad
    • 1
    • 2
  • Jason Fogler
    • 1
    • 2
  • Georgios Sideridis
    • 1
    • 2
  • Sarah Weas
    • 1
  • Carrie Mauras
    • 1
    • 2
  • William J. Barbaresi
    • 1
    • 2
  1. 1.Division of Developmental MedicineBoston Children’s HospitalBostonUSA
  2. 2.Harvard Medical SchoolBostonUSA

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