Autism spectrum disorders
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.
KeywordsAutism spectrum disorder Autism Diagnosis DSM ICD
Conflict of interest
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.
- 1.American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders. American Psychiatric Association, Washington, DC, USAGoogle Scholar
- 2.World Health Organization (1993) The ICD-10 Classification of Mental and Behavioural Disorders. World Health Organization, GenevaGoogle Scholar
- 3.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 69:306–313PubMedCrossRefGoogle Scholar
- 6.Sharma S, Woolfson LM, Hunter SC (2011) Confusion and inconsistency in diagnosis of Asperger syndrome: a review of studies from 1981 to 2010. Autism 16:465–486Google Scholar
- 13.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 40:31–45PubMedCrossRefGoogle Scholar
- 16.National Autistic Society (2003) National Autism Plan for Children. National Autistic Society, London. (Ref Type: Report)Google Scholar
- 18.Scottish Intercollegiate Guidelines Network (2007) Assessment, diagnosis and clinical interventions for children and young people with autism spectrum disorders. SIGN, Edinburgh (Ref Type: Report)Google Scholar
- 19.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)Google Scholar
- 20.Ministries of Health and Education (2008) New Zealand Autism Spectrum Disorder Guideline. Ministry of Health, Wellington (Ref Type: Report)Google Scholar
- 21.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 47:642–651PubMedCrossRefGoogle Scholar