SchaferAutismReport: New Autism Criteria Will Not Exclude Affected Kids

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RESEARCH

New Autism Criteria Will Not Exclude Affected Kids

But Concerns Linger Among Autism Groups

Pam on From Medscape Medical News

Dr.

Lord

A redefinition of the

diagnosis of

autism will not exclude children with the disorder and render them

ineligible for services, a new study shows. However, despite these

findings, some in the autism community still have concerns.

Marisela Huerta, PhD, and colleagues

from the Weill Cornell Medical College, New York City, are reporting

that the new diagnostic criteria for what will now be called autism

spectrum disorder (ASD) in the Diagnostic and Statistical Manual of

Mental Disorders, Fifth Edition (DSM-5) identified 91% of children

previously diagnosed with pervasive developmental disorder (PDD) on the

basis of DSM-IV criteria.

Many of the remaining 9% would likely

have the diagnosis reinstated with clinician input.

"I know that parents worry, but I don't

believe there is any substantial reason to fear that children who need

to be diagnosed with autism spectrum disorders and provided with vital

services will not be included in the new criteria in this updated

[DSM-5] manual," senior investigator Lord, PhD, director of

the Center for Autism and Developing Brain, New York–Presbyterian

Hospital's Westchester campus, in New York City, said in a press

release on the study.

The study was published in the October 1

issue of the American Journal of Psychiatry.

High Sensitivity Investigators used

previously collected data from 3 different sources to evaluate current

DSM-5 criteria in 4453 children with a DSM-IV clinical PDD diagnosis

along with 690 others with non-PDD diagnoses.

All participants had previously

undergone diagnostic testing that included the Autism Diagnostic

Interview–Revised, the Autism Diagnostic Observation Schedule, and

cognitive or developmental testing.

For the analyses, investigators relied

primarily on the Autism Diagnostic Interview–Revised, a 96-item parent

report measure.

"On the basis of parent-reported

symptoms only...the sensitivity of the proposed DSM-5 criteria ranged

from 0.89 to 0.93," the investigators write, "[whereas] on the basis of

either parent report or clinical observation, DSM-5 sensitivity ranged

from 0.97 to 0.99 for any PDD."

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RESEARCH

New Autism Criteria Will Not Exclude Affected Kids

Drug Reverses Abnormal Brain Function in Rett Syndrome Mice

Nearly Half of Children With Autism Wander From Safety

Occurrence and Family Impact of Elopement in Children With Autism

Spectrum Disorders

Prenatal Mercury Intake Linked To ADHD

NEWS

Assuring Care of a Family Member With Special Needs

Simple Autism Test In Works

Pesticides Blamed By Report For Illnesses

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