Comparison of ICD-10R, DSM-IV-TR and DSM-5 in an adult autism spectrum disorder diagnostic clinic

C. Ellie Wilson; Nicola Gillan; Deborah Spain; Dene Robertson; Gedeon Roberts; Clodagh M. Murphy; Stefanos Maltezos; Janneke Zinkstok; Katie Johnston; Christina Dardani; Chris Ohlsen; P. Quinton Deeley; Michael Craig; Maria A. Mendez; Francesca Happé; Declan G.M. Murphy

doi:10.1007/s10803-013-1799-6

Comparison of ICD-10R, DSM-IV-TR and DSM-5 in an adult autism spectrum disorder diagnostic clinic

C. Ellie Wilson^*, Nicola Gillan, Deborah Spain, Dene Robertson, Gedeon Roberts, Clodagh M. Murphy, Stefanos Maltezos, Janneke Zinkstok, Katie Johnston, Christina Dardani, Chris Ohlsen, P. Quinton Deeley, Michael Craig, Maria A. Mendez, Francesca Happé, Declan G.M. Murphy

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

43 Citations (Scopus)

Abstract

An Autism Spectrum Disorder (ASD) diagnosis is often used to access services. We investigated whether ASD diagnostic outcome varied when DSM-5 was used compared to ICD-10R and DSM-IV-TR in a clinical sample of 150 intellectually able adults. Of those diagnosed with an ASD using ICD-10R, 56 % met DSM-5 ASD criteria. A further 19 % met DSM-5 (draft) criteria for Social Communication Disorder. Of those diagnosed with Autistic Disorder/Asperger Syndrome on DSM-IV-TR, 78 % met DSM-5 ASD criteria. Sensitivity of DSM-5 was significantly increased by reducing the number of criteria required for a DSM-5 diagnosis, or by rating 'uncertain' criteria as 'present', without sacrificing specificity. Reduced rates of ASD diagnosis may mean some ASD individuals will be unable to access clinical services.

Original language	English
Pages (from-to)	2515-2525
Number of pages	11
Journal	Journal of Autism and Developmental Disorders
Volume	43
Issue number	11
DOIs	https://doi.org/10.1007/s10803-013-1799-6
Publication status	Published - 1 Nov 2013
Externally published	Yes

Keywords

Autism Spectrum Disorder
Diagnosis
DSM-5
Prevalence

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Wilson, C. E., Gillan, N., Spain, D., Robertson, D., Roberts, G., Murphy, C. M., Maltezos, S., Zinkstok, J., Johnston, K., Dardani, C., Ohlsen, C., Deeley, P. Q., Craig, M., Mendez, M. A., Happé, F., & Murphy, D. G. M. (2013). Comparison of ICD-10R, DSM-IV-TR and DSM-5 in an adult autism spectrum disorder diagnostic clinic. Journal of Autism and Developmental Disorders, 43(11), 2515-2525. https://doi.org/10.1007/s10803-013-1799-6

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Wilson, CE, Gillan, N, Spain, D, Robertson, D, Roberts, G, Murphy, CM, Maltezos, S, Zinkstok, J, Johnston, K, Dardani, C, Ohlsen, C, Deeley, PQ, Craig, M, Mendez, MA, Happé, F & Murphy, DGM 2013, 'Comparison of ICD-10R, DSM-IV-TR and DSM-5 in an adult autism spectrum disorder diagnostic clinic', Journal of Autism and Developmental Disorders, vol. 43, no. 11, pp. 2515-2525. https://doi.org/10.1007/s10803-013-1799-6

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AU - Dardani, Christina

AU - Ohlsen, Chris

AU - Deeley, P. Quinton

AU - Craig, Michael

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Comparison of ICD-10R, DSM-IV-TR and DSM-5 in an adult autism spectrum disorder diagnostic clinic

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Keywords

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