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

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

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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)	2515-25
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 - Nov 2013

Keywords

Adolescent
Adult
Aged
Asperger Syndrome/diagnosis
Autistic Disorder/diagnosis
Child Development Disorders, Pervasive/diagnosis
Diagnostic and Statistical Manual of Mental Disorders
Female
Humans
Male
Middle Aged
Sensitivity and Specificity
Young Adult

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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), 2515-25. https://doi.org/10.1007/s10803-013-1799-6

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

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. ",

keywords = "Adolescent, Adult, Aged, Asperger Syndrome/diagnosis, Autistic Disorder/diagnosis, Child Development Disorders, Pervasive/diagnosis, Diagnostic and Statistical Manual of Mental Disorders, Female, Humans, Male, Middle Aged, Sensitivity and Specificity, Young Adult",

author = "Wilson, {C Ellie} and Nicola Gillan and Deborah Spain and Dene Robertson and Gedeon Roberts and Murphy, {Clodagh M} and Stefanos Maltezos and Janneke Zinkstok and Katie Johnston and Christina Dardani and Chris Ohlsen and Deeley, {P Quinton} and Michael Craig and Mendez, {Maria A} and Francesca Happ{\'e} and Murphy, {Declan G M}",

year = "2013",

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doi = "10.1007/s10803-013-1799-6",

language = "English",

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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. 2515-25. https://doi.org/10.1007/s10803-013-1799-6

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AU - Wilson, C Ellie

AU - Gillan, Nicola

AU - Spain, Deborah

AU - Robertson, Dene

AU - Roberts, Gedeon

AU - Murphy, Clodagh M

AU - Maltezos, Stefanos

AU - Zinkstok, Janneke

AU - Johnston, Katie

AU - Dardani, Christina

AU - Ohlsen, Chris

AU - Deeley, P Quinton

AU - Craig, Michael

AU - Mendez, Maria A

AU - Happé, Francesca

AU - Murphy, Declan G M

PY - 2013/11

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N2 - 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.

AB - 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.

KW - Adolescent

KW - Adult

KW - Aged

KW - Asperger Syndrome/diagnosis

KW - Autistic Disorder/diagnosis

KW - Child Development Disorders, Pervasive/diagnosis

KW - Diagnostic and Statistical Manual of Mental Disorders

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Sensitivity and Specificity

KW - Young Adult

U2 - 10.1007/s10803-013-1799-6

DO - 10.1007/s10803-013-1799-6

M3 - Article (Academic Journal)

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VL - 43

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JO - Journal of Autism and Developmental Disorders

JF - Journal of Autism and Developmental Disorders

IS - 11

ER -

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

Abstract

Keywords

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