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 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 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

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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
Article number	N/A
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	E-pub ahead of print - Nov 2013

Keywords

Acknowledged-BRC
Acknowledged-BRC-13/14

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10.1007/s10803-013-1799-6

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Wilson, C. E., Gillan, N., Spain, D., Robertson, D., Roberts, G., Murphy, C., 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. Article N/A. Advance online publication. 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.",

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author = "Wilson, {C Ellie} and Nicola Gillan and Deborah Spain and Dene Robertson and Gedeon Roberts and Clodagh Murphy 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}",

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Wilson, CE , Gillan, N , Spain, D , Robertson, D, Roberts, G, Murphy, C , 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, N/A, pp. 2515-2525. https://doi.org/10.1007/s10803-013-1799-6

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AU - Murphy, Clodagh

AU - Maltezos, Stefanos

AU - Zinkstok, Janneke

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AU - Dardani, Christina

AU - Ohlsen, Chris

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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 - Acknowledged-BRC

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Comparison of ICD-10R, DSM-IV-TR and DSM-5 in an Adult Autism Spectrum Disorder Diagnostic Clinic

Abstract

Keywords

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