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Comparative Study
. 2013 May;43(5):1236-42.
doi: 10.1007/s10803-012-1665-y.

Brief report: comparability of DSM-IV and DSM-5 ASD research samples

C A Mazefsky  1 , J C McPartland, H Z Gastgeb, N J Minshew
Affiliations
Comparative Study

Brief report: comparability of DSM-IV and DSM-5 ASD research samples

C A Mazefsky et al. J Autism Dev Disord. 2013 May.

Abstract

Diagnostic and Statistical Manual (DSM-5) criteria for ASD have been criticized for being too restrictive, especially for more cognitively-able individuals. It is unclear, however, if high-functioning individuals deemed eligible for research via standardized diagnostic assessments would meet DSM-5 criteria. This study investigated the impact of DSM-5 on the diagnostic status of 498 high-functioning participants with ASD research diagnoses. The percent of participants satisfying all DSM-5-requirements varied significantly with reliance on data from the Autism Diagnostic Observation Schedule (ADOS; 33 %) versus Autism Diagnostic Interview-Revised (ADI-R; 83 %), highlighting the impact of diagnostic methodology on ability to document DSM-5 symptoms. Utilizing combined ADOS/ADI-R data, 93 % of participants met DSM-5 criteria, which suggests likely continuity between DSM-IV and DSM-5 research samples characterized with these instruments in combination.

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Conflict of interest statement

All authors declare themselves free from financial involvement or affiliation with any organization whose financial interests may be affected by material in the paper.

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