Autism diagnostic criteria: Difference between revisions

Jump to navigation Jump to search
(/* DSM-V Diagnostic Criteria for Autism Spectrum Disorder{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }...)
Line 7: Line 7:
{{cquote|
{{cquote|


*A. Persistent deficits in social communication and social interaction across multiple contexts,as manifested by the following, currently or by history (examples are illustrative,not exhaustive; see text):
*A. Persistent deficits in social communication and social interaction across multiple contexts,as manifested by the following, currently or by history:
:*1. Deficits in social-emotional reciprocity, ranging, for example, from abnormal social approach and failure of normal back-and-forth conversation; to reduced sharing of
:*1. Deficits in social-emotional reciprocity, ranging, for example, from abnormal social approach and failure of normal back-and-forth conversation; to reduced sharing of
interests, emotions, or affect; to failure to initiate or respond to social interactions.
interests, emotions, or affect; to failure to initiate or respond to social interactions.


:*2. Deficits in nonverbal communicative behaviors used for social interaction, ranging,for example, from poorly integrated verbal and nonverbal communication; to abnormalities
:*2. Deficits in nonverbal communicative behaviors used for social interaction, ranging,for example, from poorly integrated verbal and nonverbal communication; to abnormalities
in eye contact and body language or deficits in understanding and use ofgestures: to a total lack of facial expressions and nonverbal communication.
in eye contact and body language or deficits in understanding and use of gestures: to a total lack of facial expressions and nonverbal communication.


:*3. Deficits in developing, maintaining, and understanding relationships, ranging, for example,from difficulties adjusting behavior to suit various social contexts; to difficulties
:*3. Deficits in developing, maintaining, and understanding relationships, ranging, for example, from difficulties adjusting behavior to suit various social contexts; to difficulties
in sharing imaginative play or in making friends; to absence of interest in peers.
in sharing imaginative play or in making friends; to absence of interest in peers.
Specify current severity:Severity is based on social communication impairments and restricted, repetitivepatterns of behavior (seeTable 2).
Specify current severity:Severity is based on social communication impairments and restricted, repetitive patterns of behavior.


'''''AND'''''
'''''AND'''''


*B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by atleast two of the following, currently or by history (examples are illustrative, not exhaustive;
*B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of the following, currently or by history (examples are illustrative, not exhaustive:
see text):
:*1. Stereotyped or repetitive motor movements, use of objects, or speech (e.g., simple motor stereotypies, lining up toys or flipping objects, [[echolalia]], idiosyncratic phrases).
:*1. Stereotyped or repetitive motor movements, use of objects, or speech (e.g., simplemotor stereotypies, lining up toys or flipping objects, echolalia, idiosyncratic
:*2. Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behavior (e.g., extreme distress at small changes, difficulties with transitions, rigid thinking patterns, greeting rituals, need to take same route or
phrases).
:*2. Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behavior (e.g., extreme distress at small changes, difficultieswith transitions, rigid thinking patterns, greeting rituals, need to take same route or
eat same food every day).
eat same food every day).
:*3. Highly restricted, fixated interests that are abnormal in intensity or focus (e.g.,strong attachment to or preoccupation with unusual objects, excessively circumscribed
:*3. Highly restricted, fixated interests that are abnormal in intensity or focus (e.g.,strong attachment to or preoccupation with unusual objects, excessively circumscribed or perseverative interests).
or perseverative interests).
:*4. Hyper- or hyporeactivity to sensory input or unusual interest in sensory aspects ofthe environment (e.g., apparent indifference to pain/temperature, adverse responseto specific sounds or textures, excessive smelling or touching of objects,visual fascination with lights or movement).
:*4. Hyper- or hyporeactivity to sensory input or unusual interest in sensory aspects ofthe environment (e.g., apparent indifference to pain/temperature, adverse responseto specific sounds or textures, excessive smelling or touching of objects,visual fascination with lights or movement).
:*Specify current severity:Severity is based on social communication impairments and restricted, repetitivepatterns of behavior (see Table 2).
:*Specify current severity:Severity is based on social communication impairments and restricted, repetitive patterns of behavior.


'''''AND'''''
'''''AND'''''
*C. Symptoms must be present in the early developmental period (but may not becomefully manifest until social demands exceed limited capacities, or may be masked by learned strategies in later life).
*C. Symptoms must be present in the early developmental period (but may not become fully manifest until social demands exceed limited capacities, or may be masked by learned strategies in later life).


'''''AND'''''
'''''AND'''''


*D. Symptoms cause clinically significant impairment in social, occupational, or other importantareas of current functioning.
*D. Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning.


'''''AND'''''
'''''AND'''''


*E. These disturbances are not better explained by intellectual disability (intellectual developmentaldisorder) or global developmental delay. Intellectual disability and autism
*E. These disturbances are not better explained by [[intellectual disability]] (intellectual developmental disorder) or global developmental delay. Intellectual disability and autism
spectrum disorder frequently co-occur; to make comorbid diagnoses of autism spectrumdisorder and intellectual disability, social communication should be below that expectedfor general developmental level.
spectrum disorder frequently co-occur; to make comorbid diagnoses of autism spectrum disorder and intellectual disability, social communication should be below that expectedfor general developmental level.




}}
}}


<SMALL>''Note: Individuals with a well-established DSM-IV diagnosis of autistic disorder, Asperger’s disorder, or pervasive developmental disorder not otherwise specified should be given the diagnosis of autism spectrum disorder. Individuals who have marked deficits in social communication, but whose symptoms do not othenwise meet criteria for autism spectrum disorder, should be evaluated for social (pragmatic) communication disorder. Specify if; With or without accompanying inteliectual impairment With or without accompanying language impairment Associated with a icnown medicai or genetic condition or environmental factor (Coding note: Use additional code to identify the associated medical or genetic condition.) Associated with another neurodevelopmental, mental, or behavioral disorder (Coding note: Use additional code[s] to identify the associated neurodevelopmental, mental, or behavioral disorder[s].) With catatonia (refer to the criteria for catatonia associated with another mental disorder, pp. 119-120, for definition) (Coding note: Use additional code 293.89 [F06.1] catatonia associated with autism spectrum disorder to indicate the presence of the comorbid catatonia.) .''</SMALL>
<SMALL>''Note: Individuals with a well-established DSM-IV diagnosis of autistic disorder, [[Asperger’s disorder]], or pervasive developmental disorder not otherwise specified should be given the diagnosis of autism spectrum disorder. Individuals who have marked deficits in social communication, but whose symptoms do not othenwise meet criteria for autism spectrum disorder, should be evaluated for social (pragmatic) communication disorder. Specify if; With or without accompanying inteliectual impairment With or without accompanying language impairment Associated with a icnown medicai or genetic condition or environmental factor (Coding note: Use additional code to identify the associated medical or genetic condition.) Associated with another neurodevelopmental, mental, or behavioral disorder (Coding note: Use additional code[s] to identify the associated neurodevelopmental, mental, or behavioral disorder[s].) With catatonia (refer to the criteria for catatonia associated with another mental disorder, pp. 119-120, for definition) (Coding note: Use additional code 293.89 [F06.1] catatonia associated with autism spectrum disorder to indicate the presence of the comorbid catatonia.) .''</SMALL>


==References==
==References==

Revision as of 14:09, 10 October 2014

Autism Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Autism from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Behavioral Therapy

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Autism diagnostic criteria On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Autism diagnostic criteria

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Autism diagnostic criteria

CDC on Autism diagnostic criteria

Autism diagnostic criteria in the news

Blogs on Autism diagnostic criteria

Directions to Hospitals Treating Type page name here

Risk calculators and risk factors for Autism diagnostic criteria

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Diagnostic Criteria

DSM-V Diagnostic Criteria for Autism Spectrum Disorder[1]

  • A. Persistent deficits in social communication and social interaction across multiple contexts,as manifested by the following, currently or by history:
  • 1. Deficits in social-emotional reciprocity, ranging, for example, from abnormal social approach and failure of normal back-and-forth conversation; to reduced sharing of

interests, emotions, or affect; to failure to initiate or respond to social interactions.

  • 2. Deficits in nonverbal communicative behaviors used for social interaction, ranging,for example, from poorly integrated verbal and nonverbal communication; to abnormalities

in eye contact and body language or deficits in understanding and use of gestures: to a total lack of facial expressions and nonverbal communication.

  • 3. Deficits in developing, maintaining, and understanding relationships, ranging, for example, from difficulties adjusting behavior to suit various social contexts; to difficulties

in sharing imaginative play or in making friends; to absence of interest in peers. Specify current severity:Severity is based on social communication impairments and restricted, repetitive patterns of behavior.

AND

  • B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of the following, currently or by history (examples are illustrative, not exhaustive:
  • 1. Stereotyped or repetitive motor movements, use of objects, or speech (e.g., simple motor stereotypies, lining up toys or flipping objects, echolalia, idiosyncratic phrases).
  • 2. Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behavior (e.g., extreme distress at small changes, difficulties with transitions, rigid thinking patterns, greeting rituals, need to take same route or

eat same food every day).

  • 3. Highly restricted, fixated interests that are abnormal in intensity or focus (e.g.,strong attachment to or preoccupation with unusual objects, excessively circumscribed or perseverative interests).
  • 4. Hyper- or hyporeactivity to sensory input or unusual interest in sensory aspects ofthe environment (e.g., apparent indifference to pain/temperature, adverse responseto specific sounds or textures, excessive smelling or touching of objects,visual fascination with lights or movement).
  • Specify current severity:Severity is based on social communication impairments and restricted, repetitive patterns of behavior.

AND

  • C. Symptoms must be present in the early developmental period (but may not become fully manifest until social demands exceed limited capacities, or may be masked by learned strategies in later life).

AND

  • D. Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning.

AND

  • E. These disturbances are not better explained by intellectual disability (intellectual developmental disorder) or global developmental delay. Intellectual disability and autism

spectrum disorder frequently co-occur; to make comorbid diagnoses of autism spectrum disorder and intellectual disability, social communication should be below that expectedfor general developmental level.


Note: Individuals with a well-established DSM-IV diagnosis of autistic disorder, Asperger’s disorder, or pervasive developmental disorder not otherwise specified should be given the diagnosis of autism spectrum disorder. Individuals who have marked deficits in social communication, but whose symptoms do not othenwise meet criteria for autism spectrum disorder, should be evaluated for social (pragmatic) communication disorder. Specify if; With or without accompanying inteliectual impairment With or without accompanying language impairment Associated with a icnown medicai or genetic condition or environmental factor (Coding note: Use additional code to identify the associated medical or genetic condition.) Associated with another neurodevelopmental, mental, or behavioral disorder (Coding note: Use additional code[s] to identify the associated neurodevelopmental, mental, or behavioral disorder[s].) With catatonia (refer to the criteria for catatonia associated with another mental disorder, pp. 119-120, for definition) (Coding note: Use additional code 293.89 [F06.1] catatonia associated with autism spectrum disorder to indicate the presence of the comorbid catatonia.) .

References

  1. Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.

Template:WH Template:WS