The Effects of DSM-5 Criteria on Number of Individuals Diagnosed with Autism Spectrum Disorder: A Systematic Review

A growing body of research has raised concerns about the number of individuals diagnosed with autism spectrum disorder (ASD) according to DSM-IV-TR who may no longer qualify for diagnoses under the new DSM-5 criteria, published in May 2013. The current study systematically reviews 25 articles evaluating samples according to both DSM-IV-TR and DSM-5 ASD criteria. Consistent with previous reviews, the majority of included studies indicated between 50 and 75 % of individuals will maintain diagnoses. We conducted visual analyses of subgroups using harvest plots and found the greatest decreases among high-functioning populations with IQs over 70 and/or previous diagnoses of PDD-NOS or Asperger's disorder. We discuss the potential research and clinical implications of reduced numbers of individuals diagnosed with ASD. Electronic supplementary material The online version of this article (doi:10.1007/s10803-015-2423-8) contains supplementary material, which is available to authorized users.
Author(s): Isaac C. Smith[sup.1] , Brian Reichow[sup.2] , Fred R. Volkmar[sup.1] Author Affiliations: (1) Yale Child Study Center, 230 South Frontage Rd., 06520, New Haven, CT, USA (2) University of [...]