DSM Criteria that Best Differentiate Intellectual Disability from Autism Spectrum Disorder.

Clinical characteristics of autism spectrum disorder (ASD) and intellectual disability (ID) overlap, creating potential for diagnostic confusion. Diagnostic and statistical manual of mental disorders (DSM) criteria that best differentiate children with ID and some ASD features from those with comorb...

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Publicado en:Child Psychiatry & Human Development Vol. 48; no. 4; pp. 537 - 546
Autores principales: Pedersen, Anita, Pettygrove, Sydney, Lu, Zhenqiang, Andrews, Jennifer, Meaney, F., Kurzius-Spencer, Margaret, Lee, Li-Ching, Durkin, Maureen, Cunniff, Christopher, Pedersen, Anita L, Meaney, F John, Durkin, Maureen S
Formato: journal article
Publicado: Springer Nature Aug2017
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2017
      vid: 48
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      pub: Springer Nature
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        10.1007/s10578-016-0681-0
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        atl: DSM Criteria that Best Differentiate Intellectual Disability from Autism Spectrum Disorder.
      aug:
        au:
          Pedersen, Anita
          Pettygrove, Sydney
          Lu, Zhenqiang
          Andrews, Jennifer
          Meaney, F.
          Kurzius-Spencer, Margaret
          Lee, Li-Ching
          Durkin, Maureen
          Cunniff, Christopher
          Pedersen, Anita L
          Meaney, F John
          Durkin, Maureen S
        affil:
          Department of Psychology and Child Development , California State University, Stanislaus , One University Circle Turlock USA
          Mel and Enid Zuckerman College of Public Health , The University of Arizona , Tucson USA
          Statistical Consulting Laboratory, Bio5 Institute , The University of Arizona , Tucson USA
          Department of Pediatrics, College of Medicine , The University of Arizona , Tucson USA
          Department of Genetics and Developmental Pediatrics, College of Medicine , The University of Arizona , Tucson USA
          Department of Epidemiology and Mental Health , Johns Hopkins Bloomberg School of Public Health , Baltimore USA
          Division of Medical Genetics , Weill Cornell Medical College , New York USA
          Department of Psychology and Child Development, California State University, Stanislaus, One University Circle, Turlock, CA, 95382, USA
          Department of Pediatrics, College of Medicine, The University of Arizona, Tucson, AZ, USA
          Department of Population Health Sciences and Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA
          Waisman Center, University of Wisconsin-Madison, Madison, WI, USA
      su:
        Pathological psychology
        Autism spectrum disorders
        Stereotypy (Psychiatry)
        Behavior
        Classification of mental disorders
        People with intellectual disabilities
        Social skills
        Pervasive child development disorders
        Stereotypic movement disorder
        Differential diagnosis
        Research funding
      sug:
        subj:
          Pathological psychology
          Autism spectrum disorders
          Stereotypy (Psychiatry)
          Behavior
          Classification of mental disorders
          People with intellectual disabilities
          Social skills
          Pervasive child development disorders
          Stereotypic movement disorder
          Differential diagnosis
          Research funding
      keyword:
        Autism spectrum disorder
        DSM
        Intellectual disability
        Restricted interests/repetitive behaviors
        Autism spectrum disorder
        DSM
        Intellectual disability
        Restricted interests/repetitive behaviors
      ab: Clinical characteristics of autism spectrum disorder (ASD) and intellectual disability (ID) overlap, creating potential for diagnostic confusion. Diagnostic and statistical manual of mental disorders (DSM) criteria that best differentiate children with ID and some ASD features from those with comorbid ID and ASD were identified. Records-based surveillance of ASD among 8-year-old children across 14 US populations ascertained 2816 children with ID, with or without ASD. Area under the curve (AUC) was conducted to determine discriminatory power of DSM criteria. AUC analyses indicated that restricted interests or repetitive behaviors best differentiated between the two groups. A subset of 6 criteria focused on social interactions and stereotyped behaviors was most effective at differentiating the two groups (AUC of 0.923), while communication-related criteria were least discriminatory. Matching children with appropriate treatments requires differentiation between ID and ASD. Shifting to DSM-5 may improve differentiation with decreased emphasis on language-related behaviors.
      pubtype: Academic Journal
      doctype: journal article
      src: R
    language: English
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