Download DSM V AND AUTISM SPECTRUM. DISORDER CRITERIA: IMPACT ON EARLY DIAGNOSIS. Helen Murphy, Ph.D., BCBA-D. Thursday's Child, Inc. Lisa Shulman, M.D., Developmental Pediatrician. Albert Einstein College of Medicine ...
Download DSM V Checklist for Autism Spectrum Disorder. Yes. No. A. Deficits in use or understanding of social communication and social interaction in multiple contexts , not accounted for by general developmental delays, and manifest by all 3 of t
Download DSM V Checklist for Autism Spectrum Disorder. Yes. No. A. Deficits in use or understanding of social communication and social interaction in multiple contexts , not accounted for by general developmental delays, and manifest by all 3 of t
Download DSM V Checklist for Autism Spectrum Disorder. Yes. No. A. Deficits in use or understanding of social communication and social interaction in multiple contexts , not accounted for by general developmental delays, and manifest by all 3 of t
Download
Download
Download Intellectual disability is common in this group. Those with High Functioning Autism or Asperger's Syndrome may not be given a diagnosis until later in primary school when their difficulties become more obvious in comparison to other chil
Download Intellectual disability is common in this group. Those with High Functioning Autism or Asperger's Syndrome may not be given a diagnosis until later in primary school when their difficulties become more obvious in comparison to other chil
Download spectrum disorders. Nat. Neurosci. 14(12),. 1499–1506 (2011). 10 Rutter M. Research review: Child psychiatric diagnosis and classification: concepts, findings, challenges and potential. J. Child Psychol. Psychiatry 2(6), 647–660. ( 2011
Download spectrum disorders. Nat. Neurosci. 14(12),. 1499–1506 (2011). 10 Rutter M. Research review: Child psychiatric diagnosis and classification: concepts, findings, challenges and potential. J. Child Psychol. Psychiatry 2(6), 647–660. ( 2011
Download The DSM-V committee has published proposed diagnostic criteria for autism (at DSM-V.org) and invited comments that will (hopefully) be taken into account before the definitive manual is published (scheduled for 2013). Our comments here
Evidence-Based Assessment for Autism ... developmental delays and disabilities during regular well- child doctor visits ... Childhood Autism Rating Scale, Second
Download retrieval system or transmitted by any means, electronic, mechanical, photocopying, or otherwise without the prior written permission of Treating Autism Publications. ISBN: 978-0-9575787-0-8. A pdf version of this publication is availa
Download The DSM-V committee has published proposed diagnostic criteria for autism (at DSM-V.org) and invited comments that will (hopefully) be taken into account before the definitive manual is published (scheduled for 2013). Our comments here
Download The DSM-V committee has published proposed diagnostic criteria for autism (at DSM-V.org) and invited comments that will (hopefully) be taken into account before the definitive manual is published (scheduled for 2013). Our comments here
Download and Linguistic Behavior in Autism. Spectrum Disorders-High Functioning (ASD- HF) 49 ... Part 4 Sleep Disorders and Sexual Abuse in Autistic Children 195. Chapter 11 Sleep Concerns and ...... three most traditional journals specifically
Download Ringkasan. Virus adalah suatu patogen obligat yang hanya bisa berkembangbiak di dalam sel hidup. Tidak seperti organisme hidup yang memiliki kromosom (DNA) dan enzim-enzim untuk proses replikasi, transkripsi, translasi, dan lain-lain,
Download and Linguistic Behavior in Autism. Spectrum Disorders-High Functioning (ASD- HF) 49 ... Part 4 Sleep Disorders and Sexual Abuse in Autistic Children 195. Chapter 11 Sleep Concerns and ...... three most traditional journals specifically
Download intervention results in a better prognosis.11 Longitudinal studies of infants at high -risk for autism by virtue of having an older affected sibling, and retrospective examinations of first-birthday videos in children later diagnosed with
Download intervention results in a better prognosis.11 Longitudinal studies of infants at high -risk for autism by virtue of having an older affected sibling, and retrospective examinations of first-birthday videos in children later diagnosed with
Download Summary of the findings: Autism is the 3rd developmental disorder, with an incidence of 40 to 130/100,000 ... Behavioral symptoms that define autism include ...... Infantil. 4th ed. Barcelona: Toray-Masson; 1977. p. 673-731. 2. Kanner
Download Summary of the findings: Autism is the 3rd developmental disorder, with an incidence of 40 to 130/100,000 ... Behavioral symptoms that define autism include ...... Infantil. 4th ed. Barcelona: Toray-Masson; 1977. p. 673-731. 2. Kanner
Download DSM-5 Task Force began in 2007 and is chaired by. Drs. David Kupfer & Darrell Regier. Charged with recommending changes that would reflect our increased knowledge base, including contributions from clinicians as well as researchers. DS
Download DSM-5 Task Force began in 2007 and is chaired by. Drs. David Kupfer & Darrell Regier. Charged with recommending changes that would reflect our increased knowledge base, including contributions from clinicians as well as researchers. DS
DSM V AND AUTISM SPECTRUM DISORDER CRITERIA: IMPACT ON EARLY DIAGNOSIS
Helen Murphy, Ph.D., BCBA-D Thursday’s Child, Inc. Lisa Shulman, M.D., Developmental Pediatrician Albert Einstein College of Medicine
OUTLINE OF PRESENTATION What are the proposed changes in the ASD criteria? Why make changes in the existing criteria? What are the specific changes? Why are people so upset about these changes? How do these changes potentially impact on children under 3?
2
DSM 4 PERVASIVE DEVELOPMENTAL DISORDERS
Autistic Dis
Asperger’ s
CDD
Rett’s Dis
PDD NOS
DSM 5
Dx:Autism Spectrum Disorder 12 combinations of 7 criteria across 2 core features can arrive at a diagnosis*
*Autism Speaks
3
WHY MAKE CHANGES IN THE ASD CRITERIA FOR DSM 5? Evidence over time suggests that there are not 3 core features, but rather 2: social and communication deficits travel together Diagnosticians are good at distinguishing ASD vs. not ASD, but lack consistency regarding autism vs PDD.nos vs Asperger’s The goal was not to exclude people with ASD but rather to be SENSITIVE (correct inclusion) and more SPECIFIC (correct exclusion) Separate out the description of behaviors from etiology and associated conditions
4
SPECIFIC CRITERIA: DEFICITS IN SOCIAL COMMUNICATION/SOCIAL INTERACTION
There are 3 Social-Communication criteria and all 3 must be met: Deficits in social-emotional reciprocity: e.g., Decreased sharing of interests Decreased sharing of affect Decreased/total lack of initiation of social interaction Deficits in nonverbal communication behaviors used for social interaction: e.g., Deficits in eye contact Lack of facial expression and gesture Deficits in developing and maintaining relationships and adjusting behavior to social contexts appropriate to developmental level
Decreased imaginative play, lack of interest in making friends, absence of interest in people
5
SPECIFIC CRITERIA: RESTRICTIVE/REPETITIVE INTERESTS AND BEHAVIORS
There are 4 restrictive/repetitive interests and at least 2 of the 4 must be present currently or by history: Stereotyped or repetitive speech, motor movements or use of objects Excessive adherence to routines, ritualized patterns of behavior Highly restricted, fixated interests Hyper or hypo reactivity to sensory input (not found in DSM 4) 6
SUMMARY OF MAIN CHANGES PROPOSED IN THE DSM-5 From three categories of symptoms to two categories A set of 5/7 criteria required for diagnosis From five subtypes to one diagnosis (autism spectrum disorder) Uses “specifiers” to characterize individual differences Describes severity based on how much support is needed Includes sensory sensitivities as one of the symptoms
7
WHY ARE PEOPLE UPSET ABOUT THESE CHANGES? There is concern that some individuals currently diagnosed with ASD will be excluded by the current criteria – not true – those already diagnosed will retain the diagnosis. Retrospective studies have highlighted that individuals with higher IQ, and milder social impairment (PDD.nos or Asperger’s) may be excluded (13-39%) Field studies are in progress gathering prospective data. Look more encouraging. Most of these studies are on older kids (8 year olds)
8
WHAT ABOUT CHILDREN UNDER 3? Since the field has gone in the direction of using “gold standard instruments” (e.g., ADOS and CARS) for diagnosis there is less likelihood of the new diagnostic criteria making a dramatic impact on EI kids. Neither the original ADOS nor the CARS were ever directly keyed to the DSM 4. The majority of NYC EI children with the diagnosis are initially diagnosed while in the EI system.