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Journal of Child and Family Studies

, Volume 24, Issue 9, pp 2752–2756 | Cite as

DSM-IV Versus DSM-5 Autism Spectrum Disorder and Social Anxiety Disorder in Childhood: Similarities and Differences

  • Francisca J. A. van Steensel
  • Susan M. Bögels
  • Esther I. de Bruin
Original Paper

Abstract

Within the light of the DSM-5, the current study examined (1) how many and which children with a DSM-IV classification of autism spectrum disorder (ASD) fulfill the DSM-5 symptom-criteria, and (2) whether children who did and did not meet DSM-5 symptom-criteria and children with social anxiety disorder (SAD) can be differentiated from each other based on ASD symptomatology. In total, 90 referred children with a DSM-IV classification of high-functioning ASD, and 21 referred children with SAD participated (age range 7–17 years). ASD-symptoms were examined with the Autism Diagnostic Interview-Revised and the Children’s Social Behavior Questionnaire. It was found that 30 % of the ASD sample did not meet DSM-5 symptom-criteria for ASD, mainly because they failed to meet the DSM-5 criteria of the repetitive domain. Children with ASD who did and did not meet DSM-5 symptom-criteria differed on the repetitive domain, while children with ASD (according to DSM-IV and DSM-5 symptom criteria) had higher scores on the social-communication domain than children with SAD. Findings suggest a continuum of ASD-symptoms in the DSM-5 for children with SAD, social communication disorder and ASD. More research is needed to examine how these three disorders differ with respect to their etiology, neuropsychological profiles and clinical characteristics.

Keywords

DSM-5 DSM-IV Autism spectrum disorder Social communication disorder Social anxiety disorder 

References

  1. American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders, fifth edition. Arlington, VA: American Psychiatric Association.Google Scholar
  2. Frazier, T. W., Youngstrom, E. A., Speer, L., Embacher, R., Law, P., Constantino, J., et al. (2012). Validation of proposed DSM-5 criteria for autism spectrum disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 28–40.PubMedCentralPubMedCrossRefGoogle Scholar
  3. Gibbs, V., Aldridge, F., Chandler, F., Witzlsperger, E., & Smith, K. (2012). Brief report: An exploratory study comparing diagnostic outcomes for autism spectrum disorders under DSM-IV-TR with the proposed DSM-5 revision. Journal of Autism and Developmental Disorders, 42, 1750–1756.PubMedCrossRefGoogle Scholar
  4. Hartley, S. L., & Sikora, D. M. (2009). Which DSM-IV-TR criteria best differentiate high-functioning autism spectrum disorder from ADHD and anxiety disorders in older children? Autism, 13, 485–508.PubMedCentralPubMedGoogle Scholar
  5. Hartman, C. A., Luteijn, E., Serra, M., & Minderaa, R. B. (2006). Refinement of the Children’s Social Behavior Questionnaire (CSBQ): An instrument that describes the diverse problems seen in milder forms of PDD. Journal of Autism Developmental Disorders, 36, 325–342.PubMedCrossRefGoogle Scholar
  6. Hrdlicka, M., & Dudova, I. (2013). Controversies in autism: Is a broader model of social disorders needed? Child and Adolescent Psychiatry and Mental Health, 7, 1–9.CrossRefGoogle Scholar
  7. Huerta, M., Bishop, S. L., Duncan, A., Hus, V., & Lord, C. (2012). Application of DSM-5 criteria for autism spectrum disorder to three samples of children with DSM-IV diagnoses of pervasive developmental disorders. American Journal of Psychiatry, 169, 1056–1064.PubMedCrossRefGoogle Scholar
  8. Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685.PubMedCrossRefGoogle Scholar
  9. Luteijn E., Minderaa R., & Jackson S. (2002). Vragenlijst voor Inventarisatie van Sociaal gedrag bij Kinderen, Handleiding. Swets & Zeitlinger, Lisse (Questionnaire of social behaviour in children, manual).Google Scholar
  10. Risi, S., Lord, C., Gotham, K., Corsello, C., Chrysler, C., Szatmari, P., et al. (2006). Combining information from multiple sources in the diagnosis of autism spectrum disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 1094–1103.PubMedCrossRefGoogle Scholar
  11. van Steensel, F. J. A., Bögels, S. M., & Dirksen, C. D. (2012). Anxiety and quality of life: Clinically anxious children with and without autism spectrum disorders compared. Journal of Clinical Child and Adolescent Psychology, 41, 731–738.PubMedCrossRefGoogle Scholar
  12. van Steensel, F. J. A., Bögels, S. M., & Wood, J. J. (2013). Autism spectrum traits in children with anxiety disorders. Journal of Autism and Developmental Disorders, 43, 361–370.PubMedCentralPubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Francisca J. A. van Steensel
    • 1
  • Susan M. Bögels
    • 1
  • Esther I. de Bruin
    • 1
  1. 1.Child Development and Education, Research Priority Area YieldUniversity of AmsterdamAmsterdamThe Netherlands

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