DSM-IV Versus DSM-5 Autism Spectrum Disorder and Social Anxiety Disorder in Childhood: Similarities and Differences
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.
KeywordsDSM-5 DSM-IV Autism spectrum disorder Social communication disorder Social anxiety disorder
- American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders, fifth edition. Arlington, VA: American Psychiatric Association.Google Scholar
- 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
- 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