Abstract
Revised versions of diagnostic manuals, the International Classification of Diseases (ICD-10), and the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) all operate with several subgroups in the autistic spectrum. Five of the subgroups are identical in the two manuals, but ICD-10 contains five in addition. 132 children were diagnosed using ICD-10, DSM-IV, DSM-III-R, the Childhood Autism Rating Scale (CARS), and the Autistic Behavior Checklist (ABC). Five out of ten alternative subgroups of Pervasive Developmental Disorders (PDD) were identified in a population of developmentally impaired children. These subgroups were the same in the two manuals; the additional ones in ICD-10 were not identified. With the exception of the groups Disintegrative Disorder and Rett syndrome, significant differences were found between all the subgroups within the PDD spectrum and between the PDD group and the non-PDD group. Some problems connected with the guidelines in the ICD-10 manual are discussed.
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American Psychiatric Association. (1980).Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
American Psychiatric Association. (1987).Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.
American Psychiatric Association. (1994).Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Garfin, D., McCallon, D., & Cox, R. (1988). Validity and reliability of Childhood Autism Rating Scale with autistic adolescents.Journal of Autism and Developmental Disorders, 18, 367–378.
Gillberg, C. (1987). Autistic syndrome in Rett syndrome: The first two years according to mother reports.Brain Development, 9, 499–501.
Gillberg, C. L. (1992). Autism and autistic-like conditions: Sub-classes among disorders of empathy.Journal of Child Psychology and Psychiatry, 33, 813–842.
Hagberg, B. A., & Skjeldal, O. H. (1994). Rett variants: A suggested model for inclusion criteria.Paediatric Neurology, 11, 5–11.
Kanner, L. (1943). Autistic disturbances of affective contact.Nervous Child, 2, 217–230.
Krug, D. A., Arick, J., & Almond, P. (1980). Behavior checklist for identifying severely handicapped individuals with high levels of autistic behavior.Journal of Child Psychology and Psychiatry, 21, 221–229.
Rutter, M., & Schopler, E. (1988). Autism and pervasive developmental disorders. In M. Rutter, A. H. Tuma, & I. S. Lann (Eds.),Assessment and diagnosis in child psychopathology (pp. 408–434). New York: Guilford.
Rutter, M., & Schopler, E. (1992). Classification of pervasive developmental disorders: Some concepts and practical considerations.Journal of Autism and Developmental Disorders, 22, 459–481.
Schopler, E., Reichler, R. J., DeVellis, R., & Daly, K. (1980). Toward objective classification of childhood autism: Childhood Autism Rating Scale (CARS).Journal of Autism and Developmental Disorders, 10, 91–102.
Sevin, J. A., Matson, J. L., Coe, D. A., Fee, V. E., & Sevin, B. M. (1991). A comparison and evaluation of three commonly used autism scales.Journal of Autism and Developmental Disorders, 21, 417–432.
Tsai, L. Y. (1992). Is Rett syndrome a subtype of Pervasive Developmental Disorders?Journal of Autism and Developmental Disorders, 22, 551–561.
Volkmar, F. R., Cicchetti, D. V., Dykens, E., Sparrow, S. S., Leckman, J. F., & Cohen, D. J. (1988). An evaluation of the Autism Behavior Checklist.Journal of Autism and Developmental Disorders, 18, 81–97.
Volkmar, F. R., Cicchetti, D. V., Bregman, J., & Cohen, D. J. (1992). Three diagnostic systems for Autism: DSM-III, DSM-III-R, and ICD-10.Journal of Autism and Developmental Disorders, 22, 483–492.
Wing, L. (1981). Asperger's syndrome: A clinical account.Psychological Medicine, 11, 115–129.
Wing, L., & Gould, J. (1979). Severe impairments of social interaction and associated abnormalities in children: Epidemiology and classification.Journal of Autism and Developmental Disorders, 9, 11–29.
World Health Organization. (1989).International classification of diseases (10th ed., draft of Chap. 5: Mental and behavioral disorders).Diagnostic criteria for research. Geneva: Author.
World Health Organization. (1992).The ICD-10 classification of mental and behavioral disorders: Clinical descriptions and diagnostic guidelines. Geneva: Author.
World Health Organization. (1993).The ICD-10 classification of mental and behavioral disorders: Diagnostic criteria for research. Geneva: Author.
Yrmiya, N., Sigman, M., & Freeman, B. J. (1994). Comparison between diagnostic instruments for identifying high-functioning children with autism.Journal of Autism and Developmental Disorders, 24, 281–291.
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Sponheim, E. Changing criteria of autistic disorders: A comparison of the ICD-10 research criteria and DSM-IV with DSM-III-R, CARS, and ABC. J Autism Dev Disord 26, 513–525 (1996). https://doi.org/10.1007/BF02172273
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DOI: https://doi.org/10.1007/BF02172273