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How will DSM-5 affect autism diagnosis? A systematic literature review and meta-analysis
Kristine M Kulage1, Arlene M Smaldone, Elizabeth G Cohn
1Department of Health Policy and Management, Columbia University Mailman School of Public Health, 722 West 168th Street, New York, NY, 10032, USA, kk729@columbia.edu.
Abstract:
We conducted a systematic review and meta-analysis to determine the effect of changes to the Diagnostic and Statistical Manual (DSM)-5 on autism spectrum disorder (ASD) and explore policy implications. We identified 418 studies; 14 met inclusion criteria. Studies consistently reported decreases in ASD diagnosis (range 7.3-68.4%) using DSM-5 criteria. There were statistically significant pooled decreases in ASD [31% (20-44), p = 0.006] and DSM-IV-TR subgroups of Autistic disorder [22% (16-29), p < 0.001] and pervasive developmental disorder-not otherwise specified (PDD-NOS) [70% (55-82), p = 0.01]; however, Asperger's disorder pooled decrease was not significant [70% (26-94), p = 0.38]. DSM-5 will likely decrease the number of individuals diagnosed with ASD, particularly the PDD-NOS subgroup. Research is needed on policies regarding services for individuals lacking diagnosis but requiring assistance.
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