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[Classification systems for the clinical approach to pervasive developmental disorders]

E Bettaglio1, U Balottin, A Gerardo

  • 1Fondazione Istituto Neurologico C. Mondino, IRCCS, Università degli Studi, Pavia.

Minerva Psichiatrica
|March 1, 1995
PubMed
Summary

This study compares four pervasive developmental disorder classification systems. Integrating DSM-III-R, ICD-10, and specialized classifications offers comprehensive infantile psychosis diagnosis.

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Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Psychopathology

Background:

  • Pervasive developmental disorders (PDDs) require accurate classification for effective intervention.
  • Existing diagnostic systems, including DSM-III-R and ICD-10, have varying theoretical underpinnings.
  • The need for a comprehensive approach to classifying infantile psychosis is evident.

Observation:

  • Five children diagnosed with PDDs were evaluated using a detailed protocol.
  • The protocol included clinical, instrumental, and psychodynamic assessments.
  • Video-recorded observations and standardized scales (BSE, development scale) were utilized.

Findings:

  • Comparison revealed distinct characteristics and theoretical bases among the four classification systems.

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  • DSM-III-R and ICD-10 are useful for initial PDD screening.
  • French and Manzano-Palacio-Espasa classifications provide more specific categorization of infantile psychosis.

    • Implications:

    • Utilizing multiple classification systems enhances diagnostic accuracy for PDDs.
    • A combined approach, leveraging broad screening and specific classification, is recommended.
    • This integrated strategy supports more precise understanding and treatment of infantile psychosis.