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Psychopathology Review
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 Volume 2, Issue 1, 3-16, 2015
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The Impact of DSM-5 on Autism Spectrum Disorder

Authors
  Luke Tsai - University of Michigan Medical School, Ann Arbor, Michigan, U.S.A.

Volume 2, Issue 1, 2015, Pages 3-16
DOI: http://dx.doi.org/10.5127/pr.035414

Abstract
This paper reviews the evolution of the definition and diagnostic criteria of Autism Spectrum Disorder (ASD), the external validity of ASD subtypes, and the impacts of DSM-5 ASD on future studies of ASD epidemiology and genetics; on the treatments or interventions of individuals with ASD; and on the economy of health costs. Overall, it seems that the implementation of DSM-5 ASD may cause more negative results than provides positive influences.

Table of Contents
Introduction
Historical Perspective
 Evolution of Definition and Diagnostic Criteria of Autism Spectrum Disorder
  Leo Kanner’s Early Infantile Autism
  Hans Asperger’s Autistic Psychopathy
  Infantile Psychosis and Childhood Schizophrenia in Pre-DSM-III and ICD-9 Era
  Rutter’s infantile autism
  Infantile Autism in ICD-9-CM and Pervasive Developmental Disorders in DSM-III, DSM-III-R
  Autistic Disorder and Asperger’s Disorder as Subtypes of DSM-IV PDDs
  DSM-5 ASD as a single category
External Validity Perspective
 Impact of DSM-5 ASD on Asperger’s Disorder, PDDNOS, Childhood Disintegrative Disorder, and Rett Disorder
  Impact on Asperger’s Disorder
  Impact on PDDNOS
  Impact on Rett’s Disorder
  Impact on Childhood Disintegrative Disorder
Epidemiological Perspective
 Impact on Epidemiological Study of ASD
  Impact on Epidemiology of Autistic Disorder
  Impact on the Prevalence of ASD
  Impact on Finding a True and Consistent Prevalence of ASD
Genetic Perspective
 Impact on Genetic Studies of ASD
  Impact on finding potential genes for ASD
  Impact on future genetic research direction
Treatment/Intervention Perspective
 Impact on Patient Care
  Impact on learning treatment effects
  Impact on learning more effective treatments and interventions
  Impact on receiving needed treatments/interventions
  Impact on parents’ mental health
Economic Perspective
 Impact on the Economic Costs
  Impact on the administrative cost
  Impact on the economic costs
  Impact on the potential economic contributions
Conclusion
References

Correspondence to
Luke Y. Tsai, M.D., 2385 Placid Way, Ann Arbor, Michigan 48105, U.S.A.

Keywords
DSM-5 ASD, impact, epidemiology, genetics, treatments, economics

Dates
Received 8 Jan 2014; Revised 24 Mar 2014; Accepted 25 Mar 2014; In Press 14 Feb 2015







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