Identifying a potentially new group of children with ASD may require new services and other changes in our complex child health care system. Children previously diagnosed as having ASD may no longer have the diagnosis and thus not qualify for needed services. Any change in diagnostic classification can be disruptive in many ways. The proposed shift in the diagnosis classification of the spectrum of autism disorders in the soon-to-be-released fifth edition of the DSM ( DSM-5) is creating understandable concern among parents of children with ASD. We also consider how the proposed changes are likely to create new challenges for parents who are attempting to organize their children’s care and for pediatricians who are providing that care and assisting with care coordination.Īccording to the current version of the Diagnostic and Statistical Manual of Mental Disorders (fourth edition, text revision DSM-IV-TR), 1 autism spectrum disorders (ASDs) are a group of developmental disabilities characterized by impairments in social interaction and communication as well as by restricted, repetitive, and stereotyped patterns of behavior. We review the history and rationale for the proposed changes as well as several recent studies that have attempted to gauge the impact of these changes on children and families. This change may alter which children are diagnosed as having autism as well as modify eligibility for treatment, educational, and other support services. Rather than maintaining several subcategories of autism including Asperger syndrome, there will be one new category called autism spectrum disorder. With this new edition, the classification and diagnostic criteria for the spectrum of autistic disorders will change and become more specific and potentially more restrictive. The American Psychiatric Association will update its Diagnostic and Statistical Manual of Mental Disorders to its fifth edition ( DSM-5). Shared Decision Making and Communication. Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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