Field Trial for Autistic Disorder in DSM-FV

Fred R. Volkmar; Ami Klin; Bryna Siegel; Peter Szatmari; Catherine Lord; Magda Campbell; B. J. Freeman; Domenic V. Cicchetti; Michael Rutter; William Kline; Jan Buitelaar; Yossie Hattab; Eric Fombonne; Joaquin Fuentes; John Werry; Wendy Stone; J. Kerbeshian; Yoshihiko Hoshino; Joel Bregman; Kathenne Loveland; Ludwig Szymanski; Kenneth Towbin

Field Trial for Autistic Disorder in DSM-FV

Fred R. Volkmar, Ami Klin, Bryna Siegel, Peter Szatmari, Catherine Lord, Magda Campbell, B. J. Freeman, Domenic V. Cicchetti, Michael Rutter, William Kline, Jan Buitelaar, Yossie Hattab, Eric Fombonne, Joaquin Fuentes, John Werry, Wendy Stone, J. Kerbeshian, Yoshihiko Hoshino, Joel Bregman, Kathenne LovelandLudwig Szymanski, Kenneth Towbin

Research output: Contribution to journal › Article › peer-review

285 Scopus citations

Abstract

Objective: This project focused on the development of the definition of autism for DSM-IV. Method: Multiple sites were involved in obtaining information regarding 977 patients with the following clinician-assigned diagnoses: autism (N=454), other pervasive developmental disorders (N=240), and other disorders (N=283). A standard coding system was used, and the raters (N=IlS) had a range of experience in the diagnosis of autism. Patterns of agreement among existing diagnostic systems were examined, as was the rationale for inclusion of other disorders within the class of pervasive developmental disorders. Results: The DSM-III-R definition of autism was found to be overly broad. The proposed ICD-10 definition most closely approximated the clinicians' diagnoses. Inclusion of other disorders within pervasive developmental disorders appeared justified. Partly on the basis of these data, modifications m the ICD-IO definition were made; this and the DSM-IV definition are conceptually identical. Conclusions: The resulting convergence of the DSM-IV and ICD-IO systems should facilitate both research and clinical service.

Original language	English (US)
Pages (from-to)	1361-1367
Number of pages	7
Journal	American Journal of Psychiatry
Volume	151
Issue number	9
State	Published - Sep 1994
Externally published	Yes

ASJC Scopus subject areas

Psychiatry and Mental health

Cite this

Volkmar, FR, Klin, A, Siegel, B, Szatmari, P, Lord, C, Campbell, M, Freeman, BJ, Cicchetti, DV, Rutter, M, Kline, W, Buitelaar, J, Hattab, Y, Fombonne, E, Fuentes, J, Werry, J, Stone, W, Kerbeshian, J, Hoshino, Y, Bregman, J, Loveland, K, Szymanski, L & Towbin, K 1994, 'Field Trial for Autistic Disorder in DSM-FV', American Journal of Psychiatry, vol. 151, no. 9, pp. 1361-1367.

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title = "Field Trial for Autistic Disorder in DSM-FV",

abstract = "Objective: This project focused on the development of the definition of autism for DSM-IV. Method: Multiple sites were involved in obtaining information regarding 977 patients with the following clinician-assigned diagnoses: autism (N=454), other pervasive developmental disorders (N=240), and other disorders (N=283). A standard coding system was used, and the raters (N=IlS) had a range of experience in the diagnosis of autism. Patterns of agreement among existing diagnostic systems were examined, as was the rationale for inclusion of other disorders within the class of pervasive developmental disorders. Results: The DSM-III-R definition of autism was found to be overly broad. The proposed ICD-10 definition most closely approximated the clinicians' diagnoses. Inclusion of other disorders within pervasive developmental disorders appeared justified. Partly on the basis of these data, modifications m the ICD-IO definition were made; this and the DSM-IV definition are conceptually identical. Conclusions: The resulting convergence of the DSM-IV and ICD-IO systems should facilitate both research and clinical service.",

author = "Volkmar, {Fred R.} and Ami Klin and Bryna Siegel and Peter Szatmari and Catherine Lord and Magda Campbell and Freeman, {B. J.} and Cicchetti, {Domenic V.} and Michael Rutter and William Kline and Jan Buitelaar and Yossie Hattab and Eric Fombonne and Joaquin Fuentes and John Werry and Wendy Stone and J. Kerbeshian and Yoshihiko Hoshino and Joel Bregman and Kathenne Loveland and Ludwig Szymanski and Kenneth Towbin",

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language = "English (US)",

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AU - Volkmar, Fred R.

AU - Klin, Ami

AU - Siegel, Bryna

AU - Szatmari, Peter

AU - Lord, Catherine

AU - Campbell, Magda

AU - Freeman, B. J.

AU - Cicchetti, Domenic V.

AU - Rutter, Michael

AU - Kline, William

AU - Buitelaar, Jan

AU - Hattab, Yossie

AU - Fombonne, Eric

AU - Fuentes, Joaquin

AU - Werry, John

AU - Stone, Wendy

AU - Kerbeshian, J.

AU - Hoshino, Yoshihiko

AU - Bregman, Joel

AU - Loveland, Kathenne

AU - Szymanski, Ludwig

AU - Towbin, Kenneth

PY - 1994/9

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N2 - Objective: This project focused on the development of the definition of autism for DSM-IV. Method: Multiple sites were involved in obtaining information regarding 977 patients with the following clinician-assigned diagnoses: autism (N=454), other pervasive developmental disorders (N=240), and other disorders (N=283). A standard coding system was used, and the raters (N=IlS) had a range of experience in the diagnosis of autism. Patterns of agreement among existing diagnostic systems were examined, as was the rationale for inclusion of other disorders within the class of pervasive developmental disorders. Results: The DSM-III-R definition of autism was found to be overly broad. The proposed ICD-10 definition most closely approximated the clinicians' diagnoses. Inclusion of other disorders within pervasive developmental disorders appeared justified. Partly on the basis of these data, modifications m the ICD-IO definition were made; this and the DSM-IV definition are conceptually identical. Conclusions: The resulting convergence of the DSM-IV and ICD-IO systems should facilitate both research and clinical service.

AB - Objective: This project focused on the development of the definition of autism for DSM-IV. Method: Multiple sites were involved in obtaining information regarding 977 patients with the following clinician-assigned diagnoses: autism (N=454), other pervasive developmental disorders (N=240), and other disorders (N=283). A standard coding system was used, and the raters (N=IlS) had a range of experience in the diagnosis of autism. Patterns of agreement among existing diagnostic systems were examined, as was the rationale for inclusion of other disorders within the class of pervasive developmental disorders. Results: The DSM-III-R definition of autism was found to be overly broad. The proposed ICD-10 definition most closely approximated the clinicians' diagnoses. Inclusion of other disorders within pervasive developmental disorders appeared justified. Partly on the basis of these data, modifications m the ICD-IO definition were made; this and the DSM-IV definition are conceptually identical. Conclusions: The resulting convergence of the DSM-IV and ICD-IO systems should facilitate both research and clinical service.

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Field Trial for Autistic Disorder in DSM-FV

Abstract

ASJC Scopus subject areas

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