DSM-5 Changes and the Prevalence of Parent-Reported Autism Spectrum Symptoms in Fragile X Syndrome View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-09-19

AUTHORS

Anne C. Wheeler, Joanna Mussey, Adrienne Villagomez, Ellen Bishop, Melissa Raspa, Anne Edwards, James Bodfish, Carla Bann, Donald B. Bailey

ABSTRACT

We used survey methodology to assess parent-reported autism symptomology in 758 individuals (639 males; 119 females) with fragile X syndrome (FXS). Caregivers reported whether their child with FXS had been diagnosed with an autism spectrum disorder (ASD) and endorsed symptoms based on a list of observable behaviors related to ASD diagnoses. Symptom counts were categorized based on DSM-IV-TR and DSM-5 criteria. Based on behavioral symptoms endorsed by caregivers, 38.7 % of males and 24.7 % of females met criteria for DSM-IV-TR diagnosis of autistic disorder. Significantly fewer males (27.8 %) and females (11.3 %) met criteria for ASD based on DSM-5 criteria. Although 86.4 % of males and 61.7 % of females met criteria for the restricted and repetitive behavior domain for DSM-5, only 29.4 % of males and 13.0 % of females met criteria for the social communication and interaction (SCI) domain. Relaxing the social communication criteria by one symptom count led to a threefold increase in those meeting criteria for ASD, suggesting the importance of subthreshold SCI symptoms for individuals with FXS in ASD diagnoses. Findings suggest important differences in the way ASD may be conceptualized in FXS based on the new DSM-5 criteria. More... »

PAGES

816-829

References to SciGraph publications

  • 2012-07-18. Exploring the Proposed DSM-5 Criteria in a Clinical Sample in JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
  • 2012-06-08. Brief Report: An Exploratory Study Comparing Diagnostic Outcomes for Autism Spectrum Disorders Under DSM-IV-TR with the Proposed DSM-5 Revision in JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
  • 2000-02. Early Development, Temperament, and Functional Impairment in Autism and Fragile X Syndrome in JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
  • 2014. Fragile X Syndrome and Autism in COMPREHENSIVE GUIDE TO AUTISM
  • 2011-04-06. Verification of Parent-Report of Child Autism Spectrum Disorder Diagnosis to a Web-Based Autism Registry in JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
  • 2013-03-16. Comparison of ICD-10R, DSM-IV-TR and DSM-5 in an Adult Autism Spectrum Disorder Diagnostic Clinic in JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
  • 2012-08-05. Early Negative Affect Predicts Anxiety, not Autism, in Preschool Boys with Fragile X Syndrome in JOURNAL OF ABNORMAL CHILD PSYCHOLOGY
  • 2013-06-11. Prospective investigation of autism and genotype-phenotype correlations in 22q13 deletion syndrome and SHANK3 deficiency in MOLECULAR AUTISM
  • 2014-02-16. How Will DSM-5 Affect Autism Diagnosis? A Systematic Literature Review and Meta-analysis in JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
  • 2006-12-19. Social Approach and Autistic Behavior in Children with Fragile X Syndrome in JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
  • 2011-08-20. Prader–Willi syndrome and autism spectrum disorders: an evolving story in JOURNAL OF NEURODEVELOPMENTAL DISORDERS
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10803-014-2246-z

    DOI

    http://dx.doi.org/10.1007/s10803-014-2246-z

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1032290363

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/25234484


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    32 schema:description We used survey methodology to assess parent-reported autism symptomology in 758 individuals (639 males; 119 females) with fragile X syndrome (FXS). Caregivers reported whether their child with FXS had been diagnosed with an autism spectrum disorder (ASD) and endorsed symptoms based on a list of observable behaviors related to ASD diagnoses. Symptom counts were categorized based on DSM-IV-TR and DSM-5 criteria. Based on behavioral symptoms endorsed by caregivers, 38.7 % of males and 24.7 % of females met criteria for DSM-IV-TR diagnosis of autistic disorder. Significantly fewer males (27.8 %) and females (11.3 %) met criteria for ASD based on DSM-5 criteria. Although 86.4 % of males and 61.7 % of females met criteria for the restricted and repetitive behavior domain for DSM-5, only 29.4 % of males and 13.0 % of females met criteria for the social communication and interaction (SCI) domain. Relaxing the social communication criteria by one symptom count led to a threefold increase in those meeting criteria for ASD, suggesting the importance of subthreshold SCI symptoms for individuals with FXS in ASD diagnoses. Findings suggest important differences in the way ASD may be conceptualized in FXS based on the new DSM-5 criteria.
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