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DSM-III and DSM-III-R Diagnosis of Autism and Pervasive Developmental Disorder in Nursery School Children

1990; Elsevier BV; Volume: 29; Issue: 1 Linguagem: Inglês

10.1097/00004583-199001000-00019

1527-5418

Margaret E. Hertzig, MARGARET E. SNOW, ERICA NEW, Theodore Shapiro,

Child Nutrition and Feeding Issues

DSM-III and DSM-III-R diagnoses of 112 developmentally disordered preschool children were compared. There was no significant difference between the DSM-III and DSM-III-R diagnosis of the inclusive category of pervasive developmental disorder, but nearly twice as many cases (58) were diagnosed as autistic disorder by DSM-III-R criteria as were diagnosed as infantile autism (31) by DSM-III. Thirty children met both DSM-III and DSM-III-R criteria for autism (IA/AD) and 23 received a DSM-III diagnosis of atypical PDD (A-PDD) and a DSM-III-R diagnosis of AD (A-PDD/AD). All of the IA/AD children and none of the A-PDD/AD group displayed a marked lack of awareness of others. DSM-III-R criteria have specifically broadened the concept of autism to include children who, although socially impaired, are not pervasively unresponsive to others.