Abstract
ICD-10 draft research criteria for childhood autism were applied to a previously published data set comparing DSM-III and DSM-III-R to clinicians' diagnoses of autism. The ICD-10 approach paralleled clinicians' patterns of diagnosis and, to a lesser extent, the DSM-III system. Relative to either clinicians, DSM-III, or ICD-10 the DSM-III-R system overdiagnosed the presence of autism. Implications for research and for future revision of diagnostic criteria are discussed.
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This study was supported by a grant from the McArthur Foundation to the American Psychiatric Association and by grant HD-03008 from the National Institute of Child Health and Human Development, by National Institute of Mental Health grant MH-30929 to the Mental Health Clinical Research Center, and grant MRIS-1416 to the Veleran's Administration. The views expressed in this article are those of the authors and do not represent the official positions of the DSM-IV Task Force, Work Groups, or the American Psychiatric Association. The authors thank Helena Kraemer for her helpful comments.
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Volkmar, F.R., Cicchetti, D.V., Bregman, J. et al. Three diagnostic systems for autism: DSM-III, DSM-III-R, and ICD-10. J Autism Dev Disord 22, 483–492 (1992). https://doi.org/10.1007/BF01046323
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DOI: https://doi.org/10.1007/BF01046323