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Differences between DSM-IV and DSM-5 as applied to child and adolescent psychiatry and neurodevelopmental disorders

Published online by Cambridge University Press:  29 September 2017

Z. Shujah
Affiliation:
Deparment of Child and Adolescent Psychiatry, School of Medicine and Medical Science, University College Dublin, Dublin, Ireland
A. Mulligan*
Affiliation:
Deparment of Child and Adolescent Psychiatry, School of Medicine and Medical Science, University College Dublin, Dublin, Ireland
*
*Address for correspondence: A. Mulligan, Department of Child and Adolescent Psychiatry, School of Medicine and Medical Science, University College Dublin, Dublin, Ireland. (Email: aisling.mulligan@ucd.ie)

Abstract

Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5) was published by the American Psychiatric Association in 2013. We discuss the important differences between DSM-IV and DSM-5 with particular relevance to child and adolescent psychiatry. The DSM-5 diagnostic criteria for a diagnosis of autism spectrum disorder and of attention-deficit/hyperactivity disorder are discussed in detail, as well as a summary of other changes in DSM-5 relevant to child and adolescent psychiatry. The discussion is supported by a review of relevant literature.

Type
Perspective Piece
Copyright
© College of Psychiatrists of Ireland 2017 

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References

American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), 4th edn. Arlington, VA, USA.Google Scholar
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 5th edn. Arlington, VA, USA.Google Scholar
Amir, RE, Van den Veyver, IB, Wan, M, Tran, CQ, Francke, U, Zoghbi, HY (1999). Rett syndrome is caused by mutations in X-linked MECP2, encoding methyl-CpG-binding protein 2. Nature Genetics 23, 185188.Google Scholar
Chang, Z, Lichtenstein, P, D’Onofrio, BM, Sjölander, A, Larsson, H (2014). Serious transport accidents in adults with attention-deficit/hyperactivity disorder and the effect of medication: a population-based study. JAMA Psychiatry 71, 319325.Google Scholar
Dalsgaard, S, Mortensen, PB, Frydenberg, M, Thomsen, PH (2013). Long-term criminal outcome of children with attention deficit hyperactivity disorder. Criminal Behavaviour and Mental Health 23, 8698.CrossRefGoogle ScholarPubMed
Dalsgaard, S, Østergaard, SD, Leckman, JF, Mortensen, PB, Pedersen, MG (2015). Mortality in children, adolescents, and adults with attention deficit hyperactivity disorder: a nationwide cohort study. Lancet 385, 21902196.Google Scholar
Dick, DM, Viken, RJ, Kaprio, J, Pulkkinen, L, Rose, RJ (2005). Understanding the covariation among childhood externalizing symptoms: genetic and environmental influences on conduct disorder, attention deficit hyperactivity disorder, and oppositional defiant disorder symptoms. Journal of Abnormal Child Psychology 33, 219229.Google Scholar
Faraone, SV, Biederman, J (2005). What is the prevalence of adult ADHD? Results of a population screen of 966 adults. Journal of Attention Disorders 9, 384391.Google Scholar
Ghirardi, L, Brikell, I, Kuja-Halkola, R, Freitag, CM, Franke, B, Asherson, P, Lichtenstein, P, Larsson, H (2017). The familial co-aggregation of ASD and ADHD: a register-based cohort study. Molecular Psychiatry. Published online 28 February 2017. https://doi.org/10.1038/mp.2017.17.CrossRefGoogle Scholar
Huerta, M, Bishop, SL, Duncan, A, Hus, V, Lord, C (2012). Application of DSM-5 criteria for autism spectrum disorder to three samples of children with DSM-IV diagnoses of pervasive developmental disorders. American Journal of Psychiatry 169, 10561064.Google Scholar
Kessler, RC, Adler, L, Barkley, R, Biederman, J, Conners, CK, Demler, O, Faraone, SV, Greenhill, LL, Howes, MJ, Secnik, K, Spencer, T, Ustun, TB, Walters, EE, Zaslavsky, AM (2006). The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. American Journal of Psychiatry 163, 716723.Google Scholar
Kim, YS, Fombonne, E, Koh, YJ, Kim, SJ, Cheon, KA, Leventhal, BL (2014). A comparison of DSM-IV pervasive developmental disorder and DSM-5 autism spectrum disorder prevalence in an epidemiologic sample. Journal of the American Academy of Child and Adolescent Psychiatry 53, 500508.Google Scholar
Kooij, SJ, Bejerot, S, Blackwell, A, Caci, H, Casas-Brugué, M, Carpentier, PJ, Edvinsson, D, Fayyad, J, Foeken, K, Fitzgerald, M, Gaillac, V, Ginsberg, Y, Henry, C, Krause, J, Lensing, MB, Manor, I, Niederhofer, H, Nunes-Filipe, C, Ohlmeier, MD, Oswald, P, Pallanti, S, Pehlivanidis, A, Ramos-Quiroga, JA, Rastam, M, Ryffel-Rawak, D, Stes, S, Asherson, P (2010). European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD. BioMed Central Psychiatry 10, 67.CrossRefGoogle ScholarPubMed
Ljung, T, Chen, Q, Lichtenstein, P, Larsson, H (2014). Common etiological factors of attention-deficit/hyperactivity disorder and suicidal behavior: a population-based study in Sweden. JAMA Psychiatry 71, 958964.Google Scholar
Mulligan, A, Anney, RJ, O’Regan, M, Chen, W, Butler, L, Fitzgerald, M, Buitelaar, J, Steinhausen, HC, Rothenberger, A, Minderaa, R, Nijmeijer, J, Hoekstra, PJ, Oades, RD, Roeyers, H, Buschgens, C, Christiansen, H, Franke, B, Gabriels, I, Hartman, C, Kuntsi, J, Marco, R, Meidad, S, Mueller, U, Psychogiou, L, Rommelse, N, Thompson, M, Uebel, H, Banaschewski, T, Ebstein, R, Eisenberg, J, Manor, I, Miranda, A, Mulas, F, Sergeant, J, Sonuga-Barke, E, Asherson, P, Faraone, SV, Gill, M (2009). Autism symptoms in Attention-Deficit/Hyperactivity Disorder: a familial trait which correlates with conduct, oppositional defiant, language and motor disorders. Journal of Autism and Developmental Disorders 39, 197--209. Erratum in: Journal of Autism and Developmental Disorders. 2009 Feb;39(2):210-1. PubMed PMID: 18642069.Google Scholar
Murphy, R, Hallahan, B (2016). Differences between DSM-IV and DSM-5 as applied to general adult psychiatry. Irish Journal of Psychological Medicine 33, 135141.Google Scholar
National Institute for Health and Care Excellence (2016). Attention Deficit Hyperactivity Disorder – Diagnosis and Management (Clinical Guideline No. 72). London: National Institute for Clinical Excellence. (https://www.nice.org.uk/guidance/cg72). Accessed 6 March 2107.Google Scholar
National Institute for Health and Care Excellence (2016). Obsessive-compulsive disorder and body dysmorphic disorder: treatment [CG31] (https://www.nice.org.uk/guidance/cg31/chapter/1-guidance?unlid=929129519201621455042). Accessed 6 March 2107.Google Scholar
Ohashi, K, Mizuno, Y, Miyachi, T, Asai, T, Imaeda, M, Saitoh, S (2015). Concordance of DSM-5 and DSM-IV-TR classifications for autism spectrum disorder. Pediatrics International 57, 10971100.Google Scholar
Reiersen, AM, Constantino, JN, Volk, HE, Todd, RD (2007). Autistic traits in a population-based ADHD twin sample. Journal of Child Psychology and Psychiatry 48, 464472.Google Scholar
Vande Voort, JL, He, JP, Jameson, ND, Merikangas, KR (2014). Impact of the DSM-5 attention-deficit/hyperactivity disorder age-of-onset criterion in the US adolescent population. Journal of the American Academy of Child and Adolescent Psychiatry 53, 736744.CrossRefGoogle ScholarPubMed
World Health Organization (1992). The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. World Health Organization: Geneva.Google Scholar