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. Author manuscript; available in PMC: 2018 Mar 12.
Published in final edited form as: J Autism Dev Disord. 2017 Dec;47(12):3967–3982. doi: 10.1007/s10803-017-3278-y

Diagnostic Criteria

Autistic Disorder
_______ At least two symptoms in Cluster 1 (Social) DSM-IV-TR checklist relative to developmental level
AND
_______ At least one symptom in Cluster 2 (Communication)
AND
_______ At least one symptom in Cluster 3 (Repetitive and/or Restricted Interests and Behaviors)
AND
________ Child displays SIX OR MORE total symptoms
AND
________ Onset was before age three years
AND
________ Child’s age equivalence must be 12 months or higher on at least one of the following: Mullen Visual Reception, Receptive Language, or Expressive Language

ASD-Low MA
________ Child displays at least 1 symptom from Cluster 1 (Social): must have 1 symptom other than lack of interest in peers
AND
________ Child displays at least 1 other symptom from Cluster 2 (Communication) and/or Cluster 3 (Repetitive and/or Restricted Interests and Behaviors)
AND
________ Child’s Mullen scores on Visual Reception, Receptive Language, and Expressive Language and Vineland scores on Communication and Social subdomains are ALL less than or equal to 12 months age equivalent

Pervasive Developmental Disorder – Not Otherwise Specified (PDD-NOS)
_______ At least one symptom in Cluster 1 (Social) DSM-IV-TR checklist relative to developmental level:
  _______ CANNOT include ONLY 1b (peer relationships) for Time 1 evaluations
AND
_______ At least one symptom in Cluster 2 (Communication) and/orCluster 3 (Repetitive and/or Restricted Interests and Behaviors)
AND
________ Child does not meet criteria for Autistic Disorder, Asperger’s Disorder, or Rett’s Syndrome
AND
________ Symptoms noted on checklist cannot be better accounted for by another disorder (e.g., reactive attachment disorder, sensory or motor impairments, etc.)
AND
________ Child’s age equivalence must be 12 months or greater on at least one of the following: Mullen Visual Reception, Receptive Language, or Expressive Language
AND
________ Child displays clinically significant impairment in home, school, and/or community settings

Developmental Delay
_______ Delay of at least 1.5 standard deviations on AT LEAST ONE of the following (“non-language”):
________ Mullen Visual Reception (T-score=35 or less)
________ Mullen Fine Motor (T-score=35 or less)
________ Vineland Motor Skills (SS=77 or less)
AND
_______ Delay of at least 1.5 standard deviations on AT LEAST ONE of the following (“Language”):
________ Mullen Expressive Language (T-score=35 or less)
________ Mullen Receptive Language (T-score=35 or less)
________ Vineland Communication (SS=77 or less)
AND
________ At least one from the 2 categories above must be a delay on the Mullen

Other Diagnosis
________ DOES NOT meet criteria for an ASD diagnosis
AND
________ Meets criteria for a non-ASD DSM-IV-TR diagnosis, such as ADHD, ODD, Reactive Attachment Disorder, an anxiety disorder, a mood disorder, or some other psychological condition: Specify: ______________________

No Diagnosis
________ Meets criteria for a non-DSM-IV-TR disorder or condition (e.g., sensory processing difficulties): Specify: ________________________
OR
________ DOES NOT meet criteria for any DSM-IV-TR or study diagnoses, but DOES NOT meet criteria for Typical Development (include children who cannot complete reliable/valid testing due to non-compliance here)
AND
________ Child displays sub-syndromic characteristics of a condition (reserve for clinically significant motor and/or speech-language difficulties that do not meet diagnostic criteria but present as clinically significant)