DSM-5 behavioral criteria | |
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A. Persistent deficits in social communication and social interaction |
A1: Deficits in social emotional reciprocity A2. Deficits in nonverbal communicative behaviors A3. Deficits in developing, maintaining, and understanding relationships |
B. Restricted, repetitive patterns of behavior, interests, or activities, currently or by history |
B1: Stereotyped or repetitive motor movements, use of objects or speech B2. Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behavior B3. Highly restricted interests that are abnormal in intensity or focus B4. Hyper- or hypo-reactivity to sensory input or unusual interest in sensory aspects of the environment |
Historical PDD diagnosis
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Any ASD diagnosis documented in a comprehensive evaluation, including a DSM-IV diagnosis of autistic disorder, Asperger disorder, or pervasive developmental disorder–not otherwise specified (PDD-NOS) |
DSM-5 case determination | All three behavioral criteria coded under part A, and at least two behavioral criteria coded under part B OR Any ASD diagnosis documented in a comprehensive evaluation, whether based on DSM-IV-TR or DSM-5 diagnostic criteria Note: A child might be disqualified from meeting the DSM-5 surveillance case definition for ASD if, based on the clinical judgment of one or more reviewers, there is insufficient or conflicting information in support of ASD, sufficient information to rule out ASD, or if one or more other diagnosed conditions better account for the child’s symptoms |
Abbreviation: DSM-5 = Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.