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The DSM-V and Gender Bias in Autism and Asperger's Syndrome
Changes from the DSM-IV to DSM-V:
- the term 'pervasive developmental disorders' was replaced by 'neurodevelopmental disorders' and subsumed under ASD
- autism was renamed as autism spectrum disorder
- merging of social and communication symptoms of autism into one domain -including abnormalities in sensory processing under restricted behaviors -changing the onset age criteria
These changes were supposedly created to ensure that autism was known as multi-dimensional, and would give clinicians a better understanding of cultural and gender-related factors.
Huerta et.al,: -DSM-V is no better than DSM-IV at diagnosing women with autism -looked at clinical records to see how sensitive the new criteria was, and compared estimated sensitivities for both men and women
- diagnostic sensitivity for women: .88 - .93
- diagnostic sensitivity for men: .89 - .92 This does not display a significant difference between DSM-IV and DSM-V.
Kim et, al,:
- epidemiological study in South Korean community comparing male to female ratio in DSM-IV versus DSM-V
- DSM-IV: 2.5:1 (male:female)
- DSM-V: 2.7:1 (male:female)

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