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CC Jan 2016 Attention Deficit Hyperactivity Disorder (ADHD) Diagnosis changes in DSM-5 from DSM-4

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echoecho's version from 2016-01-05 15:13

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Question Answer
In 2013, the Diagnostic and Statistical Manual - 5 (DSM-5) made changes to the dx of what?ADHD
What is the first change?that the 3 subtypes are now called PRESENTATIONS
List the 3 presentations?1) predominantly inattentive 2) predominantly hyperactive 3) combined predominantly inattentive and predominantly hyperactive
What does the use of presentations emphasize?the fluid nature of presenting symptoms over time
Nine hyperactive and 9 inattentive symptoms remain, although examples are not included in the manual. List the 9 hyperactive symptoms?1) fidgets with hands or squirms in seat 2) leaves seat when sitting is expected 3) runs about or climbs where inappropriate 4) unable to quietly engage in leisure activities 5) on the go ("driven by a motor") 6) talks excessively 7) blurts out answers before question completion 8) difficulty awaiting turn 9) interrupts or intrudes upon others
Nine hyperactive and 9 inattentive symptoms remain, although examples are not included in the manual. List the 9 inattentive symptoms?1) fails to pay attention to details, makes mistakes 2) difficulty sustaining attention 3) does not seem to listen 4) does not follow through on instructions 5) difficulty organizing tasks and activities 6) avoids tasks requiring sustained mental effort 7) loses things necessary for tasks 8) easily distracted 9) forgetful in daily activities
*** How many symptoms are required for the dx of ADHD in an individual < 17 years of age?6
*** How many symptoms are required for those > 17 years of age?5
*** Duration of symptoms before dx can be made is?6 months
*** List the 4 other changes made in DSM-5 that make the criteria for dx less strigent?1) age of onset of symptoms 2) multiple settings 3) clinically significant impairment 4) autism spectrum disorder
*** Compare the changes from DSM-4 vs. DSM-5 regarding age of onset of symptoms?1) In DSM-4 some symptoms must have been present PRIOR to the age of 7 y.o. 2) in DSM-5, some symptoms must be present before 12 y.o., and the requirement of impairment due to the symptoms by age 12 has been removed
*** Compare the changes from DSM-4 vs. DSM-5 regarding multiple settings?1) DSM-4 required that the symptoms cause some sort of impairment in at least 2 settings 2) DSM-5 requires that symptoms be present in at least 2 settings
*** Compare the changes from DSM-4 vs. DSM-5 regarding clinically significant impairment?1) DSM-4 required evidence of clinically significant IMPAIRMENT in functioning 2) DSM-5 requires "evidence that symptoms INTERFERE... with functioning"
*** Compare the changes from DSM-4 vs. DSM-5 regarding autism spectrum disorder?1) DSM-4 stated that pervasive developmental disorder (now autism spectrum disorder) would exclude the dx of ADHD 2) DSM-5 removes this restriction, as there is increasing recognition of the co-existence of both disorders
Based on these changes, will there more or less individuals that will fit the cruiteria for ADHD?more
*** SUMMARY = Some symptoms must be present before age ____ years instead of age ____ years?12; 7
*** SUMMARY = Symptoms must occur in multiple settings, but "________" is no longer required?impairment
*** SUMMARY = _______ specturm disorder is no longer exclusionary for ADHD?autism
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