The Impact of
            <i>DSM-5</i>
            on the Diagnosis of Autism Spectrum Disorder

Ferrara, Rosa; Nappo, Raffaele; Ansermet, François; Ricci, Pasquale; Massoni, Francesco; Carbone, Guelfo; Sparaci, Alesandro; Nonnis, Enrico; Ricci, Lidia; Ricci, Serafino

doi:10.3928/00485713-20201205-01

Cited by 5 publications

(6 citation statements)

References 39 publications

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“…On the other hand, professionals should be trained on autism to address the impact of Autism during pregnancy. The deepening of this topic could also contribute to that movement of increasingly in-depth analysis of the autistic phenotype and its various expressions ( 36 ).…”

Section: Discussionmentioning

confidence: 99%

Pregnancy in autistic women and social medical considerations: scoping review and meta- synthesis

Ferrara,

Ricci,

Damato

et al. 2023

Front. Psychiatry

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IntroductionThis article addresses a topic that has been largely overlooked by scientific literature, namely pregnancy in autistic women. Generally, the issue of sexuality in disability, particularly in disabled women, autistic or otherwise, has been underexplored. However, it is necessary to scientifically investigate this topic to propose adequate social and health policies. Therefore, we chose to conduct a scoping review to answer three main questions: “What does it mean for an autistic woman to be pregnant?”; “How do these two conditions coexist?”; “Are health services prepared to receive this population adequately or does autism become a stigma for pregnant women?”MethodsWe conducted a systematic review and qualitative thematic synthesis following the Preferred Reporting Guidelines for Systematic Reviews and Meta-Analyses on autistic women and pregnancy in the last 10 years.ResultsThe studies included in our review are 7, extremely diverse in terms of methodologies and sample sizes. Despite the heterogeneity of samples and methodologies, all research tends to highlight the following results. For autistic women during pregnancy, three areas seem to be the most difficult: sensory issues, mood disorders, and relationships with specialists.DiscussionOur study found that women with ASD face unique challenges during childbirth that differ from those of neurotypical women. Participants often felt belittled, ignored, and uninformed about the care they received, and being placed at the centre of attention was often seen as negative and hindering rather than positive. However, the research shows us how some “expected” results, such as difficulties in breastfeeding, have been disproven.

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Section: Discussionmentioning

confidence: 99%

Pregnancy in autistic women and social medical considerations: scoping review and meta- synthesis

Ferrara,

Ricci,

Damato

et al. 2023

Front. Psychiatry

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“…(APA 1995;2002). Sin embargo, se introdujeron algunas pequeñas variaciones en la forma que se presentó su explicación a través de términos concretos, no apareciendo ninguna diferencia sustancial en cuanto a la significación de los contenidos expuestos (Ferrara et al 2021).…”

Section: De La Definición Del Autismo Del Dsm-iii Hasta La Actualidadunclassified

“…Por otro lado, los criterios diagnósticos vinculados a las dificultades en las habilidades comunicativas y de interacción social se englobaron de manera conjunta dentro de un mismo bloque. (Ferrara et al 2021). Dentro de este se desarrollaron tres áreas: dificultades en la reciprocidad socioemocional, en los elementos de la comunicación no verbal, así como en el inicio, mantenimiento y comprensión de las interacciones sociales (APA 2013) De manera paralela, en la CIE-11 se incluye esta misma clasificación y nomenclatura para el trastorno y se mantienen las dificultades en las habilidades sociales y comunicativas dentro del mismo bloque que expone el DSM-V (Grosso 2021).…”

Section: De La Definición Del Autismo Del Dsm-iii Hasta La Actualidadunclassified

El TEA y las dificultades en la competencia sociocomunicativa de las personas que lo manifiestan: un repaso histórico

Marzal Carbonell,

Cañadas Pérez,

Martínez Rico

2023

INCLU

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El presente trabajo tiene como objetivo realizar un recorrido histórico por las aportaciones de los principales autores e instituciones que han contribuido a la definición del trastorno del espectro autista, tanto de manera general como respecto a las carencias en la competencia sociocomunicativa de las personas que lo presentan. Así, a través de una revisión bibliográfica exhaustiva, se ha podido observar cómo su descripción y la explicación de las habilidades sociales y comunicativas de las personas que lo manifiestan ha variado a lo largo del tiempo a través de los diferentes teóricos y corrientes que lo han tratado. Desde que el término autismo fue expuesto por primera vez por Bleuer en 1911 hasta llegar a la definición del DSM-V y la del CIE-11, la delimitación conceptual de este trastorno ha sufrido múltiples cambios, tal y como se verá en este documento.

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“…Autism has an incidence of about 1:77 in Italy [ 3 ] and results in high costs for the National Health System and families. Autism is a condition, not a disease therefore there are no cures but treatments, and it has reconfigured itself over the years, making its diagnosis more and more specific and far removed from the realm of psychosis [ 4 ]. The onset of autism is in early childhood [ 5 ], and involves the subject in its entirety, with repercussions also in the subject’s inflammatory system [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

ESDM intervention in severe preschool autism: an Italian Case report, psychological and social medicine reflections

Ferrara,

Damato,

Iovino

et al. 2024

Ital J Pediatr

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Background The goal of our contribution is to discuss a preschool intervention based on the Early Start Denver Model and the use of the main tools for the detection of adaptive behaviour in cases of autism: Vineland, ABAS. Case presentation: the work is the presentation of a clinical case that has benefited from an intervention with the Early Start Denver Model methodology for the benefit of a child with socio-cultural and economic disadvantages. This early intervention, in a child of 36 months, which followed the diagnosis, was possible thanks to the intervention of many third-sector organizations which allowed this child, with a serious autism profile, to receive an evidence-based intervention for free. At the beginning of the intervention, the child presented a diagnosis of severe autism with absence of gaze, vocalizations and other communicative impairments. The level of motor clumsiness was also quite high, as were stereotypies. Conclusions: Research has shown the usefulness of intervening in this area with an early assessment and/or diagnosis and immediate intervention; however, public health services are not always able to maintain this pace. Our contribution therefore shows on the one hand the evidence of the improvements achieved by the child despite the low intensity of the treatment, and on the other hand, demonstrates the total versatility and adaptability of the Denver Model to the Italian context. In our conclusions, there are also some reflections on the tools used to measure adaptive behavior which seem to have a number of limitations and criticalities.

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The Impact of DSM-5 on the Diagnosis of Autism Spectrum Disorder

Cited by 5 publications

References 39 publications

Pregnancy in autistic women and social medical considerations: scoping review and meta- synthesis

Pregnancy in autistic women and social medical considerations: scoping review and meta- synthesis

El TEA y las dificultades en la competencia sociocomunicativa de las personas que lo manifiestan: un repaso histórico

ESDM intervention in severe preschool autism: an Italian Case report, psychological and social medicine reflections

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