Exploration of the DSM-5’s Autism Spectrum Disorder Severity Level Specifier and Prediction of Autism Severity

Abstract

ABSTRACT With the publication of DSM-5, clinical assessment of Autism Spectrum Disorder (ASD) has begun to follow a new dimensional framework which includes new severity specifiers. Little research has explored these severity ratings in comparison to other previously established severity indicators (e.g. ADOS-2 calibrated severity score). The current study compared parent and teacher ratings using the BASC-2 for 43 children and adolescents diagnosed with DSM-5 ASD, to contribute novel information to the BASC literature and to explore the new DSM-5 severity ratings. Linear regression analyses were conducted to determine the extent to which the DSM-5 Social Communication and Restrictive/Repetitive Behavior Severity Ratings (clinician-rated) predicted autism severity based on ADOS-2 calibrated severity scores. Furthermore, linear regressions were conducted to explore whether teacher ratings on the BASC-2 enhance parent ratings. Implications of these preliminary results for the assessment of children and adolescents with ASD are suggested.