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The categorizations and the diagnostic criteria were largely unchanged. No new disorders or conditions were introduced, although a small number of subtypes were added and removed. ICD-9-CM codes that were changed since the release of IV were updated. [4] The DSM-IV and the DSM-IV-TR both contain a total of 297 mental disorders. [5]
The DSM-IV-TR is a text revision of the DSM-IV. [1] While no new disorders were added in this version, 11 subtypes were added and 8 were removed. This list features both the added and removed subtypes. Also, 22 ICD-9-CM codes were updated. [2] The ICD codes stated in the first column are those from the DSM-IV-TR.
The DSM-IV criteria for diagnosis of ADHD is 3–4 times more likely to diagnose ADHD than is the ICD-10 criteria. [210] ADHD is alternately classified as neurodevelopmental disorder [ 211 ] or a disruptive behaviour disorder along with ODD , CD , and antisocial personality disorder . [ 212 ]
The ADHD-RS separates domain scores of "Inattention" and "Hyperactivity-Impulsivity" which ultimately results in three scores for "Inattention," Hyperactivity-Impulsivity", and "Total". [5] DSM-IV also organizes diagnostic criteria into two categories of Inattention and Hyperactivity-Impulsivity, each of which includes nine symptoms. [3]
The DSM-5 has the diagnosis of Specific Learning Disorder, which is a disorder where one has difficulties in being able to learn and use academic skills. Specific learning disorder has specifiers for the areas that one faces difficulties in, with those specifiers being impairment in reading, impairment in writing, and impairment in mathematics.
Per DSM-5 criteria, children must display “six or more symptoms in either the inattentive or hyperactive-impulsive domain, or both,” for the diagnosis of ADHD. [3] Older adolescents and adults (age 17 and older) need to demonstrate at least five symptoms before the age of 12 in either domain to meet diagnostic criteria.
The Child and Adolescent Symptom Inventory (CASI) is a behavioral rating checklist created by Kenneth Gadow and Joyce Sprafkin that evaluates a range of behaviors related to common emotional and behavioral disorders identified in the Diagnostic and Statistical Manual of Mental Disorders (DSM), including attention deficit hyperactivity disorder, oppositional defiant disorder, conduct disorder ...
ADHD is estimated to affect about 6 to 7 percent of people aged 18 and under when diagnosed via the DSM-IV criteria. [3] However, these estimates may be inaccurate as females tend to have fewer symptoms, as identified in the DSM-IV, and thus tend to be under-diagnosed due to these sex differences in predicting ADHD.