Asperger syndrome이라는 병에

진단 기준이 무려 4가지가 따로 놀고 너무 차이가 커서 의미가 없기 때문인거다 붕어야

미국 정신건강의학회의 DSM-IV에서 정의한 기준

WHO의 ICD-10에서 정의한 진단기준

Szatmari P, Bremner R, Nagy J (1989). "Asperger's syndrome: a review of clinical features". Canadian Journal of Psychiatry. 34 (6): 554–60

이 논문에서 Szatmari가 정의한 진단기준

Gillberg IC, Gillberg C (July 1989). "Asperger syndrome—some epidemiological considerations: a research note". J Child Psychol Psychiatry. 30 (4): 631–638

이 논문에서 Gillberg가 정의한 진단기준이 모두 다 다르다 이 붕어대가리야

니가 좋아하는 최종병기 위키피디아라도 한번 읽어보지 그랬냐

아 영어도 못익는 무식한 놈이라 읽어보지 못했구나?

같은 병을 진단하는데 진단기준이 이렇게 따로 국밥으로 차이가 나고

2008년에 나온

Kopra K; von Wendt L; Nieminen–von Wendt T; Paavonen EJ (2008). "Comparison of diagnostic methods for Asperger syndrome". J Autism Dev Disord. 38 (8): 1567–73

이 논문에서 저 네가지 진단기준을 모두 다 비교한 결과 보면

 According to our findings, the four sets of diagnostic criteria for AS are discrepant to a large extent, the overlap being in the worst case only 39%. One factor which heavily increases the differences between these sets of criteria is the divergent number of items which should be fulfilled. In practice, replacing some of the obligatory items with alternative noncompulsory ones would apparently reduce the current discrepancies between these sets of criteria.

 Another explanation for the large discrepancies lies in the fact that the degree of severity and difficulty of the symptoms is not taken into account at all in the criteria for AS. Classification is prone to rater-induced variation, as none of the items in the diagnostic sets of criteria are defined in detail. As a result, interpretation is also easily influenced by sociocultural variation. Strict guidelines for interpretation would reduce this variation. The language delay as an exclusion criterion in ICD-10 and DSM-IV should be applied in more general terms or removed because, at least in our study, most of the AS children had difficulties and peculiarities that could be falsely interpreted as a developmental delay. Another potential problem may lie in the ICD-10 and DSM-IV not sufficiently taking into account certain symptoms, such as nonverbal difficulties and motor clumsiness, which other diagnostic sets of criteria for AS rate as important.

 It should be noted, that some of the differences between the four sets of diagnostic criteria found here might stem from methodological weaknesses. First, our study is limited by its small sample size. Our results must, therefore, be interpreted with caution. Kappa values are likely to be more stable in larger samples. Another potential source of bias lies in the sample being a clinical one. The children were originally referred for further examinations due to clinical problems, and therefore, the proportion of more severely affected patients is likely to be higher than in average AS populations. Finally we did not consider comorbidity even though co-morbid features might have an effect on whether a certain criterion is fulfilled or not. For example, as withdrawal is prominent in the set of criteria by Szatmari et al. (1989), a child expressing such behavior due to depression is more likely to meet this criteria. Likewise, since obsessive-compulsive features are prominent in the criteria of Gillberg and Gillberg (1989), a child expressing such features more probably would meet this criteria.

 In conclusion, the diagnostic delineation of AS is incomplete reflected in highly diverging prevalence rates. The diagnostic criteria for AS need revision and international consensus. More studies addressing the validity of the diagnostic concept are clearly needed. Larger clinical studies and normative or case-control studies would be particularly informative. Future research should aim at comparing the AS criteria with criteria for autism and other neuropsychiatric disorders and the most important differences between AS and high functioning autism should be identified, if any exist. Finally, comparisons of the phenotype of AS in boys and girls and the potential influence of age and developmental level would be an interesting area of research

아예 결론이 이렇다

이래서 아스퍼거 그딴게 사라진거야 이 붕어대가리야

학부 교과서건 논문이건 한번도 본 적 없고

저널 검색도 할 줄 모르는 놈이 어디서 입을 나불대