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Pervasive developmental disorder

The diagnostic category pervasive developmental disorders (PDD), as opposed to specific developmental disorders (SDD), was a group of disorders characterized by delays in the development of multiple basic functions including socialization and communication. It was defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM) (from 1980 to 2013), and the International Classification of Diseases (ICD) (until 2022).

"PDD" redirects here. For dementia associated with Parkinson's disease, see Parkinson's disease dementia. For other uses, see PDD (disambiguation).

Pervasive developmental disorder

The pervasive developmental disorders included autism, Asperger syndrome, pervasive developmental disorder not otherwise specified (PDD-NOS), childhood disintegrative disorder (CDD), overactive disorder associated with mental retardation and stereotyped movements, and Rett syndrome.[1] The first four of these disorders are commonly called the autism spectrum disorders; the last disorder is much rarer, and is sometimes placed in the autism spectrum and sometimes not.[2][3]


There is a division among doctors on the use of the term PDD.[4] Many use the term PDD as a short way of saying PDD-NOS.[4] Others diagnose the general category label of PDD because they are hesitant to diagnose very young children with a specific type of PDD, such as autism.[4] Both approaches contribute to confusion about the term, because the term PDD is intended by its coiners and major bodies to refer to a category of disorders and not be used as a diagnostic label.[4]


The terminology PDD and ASD is often used interchangeably and varies depending on location.


The onset of pervasive developmental disorders occurs during infancy, but the condition is usually not identified until the child is around three years old. Parents may begin to question the health of their child when developmental milestones are not met, including age appropriate motor movement and speech production.[5]


The fifth edition of the DSM removed PDD as a category of diagnoses, and largely replaced it with ASD and a measure of the relative severity of the condition.[6] The eleventh edition of the ICD also removed the category.

Difficulty using and understanding language

[7]

Difficulty relating to people, objects, and events; for example, lack of eye contact, pointing behavior, and lack of facial responses

[7]

Unusual play with toys and other objects.

[7]

Paranoia, a characteristic form of social anxiety, derealization, transient psychosis, and unconventional beliefs if environment or routine are changed without notice

[7]

or behavior patterns,[7] such as hand flapping, hair twirling, foot tapping, or more complex movements[8]

Repetitive body movements

Difficulty regulating behaviors and emotions, which may result in temper tantrums, anxiety, and aggression

[8]

Emotional breakdowns

Delusional or unconventional perception of the world

Maladaptive daydreaming

(PDD-NOS), which includes atypical autism, and is the most common (47% of autism diagnoses);[10]

Pervasive developmental disorder not otherwise specified

Typical , the best-known;

autism

(9% of autism diagnoses);

Asperger syndrome

; and

Rett syndrome

(CDD).

Childhood disintegrative disorder

Infantile neuroaxonal dystrophy

Multiple complex developmental disorder

Multisystem developmental disorder

Overactive disorder associated with mental retardation and stereotyped movements

- Information for parents on early childhood development and developmental disabilities

CDC's "Learn the Signs. Act Early." campaign

NINFS Pervasive Developmental Disorders Information Page