Evidence map›Paper›PMID 39300915›Full record

ArticleBritish journal of psychology (London, England : 1953)2025

Differential diagnosis of autism, attachment disorders, complex post-traumatic stress disorder and emotionally unstable personality disorder: A Delphi study.

Rachel Sarr, Debbie Spain, Alice M G Quinton, Francesca Happé, Chris R Brewin, Jonathan Radcliffe, Sally Jowett, Sarah Miles, Rafael A González, Idit Albert and 5 more

Abstract read
In one paragraph

Article in British journal of psychology (London, England : 1953), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Psychiatric Emergency Visits of Autistic Adults With or Without Documented Borderline Personality Disorder.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Clinical Evidence for Increased Dissociative Experiences in Adults with High Levels of Autistic Traits: A Comparative Study.Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation (ISSD)
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Rachel SarrInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID https://orcid.org/0000-0001-7818-3554
Debbie SpainInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Alice M G QuintonInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Francesca HappéInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Chris R BrewinClinical Educational & Health Psychology, University College London, London, UK.
Jonathan RadcliffeSouth London and Maudsley NHS Trust, London, UK.
Sally JowettNHS Education for Scotland, Glasgow, UK.
Sarah MilesSouth London and Maudsley NHS Trust, London, UK.
Rafael A GonzálezEast London NHS Foundation Trust, London, UK.
Idit AlbertInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Alix ScholwinInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Marguerite StirlingInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Sarah MarkhamDepartment of Biostatistics & Health Informatics, King's College London, London, UK.
Sally StrangeInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Freya RumballInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

Funding

King's College LondonMedical Research CouncilNIHR Maudsley Biomedical Research Centre
6 · The paper itself

Abstract

Individuals diagnosed with autism, attachment disorders, emotionally unstable personality disorder (EUPD) or complex post-traumatic stress disorder (CPTSD) can present with similar features. This renders differential and accurate diagnosis of these conditions difficult, leading to diagnostic overshadowing and misdiagnosis. The purpose of this study was to explore professionals' perspectives on the differential diagnosis of autism, attachment disorders and CPTSD in young people; and of autism, CPTSD and EUPD in adults. A co-produced three-round Delphi study gathered information through a series of questionnaires from 106 international professionals with expertise in assessing and/or diagnosing at least one of these conditions. To provide specialist guidance and data triangulation, working groups of experts by experience, clinicians and researchers were consulted. Delphi statements were considered to have reached consensus if at least 80% of participants were in agreement. Two hundred and seventy-five Delphi statements reached consensus. Overlapping and differentiating features, methods of assessment, difficulties encountered during differential diagnosis and suggestions for improvements were identified. The findings highlight current practices for differential diagnosis of autism, attachment disorders, CPTSD and EUPD in young people and adults. Areas for future research, clinical and service provision implications, were also identified.

Indexed as

Autistic DisorderPersonality DisordersReactive Attachment DisorderStress Disorders, Post-TraumaticAdultDelphi TechniqueDiagnosis, DifferentialFemaleHumansMaleMiddle AgedYoung Adultassessmentattachment disorderautismborderline personality disordercomplex post‐traumatic stress disorderdiagnosisemotionally unstable personality disordertrauma

Identifiers

PMID39300915
PMCPMC11724683

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.