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父母信息及直接观察在广泛性和特定性发育障碍诊断中的应用

Parent information and direct observation in the diagnosis of pervasive and specific developmental disorders.

作者信息

Noterdaeme Michele, Mildenberger Katrin, Sitter Stefan, Amorosa Hedwig

机构信息

Heckscher Klinik für Kinder- und Jugendpsychiatrie, Abteilung für teillesistung- und verhaltensgestörte Kinder, München, Germany.

出版信息

Autism. 2002 Jun;6(2):159-68. doi: 10.1177/1362361302006002003.

DOI:10.1177/1362361302006002003
PMID:12083282
Abstract

Children with autism and children with a severe specific receptive language disorder show clear deficits in communicative language skills and social relationships. In this study the usefulness of a standardized parent interview (ADI-R) and a standardized observation schedule (ADOS-G) for the differential diagnosis of these two groups was assessed. Eleven children with early infantile autism and 16 children with a specific receptive language disorder participated. The parent interview was conducted with all parents and the observation schedule was administered to all children. Ten out of 11 children with autism were correctly classified as having autism on the ADI-R and the ADOS-G. One child with a receptive language disorder was falsely classified as having autism on the ADI-R, and none on the ADOS-G. Parent interview provides extensive information on the developmental course of the child. Direct observation gives an overview of actual relevant behavioural problems. The two instruments are complementary in the diagnosis of developmental disorders.

摘要

患有自闭症的儿童和患有严重特定接受性语言障碍的儿童在交流语言技能和社会关系方面存在明显缺陷。在本研究中,评估了标准化家长访谈(ADI-R)和标准化观察量表(ADOS-G)对这两组疾病进行鉴别诊断的效用。11名患有早期婴儿自闭症的儿童和16名患有特定接受性语言障碍的儿童参与了研究。对所有家长进行了家长访谈,并对所有儿童实施了观察量表。11名自闭症儿童中有10名在ADI-R和ADOS-G上被正确诊断为患有自闭症。1名接受性语言障碍儿童在ADI-R上被误诊为患有自闭症,而在ADOS-G上无误诊情况。家长访谈提供了有关儿童发育过程的广泛信息。直接观察能概述实际存在的相关行为问题。这两种工具在发育障碍的诊断中具有互补性。

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