South Mikle, Williams Brenda J, McMahon William M, Owley Thomas, Filipek Pauline A, Shernoff E, Corsello Christine, Lainhart Janet E, Landa Rebecca, Ozonoff Sally
Department of Psychology, University of Utah, USA.
J Autism Dev Disord. 2002 Dec;32(6):593-9. doi: 10.1023/a:1021211232023.
The Gilliam Autism Rating Scale (GARS) was developed as a relatively easy, inexpensive aid in the surveillance and diagnosis of autism. This study examined the validity of the GARS when used with a sample of 119 children with strict DSM-IV diagnoses of autism, ascertained from both clinical and research settings. The GARS consistently underestimated the likelihood that autistic children in this sample would be classified as having autism. The sample mean for the Autism Quotient, a hypothesized index of the likelihood of having autism, was 90.10, significantly below the reference mean of 100. Diagnostic classification according to criteria specified by the GARS resulted in a sensitivity of only .48. Limitations of rating scales in general and of the GARS specifically are discussed. It is recommended that clinicians and researchers using or considering using the GARS for autism diagnosis or ratings of autism severity recognize the need for further research regarding its use.
吉利姆自闭症评定量表（GARS）是作为一种相对简便、低成本的工具而开发的，用于自闭症的监测和诊断。本研究检验了GARS在对119名患有严格DSM-IV自闭症诊断的儿童样本进行使用时的有效性，这些儿童来自临床和研究机构。GARS一直低估了该样本中自闭症儿童被归类为患有自闭症的可能性。自闭症商数的样本均值（一个假设的患自闭症可能性指标）为90.10，显著低于参考均值100。根据GARS规定的标准进行诊断分类，其敏感性仅为0.48。文中讨论了一般评定量表尤其是GARS的局限性。建议使用或考虑使用GARS进行自闭症诊断或自闭症严重程度评定的临床医生和研究人员认识到有必要对其使用进行进一步研究。
