Saemundsen Evald, Magnússon Páll, Smári Jakob, Sigurdardóttir Solveig
State Diagnostic and Counseling Center, Kópavogur, Iceland.
J Autism Dev Disord. 2003 Jun;33(3):319-28. doi: 10.1023/a:1024410702242.
The agreement between the Autism Diagnostic Interview-Revised (ADI-R) and the Childhood Autism Rating Scale (CARS) was investigated in the diagnostic assessment of 54 children aged 22-114 months referred for possible autism. The observed agreement between the two systems was 66.7% (Cohen's kappa = .40) when the ADI-R definition for autism was applied (i.e., scores reaching cutoff in three domains on the ADI-R), but increased considerably with less stringent criteria; that is, scores reaching cutoffs in two domains and in one domain on the ADI-R. As predicted, the CARS identified more cases of autism than the ADI-R. Children classified as autistic according to both instruments had significantly lower IQ/DQ and more severe autistic symptomatology than those classified with the CARS only.
在对54名年龄在22至114个月、因可能患有自闭症而被转诊的儿童进行诊断评估时，研究了修订版自闭症诊断访谈量表（ADI-R）与儿童自闭症评定量表（CARS）之间的一致性。当采用ADI-R对自闭症的定义（即ADI-R三个领域的得分达到临界值）时，两个系统之间观察到的一致性为66.7%（科恩kappa系数=0.40），但在标准不那么严格的情况下，一致性显著提高；也就是说，ADI-R两个领域和一个领域的得分达到临界值。正如预期的那样，CARS识别出的自闭症病例比ADI-R更多。根据两种工具都被归类为自闭症的儿童，其智商/发育商显著低于仅根据CARS归类的儿童，且自闭症症状更严重。
