对发育迟缓的婴幼儿及学龄前儿童进行自闭症筛查。
Screening for autism in infants and preschool children with developmental delay.
作者信息
Gray Kylie M, Tonge Bruce J
机构信息
Monash University, Centre for Developmental Psychiatry and Psychology, Department of Child & Adolescent Psychiatry, Monash Medical Centre, 246 Clayton Road, Clayton Victoria 3168, Australia.
出版信息
Aust N Z J Psychiatry. 2005 May;39(5):378-86. doi: 10.1080/j.1440-1614.2005.01585.x.
OBJECTIVE
This study aimed to identify emotional and behavioural problems specific to young children with autism using the Developmental Behaviour Checklist (DBC-P) and thus evaluate the efficacy of this checklist as a screening tool for autism in children with developmental delay aged 18-48 months.
METHOD
Subjects were 60 children with autism and developmental delay and 60 children with developmental delay without autism.
RESULTS
Features were identified which differentiated the children with autism from those with developmental delay without autism. Analyses revealed that a 17-item version of the DBC-P performed well as a screening tool for autism, with an 'area under the curve' of 0.874, sensitivity of 0.8750, and specificity of 0.6909.
CONCLUSIONS
The DBC-P offers a potential simple and inexpensive method of screening at risk populations of preschool children with developmental delay for autism, thus facilitating timely referral to scarce specialist autism diagnostic services.
目的
本研究旨在使用发育行为检查表（DBC-P）确定自闭症幼儿特有的情绪和行为问题，从而评估该检查表作为18至48个月发育迟缓儿童自闭症筛查工具的有效性。
方法
研究对象为60名患有自闭症和发育迟缓的儿童以及60名无自闭症的发育迟缓儿童。
结果
确定了区分自闭症儿童与无自闭症发育迟缓儿童的特征。分析显示，DBC-P的17项版本作为自闭症筛查工具表现良好，“曲线下面积”为0.874，敏感性为0.8750，特异性为0.6909。
结论
DBC-P为筛查发育迟缓的学龄前高危自闭症儿童群体提供了一种潜在的简单且廉价的方法，从而有助于及时转诊至稀缺的自闭症专科诊断服务机构。
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