Ventola Pamela E, Kleinman Jamie, Pandey Juhi, Barton Marianne, Allen Sarah, Green James, Robins Diana, Fein Deborah
Department of Psychology, University of Connecticut, 406 Babbidge Rd., Storrs, CT 06269-1020, USA.
J Autism Dev Disord. 2006 Oct;36(7):839-47. doi: 10.1007/s10803-006-0128-8.
Autistic spectrum disorders (ASD) can be difficult to diagnose in toddlers. This study compared diagnostic measures (ADOS-G, ADI-R, CARS, and clinical judgment using DSM-IV criteria) applied to toddlers. Results indicated that the ADOS-G, CARS, and clinical judgment agreed with each other but not with the ADI-R. Many of the children classified with ASD by the other measures were not classified with autism by the ADI-R because they did not display enough repetitive behaviors and stereotyped interests. These results indicate that young children with ASD may not display repetitive behaviors and stereotyped interests, and for toddlers, the ADI-R would have a higher sensitivity if revised to include a diagnosis of PDD-NOS, for which the requirement of repetitive behaviors is less stringent.
自闭症谱系障碍（ASD）在幼儿中可能难以诊断。本研究比较了应用于幼儿的诊断方法（ADOS-G、ADI-R、CARS以及使用《精神疾病诊断与统计手册》第四版标准的临床判断）。结果表明，ADOS-G、CARS和临床判断相互之间结果一致，但与ADI-R不一致。通过其他方法被归类为ASD的许多儿童未被ADI-R归类为自闭症，因为他们没有表现出足够的重复行为和刻板兴趣。这些结果表明，患有ASD的幼儿可能不会表现出重复行为和刻板兴趣，对于幼儿来说，如果修订ADI-R以纳入广泛性发育障碍未特定型（PDD-NOS）的诊断，其敏感性会更高，因为PDD-NOS对重复行为的要求不那么严格。
