Tomanik Stacey S, Pearson Deborah A, Loveland Katherine A, Lane David M, Bryant Shaw J
Department of Psychiatry and Behavioral Sciences, University of Texas Medical School at Houston, 1300 Moursund, Houston, TX 77030-3497, USA.
J Autism Dev Disord. 2007 May;37(5):921-8. doi: 10.1007/s10803-006-0227-6.
The classification agreement of the Autism Diagnostic Interview-Revised (ADI-R) and the Autism Diagnostic Observation Schedule (ADOS) was examined in 129 children and adolescents (aged 7-18 years) who were evaluated for autism. Participants received a diagnosis of autism or non-autism based on the ADI-R. Linear discriminant analysis revealed adequate concordance between the ADI-R and ADOS, with 75% of the participants being correctly classified using the ADOS. Classification accuracy significantly improved to 84% when a measure of adaptive functioning (i.e., the Vineland Adaptive Behavior Scales) was included in the analysis. The findings suggest that when clinicians obtain discrepant information on the ADI-R and ADOS, assessment of an individual's adaptive functioning may reduce diagnostic errors.
对129名接受自闭症评估的儿童和青少年（7至18岁）进行了《自闭症诊断访谈修订版》（ADI-R）和《自闭症诊断观察量表》（ADOS）的分类一致性检查。参与者根据ADI-R被诊断为自闭症或非自闭症。线性判别分析显示ADI-R和ADOS之间有足够的一致性，75%的参与者通过ADOS被正确分类。当分析中纳入一项适应性功能测量指标（即《温兰德适应行为量表》）时，分类准确率显著提高到84%。研究结果表明，当临床医生在ADI-R和ADOS上获得不一致的信息时，对个体适应性功能的评估可能会减少诊断错误。
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