简要报告：排除自闭症诊断访谈修订版（ADI-R）行为领域可提高幼儿诊断的一致性。
Brief report: excluding the ADI-R behavioral domain improves diagnostic agreement in toddlers.
作者信息
Wiggins Lisa D, Robins Diana L
机构信息
Department of Psychology, Georgia State University, P.O. Box 5010, Atlanta, GA 30302, USA.
出版信息
J Autism Dev Disord. 2008 May;38(5):972-6. doi: 10.1007/s10803-007-0456-3.
Past research shows poor agreement between the Autism Diagnostic Interview-Revised (ADI-R) and other diagnostic measures in toddlers. Our goal was to examine whether exclusion of the ADI-R behavioral domain results in improved diagnostic agreement. Toddlers aged 16-37 months (M = 26 months) received an evaluation because they failed the Modified Checklist for Autism in Toddlers (n = 142). Evaluations included the ADI-R, Autism Diagnostic Observation Schedule, Childhood Autism Rating Scale, and clinical judgment. Results found poor to fair agreement between the ADI-R and other measures; agreement improved when the ADI-R behavioral domain was excluded. These findings suggest that stereotyped interests and behaviors are not as relevant to the ADI-R as other diagnostic criteria when evaluating toddlers for autism spectrum disorders.
以往研究表明，在幼儿中，修订版自闭症诊断访谈量表（ADI-R）与其他诊断方法之间的一致性较差。我们的目标是检验排除ADI-R行为领域是否能提高诊断一致性。16至37个月大（平均年龄26个月）的幼儿因未通过幼儿自闭症修正检查表（共142名）而接受评估。评估包括ADI-R、自闭症诊断观察量表、儿童自闭症评定量表以及临床判断。结果发现ADI-R与其他测量方法之间的一致性较差至一般；排除ADI-R行为领域后，一致性有所提高。这些发现表明，在评估幼儿是否患有自闭症谱系障碍时，刻板兴趣和行为与ADI-R的相关性不如其他诊断标准。
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