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自闭症筛查工具:社交沟通问卷和发育行为清单-自闭症筛查算法的评估

Autism screening tools: an evaluation of the Social Communication Questionnaire and the Developmental Behaviour Checklist-Autism Screening Algorithm.

作者信息

Witwer Andrea N, Lecavalier Luc

机构信息

Department of Psychology & Nisonger Center, Ohio State University, OH 43210, USA.

出版信息

J Intellect Dev Disabil. 2007 Sep;32(3):179-87. doi: 10.1080/13668250701604776.

Abstract

BACKGROUND

This study is the first to evaluate the Social Communication Questionnaire (SCQ) and the Developmental Behaviour Checklist-Autism Screening Algorithm (DBC-ASA) in the same sample of school-aged children with intellectual disability (ID) with and without Pervasive Developmental Disorders (PDDs).

METHOD

Parents of 49 children (36 with PDDs and 13 with ID) completed a survey that included a demographic form, a measure of adaptive behaviour (the SIB-R), the SCQ, and the DBC-ASA.

RESULTS

According to established cut-offs, the SCQ's sensitivity was .92 and specificity was .62, and the DBC-ASA's sensitivity was .94 and specificity was .46. Six of the seven false positives on the DBC-ASA had DBC Total Problem Behaviour scores above the clinical cut-off. By contrast, all six true negatives had Total Problem Behaviour scores below the clinical cut-off. No such pattern was noted for the SCQ.

CONCLUSION

While both instruments have good psychometric properties, the results of this study suggest that clinicians and researchers should exercise caution when utilising the DBC-ASA to screen for PDDs in individuals with significant behaviour problems, as this could decrease its diagnostic validity.

摘要

背景

本研究首次在同一组有或无广泛性发育障碍(PDD)的学龄智力残疾(ID)儿童样本中评估社会沟通问卷(SCQ)和发育行为检查表-自闭症筛查算法(DBC-ASA)。

方法

49名儿童(36名患有PDD,13名患有ID)的家长完成了一项调查,其中包括一份人口统计学表格、一项适应性行为测量工具(SIB-R)、SCQ和DBC-ASA。

结果

根据既定的临界值,SCQ的灵敏度为0.92,特异度为0.62,DBC-ASA的灵敏度为0.94,特异度为0.46。DBC-ASA上的7例假阳性中有6例DBC总问题行为得分高于临床临界值。相比之下,所有6例真阴性的总问题行为得分均低于临床临界值。SCQ未发现此类模式。

结论

虽然这两种工具都具有良好的心理测量特性,但本研究结果表明,临床医生和研究人员在使用DBC-ASA对有严重行为问题的个体进行PDD筛查时应谨慎,因为这可能会降低其诊断效度。

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