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在一个具有广泛智力能力的希腊样本中,使用修订版自闭症诊断访谈量表和通用版自闭症诊断观察量表来诊断自闭症谱系障碍。

Using the Autism Diagnostic Interview-Revised and the Autism Diagnostic Observation Schedule-Generic for the diagnosis of autism spectrum disorders in a Greek sample with a wide range of intellectual abilities.

作者信息

Papanikolaou Katerina, Paliokosta Elena, Houliaras Giorgos, Vgenopoulou Sofia, Giouroukou Eleni, Pehlivanidis Artemios, Tomaras Vlassis, Tsiantis Ioannis

机构信息

Department of Child Psychiatry Agia Sofia Children's Hospital, University of Athens, Goudi, 11527, Athens, Greece.

出版信息

J Autism Dev Disord. 2009 Mar;39(3):414-20. doi: 10.1007/s10803-008-0639-6. Epub 2008 Aug 28.

Abstract

We studied the interrelationship between the Autism Diagnostic Observation Schedule-Generic (ADOS-G), the Autism Diagnostic Interview-Revised (ADI-R) and DSM-IV clinical diagnosis, in a Greek sample of 77 children and adolescents, referred for the assessment of a possible pervasive developmental disorder (PDD) and presenting a wide range of cognitive abilities. The agreement of the ADOS-G and the ADI-R with the clinical diagnosis was estimated as satisfactory and moderate, respectively, while both instruments presented with excellent sensitivity for the diagnosis of autistic disorder along with satisfactory specificity. ADOS-G/ADI-R agreement was estimated as fair. Our results confirm the discriminant validity of ADI-R and ADOS-G in diagnosing pervasive developmental disorders in children and adolescents with a wide range of intellectual abilities.

摘要

我们在一个由77名儿童和青少年组成的希腊样本中,研究了孤独症诊断观察量表通用版(ADOS-G)、孤独症诊断访谈修订版(ADI-R)与《精神疾病诊断与统计手册》第四版(DSM-IV)临床诊断之间的相互关系。这些儿童和青少年因可能患有广泛性发育障碍(PDD)而被转诊进行评估,且具有广泛的认知能力。ADOS-G和ADI-R与临床诊断的一致性分别被评估为令人满意和中等,而这两种工具在孤独症谱系障碍的诊断中均表现出出色的敏感性以及令人满意的特异性。ADOS-G/ADI-R的一致性被评估为一般。我们的研究结果证实了ADI-R和ADOS-G在诊断具有广泛智力水平的儿童和青少年广泛性发育障碍方面的判别效度。

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