Bölte Sven, Poustka Fritz, Constantino John N
Department of Child and Adolescent Psychiatry, Johann Wolfgang Goethe University, Frankfurt/M., Germany.
Autism Res. 2008 Dec;1(6):354-63. doi: 10.1002/aur.49.
The Social Responsiveness Scale (SRS) is a quantitative measure of autistic traits in 4- to 18-year-olds, which has been used in behavior-genetic, epidemiological and intervention studies. The US standardization demonstrated a single-factor structure and good to excellent psychometric properties. The cross-cultural validity of the German adaptation of the parent-report SRS in a sample of N=1,436 children and adolescents: 838 typically developing and 527 clinical participants (160 with autism spectrum disorders (ASDs)) was examined. Internal consistency (0.91-0.97), test-retest reliability (0.84-0.97), interrater reliability (0.76 and 0.95) and convergent validity with the Autism Diagnostic Observation Schedule as well as the Autism Diagnostic Interview-Revised and Social Communication Questionnaire (0.35-0.58) were satisfactory to good. The SRS total score discriminated between ASD and other mental disorders. SRS scores proved to be sufficiently independent of general psychopathology. Principal component analyses yielded single-factor solutions for the normative and clinical subsamples. In addition, construct validity was ensured by consistent correlations with the Vineland Adaptive Behavior Scales, the Child Behavior Checklist and the Junior Temperament and Character Inventory. Normative SRS total scores for girls and boys as well as values for ASD were lower in the German sample, while scores for conduct disorder and attention deficit hyperactivity/conduct disorder combined were higher. Generally, cross-cultural validity of the SRS seems to be sufficiently assured for a large European sample. However, some discrepancies regarding SRS normative and clinical raw score distributions, reliability and validity findings are critically discussed.
社会反应量表(SRS)是一种用于测量4至18岁儿童自闭症特征的量化工具,已被应用于行为遗传学、流行病学和干预研究。美国的标准化研究表明其具有单因素结构,心理测量学特性良好至优秀。本研究考察了德国版家长报告SRS在N = 1436名儿童和青少年样本中的跨文化效度,其中包括838名发育正常儿童和527名临床参与者(160名患有自闭症谱系障碍(ASD))。内部一致性(0.91 - 0.97)、重测信度(0.84 - 0.97)、评分者间信度(0.76和0.95)以及与自闭症诊断观察量表、自闭症诊断访谈修订版和社会沟通问卷的聚合效度(0.35 - 0.58)均令人满意至良好。SRS总分能够区分ASD和其他精神障碍。SRS分数被证明与一般精神病理学充分独立。主成分分析为常模和临床子样本得出了单因素解决方案。此外,通过与文兰适应行为量表、儿童行为清单和青少年气质与性格量表的一致相关性确保了结构效度。德国样本中女孩和男孩的SRS常模总分以及ASD的值较低,而品行障碍和注意力缺陷多动/品行障碍合并症的分数较高。总体而言,对于一个大型欧洲样本,SRS的跨文化效度似乎有充分保障。然而,本文对SRS常模和临床原始分数分布、信度和效度研究结果的一些差异进行了批判性讨论。