使用儿童自闭症评定量表诊断自闭症谱系障碍。
Using the childhood autism rating scale to diagnose autism spectrum disorders.
机构信息
Department of Psychology, University of Connecticut, Storrs, CT 06269-1020, USA.
出版信息
J Autism Dev Disord. 2010 Jul;40(7):787-99. doi: 10.1007/s10803-009-0926-x.
Abstract
This study investigated the childhood autism rating scale (CARS) as a tool for ASD diagnoses for 2-year-old (n = 376) and 4-year-old (n = 230) children referred for possible autism. The cut-off score to distinguish autistic disorder from PDD-NOS was 32 in the 2-year-old sample (consistent with Lord in J Child Psychol Psychiatry Allied Discipl, 36, 1365-1382, 1995), and 30 in the 4-year-old sample, with good sensitivity and specificity at both ages. The cut-off score to distinguish ASD from non-ASD at both ages was 25.5, with good sensitivity and specificity. Results confirm the utility of the CARS in distinguishing autistic disorder from PDD-NOS, and distinguishing ASD from other developmental disorders and typical development and suggest that an ASD cutoff around 25, which is in common clinical use, is valid.
摘要
本研究调查了儿童自闭症评定量表（CARS）作为自闭症谱系障碍（ASD）诊断工具的适用性，评估对象为 2 岁（n = 376）和 4 岁（n = 230）疑似自闭症的儿童。在 2 岁儿童样本中，将自闭症与广泛性发育障碍未特定型（PDD-NOS）区分开来的截断分数为 32（与 Lord 在 J Child Psychol Psychiatry Allied Discipl, 36, 1365-1382, 1995 中的研究结果一致），在 4 岁儿童样本中为 30，在两个年龄段均具有良好的敏感性和特异性。将 ASD 与非 ASD 区分开来的截断分数在两个年龄段均为 25.5，具有良好的敏感性和特异性。结果证实了 CARS 在区分自闭症与 PDD-NOS 以及区分 ASD 与其他发育障碍和典型发育方面的有效性，并表明在临床中常用的 25 左右的 ASD 截断值是有效的。
相似文献
1
Using the childhood autism rating scale to diagnose autism spectrum disorders.
J Autism Dev Disord. 2010 Jul;40(7):787-99. doi: 10.1007/s10803-009-0926-x.
2
Modeling clinical outcome of children with autistic spectrum disorders.
Pediatrics. 2005 Jul;116(1):117-22. doi: 10.1542/peds.2004-1118.
3
A new structured interview for children with autism spectrum disorder based on the DSM-IV.
J Med Assoc Thai. 2014 Aug;97 Suppl 8:S7-14.
4
Comparison of scores on the Checklist for Autism Spectrum Disorder, Childhood Autism Rating Scale, and Gilliam Asperger's Disorder Scale for children with low functioning autism, high functioning autism, Asperger's disorder, ADHD, and typical development.
J Autism Dev Disord. 2009 Dec;39(12):1682-93. doi: 10.1007/s10803-009-0812-6. Epub 2009 Jul 16.
5
[Clinical usefulness of IDEA and CARS: concordance with DSM-IV-TR in children and adolescents with suspicion of PDD].
An Pediatr (Barc). 2014 Feb;80(2):71-6. doi: 10.1016/j.anpedi.2013.05.012. Epub 2013 Jul 2.
6
Diagnosis of autism spectrum disorders in 2-year-olds: a study of community practice.
J Child Psychol Psychiatry. 2013 Feb;54(2):178-85. doi: 10.1111/j.1469-7610.2012.02607.x. Epub 2012 Aug 20.
7
The criterion-related validity of the Childhood Autism Rating Scale and the Autism Behavior Checklist.
J Abnorm Child Psychol. 1993 Oct;21(5):481-91. doi: 10.1007/BF00916315.
8
Evaluation of Autism Spectrum Disorder in Early Childhood According to the DSM-5 Diagnostic Criteria.
Turk Psikiyatri Derg. 2020 Summer;31(2):106-112. doi: 10.5080/u23735.
9
Using the Child Behavior Checklist and the Teacher's Report Form for identification of children with autism spectrum disorders.
Autism. 2013 Sep;17(5):595-607. doi: 10.1177/1362361312448855. Epub 2012 Aug 21.
10
Reliability and accuracy of differentiating pervasive developmental disorder subtypes.
J Am Acad Child Adolesc Psychiatry. 1998 Mar;37(3):278-85. doi: 10.1097/00004583-199803000-00012.
引用本文的文献
1
Cooking for disability: a pilot study on nutritional interventions for mental health support in adults with autism spectrum disorder.
Front Psychiatry. 2025 Aug 19;16:1608033. doi: 10.3389/fpsyt.2025.1608033. eCollection 2025.
2
The value of intellectual structural imbalance in the differentiation of autism spectrum disorder and attention deficit hyperactivity disorder.
Front Psychiatry. 2025 Aug 14;16:1610278. doi: 10.3389/fpsyt.2025.1610278. eCollection 2025.
3
Unusual Gaze Direction Detection in Autism Spectrum Disorders.
J Autism Dev Disord. 2025 Aug 22. doi: 10.1007/s10803-025-07020-6.
4
Human Blood-Derived lncRNAs in Autism Spectrum Disorder.
Biomolecules. 2025 Jun 27;15(7):937. doi: 10.3390/biom15070937.
5
The Evolving Landscape of Functional Models of Autism Spectrum Disorder.
Cells. 2025 Jun 16;14(12):908. doi: 10.3390/cells14120908.
6
The effect of sulforaphane on autism spectrum disorder: systematic review and meta-analysis.
EXCLI J. 2025 Apr 7;24:542-557. doi: 10.17179/excli2025-8239. eCollection 2025.
7
Assessing Autism Co-Occurrence in Fragile X Syndrome: Proposing a Preliminary CARS-2 Cut-Off Score.
J Autism Dev Disord. 2025 May 21. doi: 10.1007/s10803-025-06888-8.
8
Targeted metabolomics in children with autism spectrum disorder with and without developmental regression.
Metab Brain Dis. 2025 Apr 15;40(4):184. doi: 10.1007/s11011-025-01604-y.
9
Characteristics and outcomes of the screening program of autism spectrum disorder in Primary Healthcare Centers in Bahrain.
J Family Community Med. 2025 Jan-Mar;32(1):44-50. doi: 10.4103/jfcm.jfcm_155_24. Epub 2025 Jan 17.
10
Effects of Massage on Self-regulatory Difficulties, Tactile and Oral Abnormalities, and Parenting Stress in Children with Autism Spectrum Disorder (ASD): A Systematic Review and Meta-analysis.
Int J Ther Massage Bodywork. 2024 Dec 12;17(4):4-19. doi: 10.3822/ijtmb.v17i4.1079. eCollection 2024 Dec.
本文引用的文献
1
Diagnostic stability in very young children with autism spectrum disorders.
J Autism Dev Disord. 2008 Apr;38(4):606-15. doi: 10.1007/s10803-007-0427-8. Epub 2007 Oct 9.
2
Combining information from multiple sources in the diagnosis of autism spectrum disorders.
J Am Acad Child Adolesc Psychiatry. 2006 Sep;45(9):1094-1103. doi: 10.1097/01.chi.0000227880.42780.0e.
3
Agreement among four diagnostic instruments for autism spectrum disorders in toddlers.
J Autism Dev Disord. 2006 Oct;36(7):839-47. doi: 10.1007/s10803-006-0128-8.
4
Multi-site study of the Childhood Autism Rating Scale (CARS) in five clinical groups of young children.
J Autism Dev Disord. 2005 Oct;35(5):625-34. doi: 10.1007/s10803-005-0006-9.
5
Childhood Autism Rating Scale (CARS) and Autism Behavior Checklist (ABC) correspondence and conflicts with DSM-IV criteria in diagnosis of autism.
J Autism Dev Disord. 2004 Dec;34(6):703-8. doi: 10.1007/s10803-004-5290-2.
6
Interrelationship between Autism Diagnostic Observation Schedule-Generic (ADOS-G), Autism Diagnostic Interview-Revised (ADI-R), and the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) classification in children and adolescents with mental retardation.
J Autism Dev Disord. 2004 Apr;34(2):129-37. doi: 10.1023/b:jadd.0000022604.22374.5f.
7
Diagnosis and epidemiology of autism spectrum disorders.
Can J Psychiatry. 2003 Sep;48(8):517-25. doi: 10.1177/070674370304800803.
8
Autism Diagnostic Interview-Revised and the Childhood Autism Rating Scale: convergence and discrepancy in diagnosing autism.
J Autism Dev Disord. 2003 Jun;33(3):319-28. doi: 10.1023/a:1024410702242.
9
Childhood autism rating scale--Tokyo version for screening pervasive developmental disorders.
Psychiatry Clin Neurosci. 2003 Feb;57(1):113-8. doi: 10.1046/j.1440-1819.2003.01087.x.
10
The Modified Checklist for Autism in Toddlers: an initial study investigating the early detection of autism and pervasive developmental disorders.
J Autism Dev Disord. 2001 Apr;31(2):131-44. doi: 10.1023/a:1010738829569.
Zotero 插件