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用于巴西自闭症诊断的《自闭症诊断访谈修订版》(ADI-R)的翻译与验证。

Translation and validation of Autism Diagnostic Interview-Revised (ADI-R) for autism diagnosis in Brazil.

作者信息

Becker Michele M, Wagner Mário B, Bosa Cleonice A, Schmidt Carlo, Longo Danae, Papaleo Clarissa, Riesgo Rudimar S

机构信息

Universidade Federal do Rio Grande do Sul, Porto Alegre RS, Brazil.

出版信息

Arq Neuropsiquiatr. 2012 Mar;70(3):185-90. doi: 10.1590/s0004-282x2012000300006.

Abstract

OBJECTIVE

To translate into Brazilian Portuguese the Autism Diagnostic Interview-Revised (ADI-R), an extremely useful diagnostic tool in autism.

METHODS

A case-control study was done to validate the ADI-R. After being translated, the interview was applied in a sample of 20 patients with autism and 20 patients with intellectual disability without autism, in order to obtain the initial psychometric properties.

RESULTS

The internal consistency was high, with a of Crombach of 0.967. The validity of criterion had sensitivity and specificity of 100%, having as a gold standard the DSM-IV diagnostic criteria. The interview had high discriminant validity, with higher scores in the group of patients with autism, as well as high interobserver consistency, with median kappa of 0.824.

CONCLUSION

The final version of ADI-R had satisfactory psychometric characteristics, indicating good preliminary validation properties. The instrument needs to be applied in bigger samples in other areas of the country.

摘要

目的

将自闭症诊断访谈修订版(ADI-R)翻译成巴西葡萄牙语,这是一种在自闭症诊断中极为有用的工具。

方法

开展一项病例对照研究以验证ADI-R。翻译完成后,该访谈应用于20名自闭症患者和20名无自闭症的智力残疾患者样本,以获取初步的心理测量学特性。

结果

内部一致性较高,克伦巴赫系数为0.967。以《精神疾病诊断与统计手册》第四版(DSM-IV)诊断标准作为金标准时,标准效度的敏感性和特异性均为100%。该访谈具有较高的判别效度,自闭症患者组得分更高,同时具有较高的观察者间一致性,中位数kappa为0.824。

结论

ADI-R的最终版本具有令人满意的心理测量学特征,表明其初步验证特性良好。该工具需要在该国其他地区更大的样本中应用。

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