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儿童自闭症谱系障碍观察量表(ASD-OC)诊断标准的比较。

A comparison of diagnostic criteria on the Autism Spectrum Disorder Observation for Children (ASD-OC).

作者信息

Neal Daniene, Matson Johnny L, Hattier Megan A

机构信息

Louisiana State University, Baton Rouge, LA 70803, USA.

出版信息

Dev Neurorehabil. 2012;15(5):329-35. doi: 10.3109/17518423.2012.697492. Epub 2012 Aug 21.

DOI:10.3109/17518423.2012.697492
PMID:22909153
Abstract

BACKGROUND

The Autism Spectrum Disorder Observation for Children (ASD-OC) is a new observation scale used to assess autistic symptomatology. As the publication of the fifth edition Diagnostic and Statistical Manual (DSM) is approaching, exploring the effect of the changing DSM criteria has begun to occur.

OBJECTIVE

The aim of this study was to compare severity of autistic impairment in children diagnosed with either the DSM-IV-TR or the DSM-5.

METHODS

ASD-OC total scores were compared between 63 children (3-15 years) in one of three groups: DSM-IV-TR group, DSM-5 group or control group.

RESULTS

The DSM-5 and DSM-IV-TR groups evinced significantly higher ASD-OC scores as compared to the control group; however, there were no significant differences between the DSM-5 and DSM-IV-TR groups in symptom severity.

CONCLUSION

Many children who are currently diagnosed with ASD may no longer be diagnosed, despite having significant impairments roughly equal to those who meet DSM-5 criteria.

摘要

背景

儿童自闭症谱系障碍观察量表(ASD-OC)是一种用于评估自闭症症状的新观察量表。随着第五版《诊断与统计手册》(DSM)的出版日益临近,探讨DSM标准变化的影响已开始进行。

目的

本研究的目的是比较诊断为DSM-IV-TR或DSM-5的儿童自闭症损害的严重程度。

方法

比较了三组(共63名3至15岁儿童)中每组儿童的ASD-OC总分:DSM-IV-TR组、DSM-5组或对照组。

结果

与对照组相比,DSM-5组和DSM-IV-TR组的ASD-OC得分显著更高;然而,DSM-5组和DSM-IV-TR组在症状严重程度上没有显著差异。

结论

许多目前被诊断为自闭症谱系障碍的儿童可能不再被诊断为此病,尽管他们的严重损害程度大致等同于符合DSM-5标准的儿童。

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