Chojnicka Izabela, Płoski Rafał
Zaklad Genetyki Medycznej Warszawskiego Uniwersytetu Medycznego.
Psychiatr Pol. 2012 Sep-Oct;46(5):781-9.
The article presents the Polish version of the autism diagnostic observation schedule-generic (ADOS), which together with the autism diagnostic interview-revised (ADI-R) is cited as the "gold standard" for the diagnosis of autism. The ADOS is a standardised, semistructured observation protocol appropriate for children and adults of differing age and language levels. It is linked to ICD-10 and DSM-IV-TR criteria. The ADOS consists of four modules, ranging from module 1 for nonverbal individuals to module 4 for verbally fluent adults. The adequate inter-rater reliability for items has been established. The protocol has high discriminant validity and distinguishes children with pervasive developmental disorders from children, who are outside of the spectrum. Although it does not enable to distinguish individuals with pervasive developmental disorder, unspecified from individuals with childhood autism. The paper presents subsequent steps of the translation process of the original version into Polish, as well as a chosen adaptation strategy of the Polish version. The ADOS is a very useful tool both for clinical diagnosis and for the scientific purpose diagnosis. In this last case it is extremely important to use a standardised method. Until now, there was no standardised diagnostic tool for autism in Poland.
本文介绍了孤独症诊断观察量表通用版(ADOS)的波兰语版本,该量表与修订版孤独症诊断访谈量表(ADI-R)一起被视为孤独症诊断的“金标准”。ADOS是一种标准化的半结构化观察方案,适用于不同年龄和语言水平的儿童及成人。它与ICD-10和DSM-IV-TR标准相关联。ADOS由四个模块组成,从针对无语言能力个体的模块1到针对语言流畅的成年人的模块4。已确定各项目具有足够的评分者间信度。该方案具有较高的判别效度,能够将广泛性发育障碍儿童与非谱系儿童区分开来。不过,它无法区分未特定指明的广泛性发育障碍个体与儿童孤独症个体。本文介绍了将原版翻译成波兰语的后续步骤,以及波兰语版本所采用的选定改编策略。ADOS对于临床诊断和科研目的诊断都是非常有用的工具。在后一种情况下,使用标准化方法极为重要。到目前为止,波兰还没有用于孤独症诊断的标准化工具。