婴儿自闭症谱系障碍（ASD）标志物评分中的跨父母可靠性。
Cross-parent reliability in rating ASD markers in infants.
作者信息
Ben-Sasson Ayelet, Amit-Ben-Simhon Hemda, Meyer Sonya
机构信息
Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa , Mt. Carmel, Haifa , Israel .
出版信息
Dev Neurorehabil. 2015 Jun;18(3):155-61. doi: 10.3109/17518423.2013.800164. Epub 2013 Aug 7.
OBJECTIVE
To investigate the congruence and discrepancies between mother and father reports of early autism spectrum disorders (ASD) markers.
METHODS
Mothers (n = 80) and fathers (n = 78) of 12-month-old infants (55% boys) completed the first year inventory (FYI), an ASD norm-referenced screening questionnaire. Mothers also completed the Infant Toddler Social Emotional Assessment (ITSEA).
RESULTS
There were significant and moderate intra-class correlations between mother and father reports for most FYI factors. Fathers' median FYI social-communication domain score was almost twice that of mothers. Mann-Whitney tests indicated that fathers rated their child significantly higher than mothers on the four FYI social-communication factors and on the sensory processing factor. Linear weighted kappa analyses indicated poor agreement on gaze-related and reactivity FYI items. FYI social-communication and sensory-regulatory factors showed significant correlations with corresponding ITSEA scores.
CONCLUSIONS
Social-communication markers pose a greater challenge for consistent report across parents than sensory-regulatory markers.
目的
探讨父母双方关于早期自闭症谱系障碍（ASD）标志物报告之间的一致性和差异。
方法
12个月大婴儿（55%为男孩）的母亲（n = 80）和父亲（n = 78）完成了第一年调查表（FYI），这是一份ASD常模参照筛查问卷。母亲们还完成了婴幼儿社会情感评估（ITSEA）。
结果
对于大多数FYI因素，父母报告之间存在显著且中等程度的组内相关性。父亲的FYI社会沟通领域得分中位数几乎是母亲的两倍。曼-惠特尼检验表明，在四个FYI社会沟通因素和感觉处理因素上，父亲对孩子的评分显著高于母亲。线性加权kappa分析表明，在与注视相关和反应性的FYI项目上一致性较差。FYI社会沟通和感觉调节因素与相应的ITSEA得分显著相关。
结论
与感觉调节标志物相比，社会沟通标志物在父母双方一致报告方面面临更大挑战。
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