Pondé Milena Pereira, Rousseau Cécile, Carlos Marco Antônio Costa
Bahiana School of Medicine and Public Health, Interdisciplinary Laboratory in Autism Research, Brazil, SalvadorBA.
Division of Social and Cultural Psychiatry, McGill University, Canada, Montreal.
Arq Neuropsiquiatr. 2013 Nov;71(11):877-82. doi: 10.1590/0004-282X20130091.
The objective of this study was to describe how the Childhood Autism Rating Scale (CARS) behaves in relation to the Autism Diagnostic Observation Schedule (ADOS) and to clinical diagnosis based on the criteria defined in the Diagnostic and Statistical Manual of Mental Disorders, 4 th Edition (DSM-IV) for children of immigrant parents. Forty-nine children of parents who had immigrated to Canada were evaluated. In this sample, the ADOS and the DSM-IV showed complete agreement. Using the standard cut-off point of 30, the CARS showed high specificity and poor sensitivity. The study proposes a cut-off point for the CARS that would include pervasive developmental disorder - not otherwise specified (PDD-NOS). Reducing the cut-off point to 20/21 increased the specificity of the instrument for this group of children without significantly reducing its sensitivity.
本研究的目的是描述儿童自闭症评定量表（CARS）相对于自闭症诊断观察量表（ADOS）的表现，以及基于《精神疾病诊断与统计手册》第四版（DSM-IV）为移民父母的子女定义的标准进行临床诊断时的表现。对49名父母已移民到加拿大的儿童进行了评估。在这个样本中，ADOS和DSM-IV显示出完全一致。使用30的标准分界点时，CARS显示出高特异性和低敏感性。该研究提出了一个CARS的分界点，该分界点将包括未另行指定的广泛性发育障碍（PDD-NOS）。将分界点降低到20/21可提高该工具对这组儿童的特异性，而不会显著降低其敏感性。
