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儿童和青少年的社交反应量表能否区分自闭症谱系障碍和社交焦虑障碍?

Can autism spectrum disorders and social anxiety disorders be differentiated by the social responsiveness scale in children and adolescents?

作者信息

Cholemkery Hannah, Mojica Laura, Rohrmann Sonja, Gensthaler Angelika, Freitag Christine M

机构信息

Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, JW Goethe University Hospital, Deutschordenstraße 50, 60528, Frankfurt am Main, Germany,

出版信息

J Autism Dev Disord. 2014 May;44(5):1168-82. doi: 10.1007/s10803-013-1979-4.

Abstract

Autism spectrum disorder (ASD) as well as social phobia (SP), and selective mutism (SM) are characterised by impaired social interaction. We assessed the validity of the Social Responsiveness Scale (SRS) to differentiate between ASD, and SP/SM. Raw scores were compared in 6-18 year old individuals with ASD (N = 60), SP (N = 38), SM (N = 43), and typically developed (N = 42). Sensitivity and specificity were examined. The three disorders showed overlapping SRS scores. Especially in boys with SM (ROC-AUC = .81), presence of ASD was overestimated by the SRS. A combination of three disorder specific questionnaires resulted in marginally improved diagnostic accuracy. For the clinically very relevant differential diagnosis of SP/SM, SRS results must be interpreted with caution.

摘要

自闭症谱系障碍(ASD)以及社交恐惧症(SP)和选择性缄默症(SM)的特征均为社交互动受损。我们评估了社交反应量表(SRS)区分ASD与SP/SM的有效性。比较了6至18岁的ASD患者(N = 60)、SP患者(N = 38)、SM患者(N = 43)以及发育正常者(N = 42)的原始分数。检验了敏感性和特异性。这三种障碍的SRS分数存在重叠。尤其是在患有SM的男孩中(ROC-AUC = 0.81),SRS高估了ASD的存在情况。三种特定于障碍的问卷相结合,诊断准确性略有提高。对于SP/SM临床上非常相关的鉴别诊断,必须谨慎解释SRS的结果。

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