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使用韩国版儿童行为检查表/1.5 - 5岁版筛查自闭症谱系障碍

Screening for ASD with the Korean CBCL/1½-5.

作者信息

Rescorla Leslie, Kim Young Ah, Oh Kyung Ja

机构信息

Bryn Mawr College, 101N. Merion Avenue, Bryn Mawr, PA, 19010, USA.

Huno Consulting, Seoul, South Korea.

出版信息

J Autism Dev Disord. 2015 Dec;45(12):4039-50. doi: 10.1007/s10803-014-2255-y.

Abstract

To test the Child Behavior Checklist's (CBCL/1½-5) ability to screen for autism spectrum disorders (ASD), we studied Korean preschoolers: 46 with ASD, 111 with developmental delay (DD), 71 with other psychiatric disorders (OPD), and 228 non-referred (NR). The ASD group scored significantly higher than the other groups on the Withdrawn and DSM-Pervasive Developmental Problems (DSM-PDP) scales as well as attaining higher scores (p < .001) on seven items reflecting ASD. With a T ≥ 65 cutpoint on the DSM-PDP scale, sensitivity was 80 % for identifying ASD relative to the other three groups, but specificity varied across groups: NR = 87 %, OPD = 55 %, DD = 60 %, replicating in a non-Western sample results from previous studies. Results suggested that the CBCL/1½-5 performs best in Level 1 screening, namely differentiating children with ASD from children in the general population.

摘要

为了测试儿童行为量表(CBCL/1½ - 5)筛查自闭症谱系障碍(ASD)的能力,我们对韩国学龄前儿童进行了研究:46名患有ASD,111名有发育迟缓(DD),71名有其他精神障碍(OPD),以及228名未被转诊(NR)。在退缩和《精神疾病诊断与统计手册》广泛性发育问题(DSM - PDP)量表上,ASD组的得分显著高于其他组,并且在反映ASD的七个项目上也获得了更高的分数(p <.001)。在DSM - PDP量表上,以T≥65为切点,相对于其他三组,识别ASD的敏感性为80%,但特异性因组而异:NR = 87%,OPD = 55%,DD = 60%,这在非西方样本中重复了先前研究的结果。结果表明,CBCL/1½ - 5在一级筛查中表现最佳,即区分患有ASD的儿童与一般人群中的儿童。

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