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香港一家儿童精神科诊所中中国儿童发展、维度与诊断访谈(3Di)的效度验证

Validation of the Developmental, Dimensional and Diagnostic Interview (3Di) Among Chinese Children in a Child Psychiatry Clinic in Hong Kong.

作者信息

Lai Kelly Y C, Leung Patrick W L, Mo Flora Y M, Lee Marshall M C, Shea Caroline K S, Chan Grace F C, Che Kiti K I, Luk Ernest S L, Mak Arthur D P, Warrington Richard, Skuse David

机构信息

Department of Psychiatry, Chinese University of Hong Kong, Shatin, Hong Kong,

出版信息

J Autism Dev Disord. 2015 May;45(5):1230-7. doi: 10.1007/s10803-014-2284-6.

DOI:10.1007/s10803-014-2284-6
PMID:25326822
Abstract

Autism spectrum disorder (ASD) is a disorder with high levels of co-morbidities. The Developmental, Dimensional and Diagnostic Interview (3 Di) is a relatively new instrument designed to provide dimensional as well as categorical assessment of autistic behaviours among children with normal intelligence. Its sound psychometric properties and relatively short administration time make it a versatile instrument. The 3 Di was translated into Chinese (Cantonese) and its applicability among 194 clinic children was examined. Results found excellent reliability and validity, and achieved a sensitivity of 95% and specificity of 77%. It was able to capture the diagnosis of ASD among children presenting with attention deficit hyperactivity disorder. However, although the disorder of ASD is considered universal, the use of a western instrument in a Chinese context should also take note of cultural influences that may impact on the manifestation of its symptoms.

摘要

自闭症谱系障碍(ASD)是一种共病率很高的疾病。发育、维度与诊断访谈(3Di)是一种相对较新的工具,旨在对智力正常的儿童的自闭症行为进行维度和分类评估。其良好的心理测量特性和相对较短的施测时间使其成为一种多功能工具。3Di被翻译成中文(粤语),并在194名临床儿童中检验了其适用性。结果发现其具有出色的信度和效度,灵敏度达到95%,特异度达到77%。它能够对患有注意力缺陷多动障碍的儿童做出ASD诊断。然而,尽管ASD被认为具有普遍性,但在中文语境中使用西方工具时,也应注意可能影响其症状表现的文化影响。

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本文引用的文献

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Investigating the cross-cultural validity of DSM-5 autism spectrum disorder: evidence from Finnish and UK samples.探讨 DSM-5 自闭症谱系障碍的跨文化有效性:来自芬兰和英国样本的证据。
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