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当父亲并非总是正确:自闭症患儿父母广泛性自闭症表型的自我报告与知情者报告之间的选择性分歧

When father doesn't know best: selective disagreement between self-report and informant report of the broad autism phenotype in parents of a child with autism.

作者信息

Sasson Noah J, Faso Daniel J, Parlier Morgan, Daniels Julie L, Piven Joseph

机构信息

School of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, Texas.

出版信息

Autism Res. 2014 Dec;7(6):731-9. doi: 10.1002/aur.1425. Epub 2014 Oct 22.

Abstract

The Broad Autism Phenotype Questionnaire (BAPQ) is a reliable tool for identifying three autism-related traits-social aloofness, pragmatic language abnormalities and rigid personality--within families of a person with autism and the general population. Although little is known concerning agreement between self-report and informant report versions of the BAPQ, identifying individual characteristics affecting agreement between the two can highlight important considerations for maximizing its yield, particularly when only one version is administered. Here, analysis of self-report and informant report of the BAPQ completed by 444 parents of a child with autism revealed moderate to strong agreement between the two versions for all three broad autism phenotype (BAP) traits when the self-reporting parent did not possess the trait being assessed. In contrast, disagreement selectively occurred when the assessed parent was positive for the BAP trait being rated. This pattern was driven primarily by fathers who were positive for a BAP trait endorsing lower levels of that trait relative to informant report. This discrepancy did not occur for mothers, nor did it occur for fathers lacking BAP traits. Because this pattern was specific to fathers positive for BAP traits, it likely reflects selective "blind spots" in their self-reporting and not poorer self-reporting by fathers more broadly, nor a general tendency of overreporting by informant mothers. The presence of BAP traits in informing parents, however, largely did not reduce agreement between self-report and informant report. In sum, self-report may underestimate the presence of BAP traits in fathers but is generally consistent with informant report for mothers.

摘要

广泛性自闭症表型问卷(BAPQ)是一种可靠的工具,可用于在自闭症患者家庭和普通人群中识别三种与自闭症相关的特征——社交冷漠、语用语言异常和性格刻板。尽管对于BAPQ的自我报告版本和他人报告版本之间的一致性了解甚少,但识别影响两者一致性的个体特征可以突出一些重要的考虑因素,以最大限度地提高其效用,特别是在仅采用一个版本的情况下。在这里,对444名自闭症儿童的父母填写的BAPQ自我报告和他人报告进行分析后发现,当自我报告的父母不具有所评估的特征时,两个版本在所有三种广泛的自闭症表型(BAP)特征上都呈现出中度到高度的一致性。相比之下,当被评估的父母具有所评定的BAP特征时,就会出现选择性不一致。这种模式主要是由那些具有BAP特征的父亲驱动的,他们对该特征的自我认可水平低于他人报告。母亲不存在这种差异,没有BAP特征的父亲也不存在这种差异。因为这种模式特定于具有BAP特征的父亲,所以它可能反映了他们自我报告中的选择性“盲点”,而不是父亲群体普遍存在的自我报告能力较差,也不是他人报告的母亲普遍存在过度报告的倾向。然而,提供信息的父母中存在BAP特征在很大程度上并没有降低自我报告和他人报告之间的一致性。总之,自我报告可能会低估父亲中BAP特征的存在,但与母亲的他人报告总体上是一致的。

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