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韩国儿童中与《精神疾病诊断与统计手册》第四版及第五版自闭症谱系障碍相关的社会反应量表

The social responsiveness scale in relation to DSM IV and DSM5 ASD in Korean children.

作者信息

Cheon Keun-Ah, Park Jee-In, Koh Yun-Joo, Song Jungeun, Hong Hyun-Joo, Kim Young-Kee, Lim Eun-Chung, Kwon Hojang, Ha Mina, Lim Myung-Ho, Paik Ki-Chung, Constantino John N, Leventhal Bennett, Kim Young Shin

机构信息

Division of Child and Adolescent Psychiatry, Department of Psychiatry & Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Korea.

The Korea Institute for Children's Social Development and Rudolph Child Research Center, Seoul, South Korea.

出版信息

Autism Res. 2016 Sep;9(9):970-80. doi: 10.1002/aur.1671. Epub 2016 Sep 8.

Abstract

The Social Responsiveness Scale (SRS) is an autism rating scales in widespread use, with over 20 official foreign language translations. It has proven highly feasible for quantitative ascertainment of autistic social impairment in public health settings, however, little is known about the validity of the reinforcement in Asia populations or in references to DSM5. The current study aims to evaluate psychometric properties and cross-cultural aspects of the SRS-Korean version (K-SRS).The study subjects were ascertained from three samples: a general sample from 3 regular education elementary schools (n=790), a clinical sample (n=154) of 6-12-year-olds from four psychiatric clinics, and an epidemiological sample of children with ASD, diagnosed using both DSM IV PDD, DSM5 ASD and SCD criteria (n=151). Their parents completed the K-SRS and the Autism Spectrum Screening Questionnaire(ASSQ). Descriptive statistics, correlation analyses and principal components analysis (PCA) were performed on the total population. Mean total scores on the K-SRS differed significantly between the three samples. ASSQ scores were significantly correlated with the K-SRS T-scores. PCA suggested a one-factor solution for the total population.Our results indicate that the K-SRS exhibits adequate reliability and validity for measuring ASD symptoms in Korean children with DSM IV PDD and DSM5 ASD. Our findings further suggest that it is difficult to distinguish SCD from other child psychiatric conditions using the K-SRS.This is the first study to examine the relationship between the SRS subscales and DSM5-based clinical diagnoses. This study provides cross-cultural confirmation of the factor structure for ASD symptoms and traits measured by the SRS. Autism Res 2016, 9: 970-980. © 2016 International Society for Autism Research, Wiley Periodicals, Inc.

摘要

社会反应量表(SRS)是一种广泛使用的自闭症评定量表,有20多种官方外语译本。它已被证明在公共卫生环境中对自闭症社交障碍进行定量测定非常可行,然而,对于亚洲人群中该量表的强化效度或与《精神疾病诊断与统计手册》第5版(DSM5)相关的效度知之甚少。本研究旨在评估SRS韩语版(K-SRS)的心理测量特性和跨文化方面。研究对象来自三个样本:3所普通教育小学的一般样本(n = 790)、来自4家精神科诊所的6至12岁临床样本(n = 154)以及使用DSM-IV广泛性发育障碍、DSM5自闭症谱系障碍和社交沟通障碍标准诊断的自闭症谱系障碍儿童的流行病学样本(n = 151)。他们的父母完成了K-SRS和自闭症谱系筛查问卷(ASSQ)。对总体人群进行了描述性统计、相关性分析和主成分分析(PCA)。三个样本在K-SRS上的平均总分存在显著差异。ASSQ分数与K-SRS T分数显著相关。PCA表明总体人群为单因素解决方案。我们的结果表明,K-SRS在测量患有DSM-IV广泛性发育障碍和DSM5自闭症谱系障碍的韩国儿童的自闭症症状方面具有足够的信度和效度。我们的研究结果进一步表明,使用K-SRS难以将社交沟通障碍与其他儿童精神疾病区分开来。这是第一项研究SRS分量表与基于DSM5的临床诊断之间关系的研究。本研究为SRS测量的自闭症症状和特征的因子结构提供了跨文化验证。《自闭症研究》2016年,9:970 - 980。© 2016国际自闭症研究协会,威利期刊公司

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