Zhou Bingrui, Zhou Hao, Wu Lijie, Zou Xiaobing, Luo Xuerong, Fombonne Eric, Wang Yi, Yan Weili, Xu Xiu
Department of Child Healthcare, Children's Hospital of Fudan University, Shanghai, 201102, China.
Department of Neurology, Children's Hospital of Fudan University, Shanghai, 201102, China.
Neurosci Bull. 2017 Apr;33(2):168-174. doi: 10.1007/s12264-017-0114-5. Epub 2017 Mar 3.
The reported prevalence of autism spectrum disorder (ASD) has been increasing rapidly in many parts of the world. However, data on its prevalence in China are largely missing. Here, we assessed the suitability of the modified Chinese version of a newly-developed ASD screening tool, the Modified Chinese Autism Spectrum Rating Scales (MC-ASRS) in screening for ASD in Chinese children aged 6-12 years, through comparison with the Social Responsiveness Scale (SRS) that has been widely used for ASD screening. We recruited the parents/caregivers of 1588 typically-developing children and 190 children with ASD aged 6-12 years to complete the MC-ASRS and SRS, and evaluated the validity of both scales in discriminating children with ASD from those developing typically. The results showed that MC-ASRS performed as well as SRS in sensitivity, specificity, and area-under-the-curve (both >0.95) in receiver operating characteristic analysis, with a fair false-negative rate. These results suggest that MC-ASRS is a promising tool for screening for children with ASD in the general Chinese population.
据报道,自闭症谱系障碍(ASD)在世界许多地区的患病率一直在迅速上升。然而,关于其在中国患病率的数据大多缺失。在此,我们通过与广泛用于ASD筛查的社会反应量表(SRS)进行比较,评估了新开发的ASD筛查工具——中文版改良自闭症谱系评定量表(MC - ASRS)在筛查6至12岁中国儿童ASD方面的适用性。我们招募了1588名发育正常儿童和190名6至12岁ASD儿童的父母/照顾者,让他们完成MC - ASRS和SRS,并评估这两个量表在区分ASD儿童和发育正常儿童方面的有效性。结果显示,在受试者工作特征分析中,MC - ASRS在敏感性、特异性和曲线下面积(均>0.95)方面表现与SRS相当,假阴性率尚可。这些结果表明,MC - ASRS是在一般中国人群中筛查ASD儿童的一种有前景的工具。