Departments of Psychiatry and Pediatrics, University of Colorado Anschutz Medical Campus, Mailstop C234, 13121 E 17th Ave, Aurora, CO, 80045, USA.
Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
J Autism Dev Disord. 2017 Nov;47(11):3550-3561. doi: 10.1007/s10803-017-3255-5.
The Social Communication Questionnaire (SCQ) and the Social Responsiveness Scales (SRS) are commonly used screeners for autism spectrum disorder (ASD). Data from the Study to Explore Early Development were used to examine variations in the performance of these instruments by child characteristics and family demographics. For both instruments, specificity decreased as maternal education and family income decreased. Specificity was decreased with lower developmental functioning and higher behavior problems. This suggests that the false positive rates of the SRS and the SCQ are associated with child characteristics and family demographic factors. There is a need for ASD screeners that perform well across socioeconomic and child characteristics. Clinicians should be mindful of differential performance of these instruments in various groups of children.
社会沟通问卷 (SCQ) 和社会反应量表 (SRS) 是常用于自闭症谱系障碍 (ASD) 的筛查工具。本研究使用来自早期发展研究的数据，考察了儿童特征和家庭人口统计学因素对这些工具表现的影响。对于这两种工具，特异性随着母亲教育和家庭收入的降低而降低。特异性随发育功能降低和行为问题增加而降低。这表明 SRS 和 SCQ 的假阳性率与儿童特征和家庭人口统计学因素有关。需要一种在社会经济和儿童特征方面表现良好的 ASD 筛查工具。临床医生应该注意这些工具在不同儿童群体中的不同表现。
