Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive MC0812, La Jolla, San Diego, CA, 92093, USA.
Child and Adolescent Services Research Center, 3665 Kearny Villa Road, Suite 200, San Diego, CA, 92123, USA.
J Autism Dev Disord. 2018 May;48(5):1423-1435. doi: 10.1007/s10803-017-3382-z.
Cross-informant ratings of are considered gold standard for child behavioral assessment. To date, little work has examined informant ratings of adaptive functioning for youth with autism spectrum disorder (ASD). In a large, diverse sample of youth with ASD, this study evaluated parent-teacher concordance of ratings of adaptive functioning and ASD-specific symptomatology across time. The impact of child clinical characteristics on concordance was also examined. Participants included 246 children, their caregivers and teachers. Parent-teacher concordance was variable but generally consistent across time. Concordance was significantly impacted by autism severity and child cognitive abilities. Findings inform the broader concordance literature and support the need to consider child clinical factors when assessing child functioning in samples of children with ASD.
来自不同信息源的对儿童行为的评估被认为是儿童行为评估的金标准。迄今为止，很少有研究检查过来自自闭症谱系障碍（ASD）青年的适应功能的信息源评估。在一个大型的、多样化的 ASD 青年样本中，本研究评估了适应功能和 ASD 特定症状的家长-教师评分在时间上的一致性。还研究了儿童临床特征对一致性的影响。参与者包括 246 名儿童及其照顾者和教师。家长-教师的一致性是可变的，但在整个时间内基本一致。一致性显著受到自闭症严重程度和儿童认知能力的影响。这些发现为更广泛的一致性文献提供了信息，并支持在评估 ASD 儿童样本中的儿童功能时，需要考虑儿童的临床因素。
