Child Study Center, Yale University School of Medicine, New Haven, CT, USA.
Stanford University, Stanford, CA, USA.
J Autism Dev Disord. 2018 Apr;48(4):1069-1080. doi: 10.1007/s10803-017-3410-z.
Given the emphasis on early screening for ASD, it is crucial to examine the concordance between parent report and clinician observation of autism-related behaviors. Similar items were compared from the First Year Inventory (Baranek et al. First-Year Inventory (FYI) 2.0. University of North Carolina, Chapel Hill, 2003), a parent screener for ASD, and the ADOS-2 Toddler Module (Lord et al. 2013), a standardized ASD diagnostic tool. Measures were administered concurrently to 12-month-olds at high and low risk for ASD. Results suggest that clinicians and parents rated behaviors similarly. In addition, both informants rated high-risk infants as more impaired in several social-communication behaviors. Furthermore, the format of questions impacted agreement across observers. These findings have implications for the development of a new generation of screening instruments for ASD.
鉴于对 ASD 的早期筛查的重视，检查家长报告和临床医生观察到的自闭症相关行为的一致性至关重要。对来自自闭症家长筛查工具的第一年行为检查表（First-Year Inventory，FYI）（Baranek 等人，2003）和自闭症诊断标准工具的 ADOS-2 幼儿模块（Lord 等人，2013）中的相似项目进行了比较。对具有高和低 ASD 风险的 12 个月大的婴儿同时进行了这些测量。结果表明，临床医生和父母对行为的评价相似。此外，两个信息来源都认为高风险婴儿在几个社交沟通行为方面的障碍更严重。此外，问题的格式会影响观察者之间的一致性。这些发现对新一代 ASD 筛查工具的发展具有重要意义。
