Callier Center for Communication Disorders, The University of Texas at Dallas, Richardson.
Am J Speech Lang Pathol. 2018 May 3;27(2):647-656. doi: 10.1044/2018_AJSLP-16-0219.
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition introduced a new neurodevelopmental disorder, social (pragmatic) communication disorder (SPCD), that is characterized by deficits in 4 areas of communication. Although descriptions of these areas are provided, no assessment tools for SPCD are recommended. The purpose of this study was to examine the extent to which items from measurement tools commonly used in assessing pragmatic language impairment and related disorders might be useful in assessing the characteristics of social communication that define SPCD in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.
Based on a literature search, 594 items from assessment tools commonly used to measure social communication abilities in people with pragmatic language impairment were identified. The first author judged whether each item reflected 1, more than 1, or none of the 4 SPCD diagnostic characteristics. After a brief training process, 5 second raters independently mapped subsets of items to the 6 categories. We calculated the percentage of agreement and Cohen's kappa for each pair of raters in assigning items to categories.
Percentages of agreement ranged from 76% to 82%, and Cohen's kappa values ranged from .69 to .76, indicating substantial agreement. Sources and item numbers for the 206 items that both raters assigned to the same SPCD feature are provided.
These items may provide guidance in assessing SPCD and in designing standardized screening and diagnostic measures for SPCD.
《精神障碍诊断与统计手册（第五版）》引入了一种新的神经发育障碍，即社交（语用）沟通障碍（SPCD），其特征是在沟通的 4 个领域存在缺陷。虽然提供了对这些领域的描述，但没有推荐用于 SPCD 的评估工具。本研究的目的是检验在多大程度上，常用于评估语用障碍和相关障碍的测量工具中的项目可能有助于评估《精神障碍诊断与统计手册（第五版）》中定义的 SPCD 的社交沟通特征。
基于文献检索，确定了 594 项常用于评估语用障碍患者社交沟通能力的评估工具中的项目。第一作者判断每个项目是否反映了 SPCD 的 4 个诊断特征中的 1 个、多个或没有。在简短的培训过程后，5 位第二评估者独立地将项目映射到 6 个类别中。我们计算了每对评估者在将项目分配到类别中时的一致性百分比和 Cohen's kappa 值。
一致性百分比范围为 76%至 82%，Cohen's kappa 值范围为.69 至.76，表明存在实质性的一致性。提供了 206 项第二评估者都将其分配到相同 SPCD 特征的项目的来源和项目编号。
这些项目可能为评估 SPCD 以及为 SPCD 设计标准化筛查和诊断措施提供指导。
