Center for Child and Family Traumatic Stress, Kennedy Krieger Institute; Johns Hopkins School of Medicine, 1741 Ashland Ave., Baltimore, MD, 21205, USA.
Gallaudet University, Counseling and Psychological Services, Washington, DC, USA.
J Autism Dev Disord. 2019 Apr;49(4):1686-1692. doi: 10.1007/s10803-018-03864-3.
This study examined the feasibility, acceptability, and psychometric characteristics of a web-based touchscreen app prototype designed to assess self-reported trauma exposure and symptoms in children with autism spectrum disorder (ASD). The prototype was piloted with 20 clinically referred children previously diagnosed with ASD and having various known trauma exposures. User satisfaction and reported ease of use was high. The measure was sensitive to reports of teasing and bullying, endorsed by 75% and 70% of participants, respectively. Validity was assessed via comparisons with the UCLA Posttraumatic Stress Disorder Reaction Index and analysis of participants' trauma exposures and symptoms. Clinical implications are discussed including issues of trauma screening, diagnosis, and treatment planning for traumatized youth with ASD.
本研究旨在考察一款基于网络的触屏应用程序原型在评估自闭症谱系障碍(ASD)儿童自我报告创伤暴露和症状方面的可行性、可接受性和心理测量学特征。该原型在 20 名经临床转介、曾被诊断为 ASD 且有各种已知创伤暴露的儿童中进行了试点。用户满意度和报告的易用性都很高。该测量方法对嘲笑和欺凌的报告很敏感,分别有 75%和 70%的参与者表示认同。通过与 UCLA 创伤后应激障碍反应指数的比较以及对参与者创伤暴露和症状的分析来评估有效性。讨论了临床意义,包括对 ASD 创伤儿童进行创伤筛查、诊断和治疗计划的问题。