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互动创伤量表:一种适用于自闭症儿童的网络测评工具。

The Interactive Trauma Scale: A Web-Based Measure for Children with Autism.

机构信息

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.

出版信息

J Autism Dev Disord. 2019 Apr;49(4):1686-1692. doi: 10.1007/s10803-018-03864-3.

DOI:10.1007/s10803-018-03864-3
PMID:30604349
Abstract

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.

摘要

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。

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本文引用的文献

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A systematic review of trauma screening measures for children and adolescents.对儿童和青少年创伤筛查措施的系统评价。
Sch Psychol Q. 2018 Mar;33(1):30-43. doi: 10.1037/spq0000244.
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Adverse childhood experiences in children with autism spectrum disorder.自闭症谱系障碍儿童的不良童年经历。
Curr Opin Psychiatry. 2018 Mar;31(2):128-132. doi: 10.1097/YCO.0000000000000390.
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Screening for trauma-related symptoms via a smartphone app: The validity of Smart Assessment on your Mobile in referred police officers.通过智能手机应用程序筛查与创伤相关的症状:Smart Assessment on your Mobile 在转介警官中的有效性。
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Brief Report: Examining the Association of Autism and Adverse Childhood Experiences in the National Survey of Children's Health: The Important Role of Income and Co-occurring Mental Health Conditions.简要报告:在全国儿童健康调查中探究自闭症与儿童期不良经历的关联:收入及共病心理健康状况的重要作用
J Autism Dev Disord. 2017 Jul;47(7):2275-2281. doi: 10.1007/s10803-017-3111-7.
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Maltreatment Risk Among Children With Disabilities.残疾儿童受虐待的风险。
Pediatrics. 2017 Apr;139(4). doi: 10.1542/peds.2016-1817. Epub 2017 Mar 6.
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A randomized controlled trial of a smartphone app for posttraumatic stress disorder symptoms.一项针对创伤后应激障碍症状的智能手机应用程序的随机对照试验。
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Anxiety Disorders Interview Schedule-Autism Addendum: Reliability and Validity in Children With Autism Spectrum Disorder.焦虑症访谈量表-自闭症附录:自闭症谱系障碍儿童的信度和效度
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Implementation of Web-Based Autism Screening in an Urban Clinic.在城市诊所实施基于网络的自闭症筛查
Clin Pediatr (Phila). 2016 Sep;55(10):927-34. doi: 10.1177/0009922815616887. Epub 2015 Nov 18.
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Prevalence of School Bullying Among Youth with Autism Spectrum Disorders: A Systematic Review and Meta-Analysis.自闭症谱系障碍青少年中校园欺凌的患病率:一项系统评价与荟萃分析
Autism Res. 2016 Jun;9(6):601-15. doi: 10.1002/aur.1568. Epub 2015 Oct 9.
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Reliability and validity of parent- and child-rated anxiety measures in autism spectrum disorder.自闭症谱系障碍中父母和儿童评定的焦虑测量方法的信度和效度
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