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简要报告:短版自闭症幼儿快速检查表(Q-CHAT-10)作为一种自闭症谱系障碍的快速筛查工具在高风险同胞队列中的评估。

Brief Report: Evaluation of the Short Quantitative Checklist for Autism in Toddlers (Q-CHAT-10) as a Brief Screen for Autism Spectrum Disorder in a High-Risk Sibling Cohort.

机构信息

Department of Pediatrics, University of Alberta, Edmonton, AB, Canada.

Autism Research Centre (E209), Glenrose Rehabilitation Hospital, 10230-111 Avenue, Edmonton, AB, T5G 0B7, Canada.

出版信息

J Autism Dev Disord. 2019 May;49(5):2210-2218. doi: 10.1007/s10803-019-03897-2.

Abstract

This study examined the potential of the short form of the Quantitative Checklist for Autism in Toddlers (Q-CHAT-10) to identify autism spectrum disorder (ASD) in a high-risk sibling cohort. High-risk (HR; siblings of children diagnosed with ASD) and low-risk (LR; no family history of ASD) toddlers were assessed prospectively at 18 and 24 months of age using the Q-CHAT-10 and underwent blind diagnostic assessment for ASD at 36 months of age. The results indicated that at 18 and 24 months, total score differentiated between HR toddlers subsequently diagnosed with ASD from other HR and LR toddlers. The sensitivity at both time points was acceptable; however, the specificity was below the level recommended for clinical application.

摘要

本研究旨在探讨幼儿孤独症快速筛查量表(Q-CHAT-10)短版在识别高风险自闭症谱系障碍(ASD)同胞队列中的潜力。高风险(HR;被诊断为 ASD 儿童的兄弟姐妹)和低风险(LR;无 ASD 家族史)的幼儿在 18 个月和 24 个月时分别使用 Q-CHAT-10 进行前瞻性评估,并在 36 个月时进行自闭症的盲法诊断评估。结果表明,在 18 个月和 24 个月时,总分可区分随后被诊断为 ASD 的 HR 幼儿与其他 HR 和 LR 幼儿。两个时间点的敏感性都可以接受,但特异性低于临床应用推荐的水平。

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