Uppsala Child and Baby Lab, Department of Psychology, Uppsala University, 751 42, Uppsala, Sweden.
Center of Neurodevelopmental Disorders (KIND), Division of Neuropsychiatry, Department of Women's & Children's Health, Karolinska Institutet, Stockholm, Sweden.
J Autism Dev Disord. 2019 May;49(5):1928-1936. doi: 10.1007/s10803-018-03867-0.
To fulfill the criteria for autism spectrum disorder (ASD), symptoms must be present across domains and contexts. We assessed preschool staff's ratings of social communication and interaction (SCI) and restricted and repetitive behaviors (RRBs) in 3-year-old siblings of children with ASD, either diagnosed (n = 12) or not diagnosed (n = 36) with ASD, and typically developing siblings with no family history of ASD (n = 16). Ratings of SCI were more accurate than RRBs in differentiating the ASD group from the two other groups, and only the SCI ratings correlated with clinical assessment of social behavior. We conclude that while preschool staff ratings of SCI behaviors are adequate, ratings of RRBs should be treated with more caution.
要符合自闭症谱系障碍（ASD）的标准，症状必须在各个领域和情境中存在。我们评估了学前工作人员对自闭症儿童（n=12）或未被诊断为自闭症儿童（n=36）的 3 岁兄弟姐妹的社交沟通和互动（SCI）以及受限和重复行为（RRBs）的评分，以及没有自闭症家族史的典型发育兄弟姐妹（n=16）。SCI 的评分比 RRBs 更能准确地区分 ASD 组与其他两组，而且只有 SCI 的评分与社交行为的临床评估相关。我们的结论是，虽然学前工作人员对 SCI 行为的评分是足够的，但 RRBs 的评分应该更加谨慎。
