修订版里特沃自闭症及阿斯伯格诊断量表的法语版本：一项心理测量学验证与诊断准确性研究。

The French Version of the Revised Ritvo Autism and Asperger Diagnostic Scale: A Psychometric Validation and Diagnostic Accuracy Study.

作者信息

Picot Marie-Christine, Michelon Cécile, Bertet Héléna, Pernon Eric, Fiard Dominique, Coutelle Romain, Abbar Mocrane, Attal Jérome, Amestoy Anouck, Duverger Philippe, Ritvo Ariella Riva, Ritvo Edward R, Baghdadli Amaria

机构信息

Clinical Research and Epidemiology Unit, University Hospital (CHU) of Montpellier, Univ Montpellier, 34000, Montpellier, France.

Université Paris-Saclay, UVSQ, Inserm, CESP, "DevPsy", 94807, Villejuif, France.

出版信息

J Autism Dev Disord. 2021 Jan;51(1):30-44. doi: 10.1007/s10803-020-04518-z.

DOI:10.1007/s10803-020-04518-z

PMID:32347469

Abstract

The early recognition of ASD in adults is challenging, in particular due to the lack of appropriate and robust diagnostic tools. We performed a psychometric validation and diagnostic accuracy study of the French version of the RAADS-R on a sample of 305 adults: 105 with ASD without ID, 99 with psychiatric disorders, and 103 non-psychiatric control groups. The French version of the RAADS-R demonstrates good reliability and diagnostic validity, suggesting that it can help clinicians during the diagnostic process in adults with ASD without ID. However, the finding that a two-factor structure better fits the results requires further validation. This study point out the need of further study of RAADS in psychiatric disorders group due to the relatively high false positive rate (55.6%) of ASD.

摘要

成人自闭症谱系障碍（ASD）的早期识别具有挑战性，尤其是由于缺乏合适且可靠的诊断工具。我们对305名成年人样本进行了RAADS-R法语版的心理测量学验证和诊断准确性研究：105名无智力障碍的ASD患者、99名患有精神疾病的患者以及103名非精神疾病对照组。RAADS-R法语版显示出良好的信度和诊断效度，表明它可以在无智力障碍的成人ASD患者的诊断过程中帮助临床医生。然而，双因素结构更符合结果这一发现需要进一步验证。由于ASD的假阳性率相对较高（55.6%），本研究指出需要对精神疾病组中的RAADS进行进一步研究。