Maddox Brenna B, Lecavalier Luc, Miller Judith S, Pritchett Jill, Hollway Jill, White Susan W, Gillespie Scott, Evans Andrea N, Schultz Robert T, Herrington John D, Bearss Karen, Scahill Lawrence
University of Pennsylvania, USA.
The Ohio State University, USA.
Autism. 2020 Oct;24(7):1773-1782. doi: 10.1177/1362361320922682. Epub 2020 May 31.
Many youth with autism spectrum disorder have anxiety, but it can be difficult to assess anxiety with existing measures. We modified the Pediatric Anxiety Rating Scale for youth with autism spectrum disorder and tested the new measure in a group of 116 youth (age: 5-17 years) with autism spectrum disorder. The Pediatric Anxiety Rating Scale for youth with autism spectrum disorder is an interview that a clinician usually completes with the child and parent together. We modified the interview questions and scoring instructions based on feedback from parents of children with autism spectrum disorder and from a panel of experts in autism spectrum disorder and anxiety. Unlike many other anxiety measures, the Pediatric Anxiety Rating Scale for youth with autism spectrum disorder relies less on a child's verbal expression of anxiety and more on signs that a parent can easily observe. Training clinicians to administer and score the Pediatric Anxiety Rating Scale for youth with autism spectrum disorder was uncomplicated, and raters showed excellent agreement on video-recorded interviews. Youth who were not currently in treatment for anxiety had stable Pediatric Anxiety Rating Scale for youth with autism spectrum disorder scores with repeat measurement over a 1-month period. The Pediatric Anxiety Rating Scale for youth with autism spectrum disorder is a useful clinician-rated measure of anxiety in youth with autism spectrum disorder and fills a gap for assessing anxiety in this population.
许多患有自闭症谱系障碍的青少年都有焦虑情绪，但用现有的评估方法很难对焦虑进行评估。我们对针对患有自闭症谱系障碍青少年的儿童焦虑评定量表进行了修改，并在一组116名患有自闭症谱系障碍的青少年（年龄：5至17岁）中对这一新量表进行了测试。针对患有自闭症谱系障碍青少年的儿童焦虑评定量表是一种临床医生通常会与孩子及其家长一起完成的访谈。我们根据自闭症谱系障碍儿童家长以及自闭症谱系障碍和焦虑症专家小组的反馈，对访谈问题和评分说明进行了修改。与许多其他焦虑评估方法不同，针对患有自闭症谱系障碍青少年的儿童焦虑评定量表较少依赖孩子对焦虑的言语表达，而更多地依赖家长能够轻易观察到的迹象。培训临床医生使用针对患有自闭症谱系障碍青少年的儿童焦虑评定量表并进行评分并不复杂，评分者对视频记录访谈的意见高度一致。目前未接受焦虑症治疗的青少年在1个月的重复测量中，其针对患有自闭症谱系障碍青少年的儿童焦虑评定量表得分稳定。针对患有自闭症谱系障碍青少年的儿童焦虑评定量表是一种有用的由临床医生评定的自闭症谱系障碍青少年焦虑测量工具，填补了评估该人群焦虑症的空白。
