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AQ 和 SRS-A 在临床实践中对成人 ASD 诊断的预测价值。

The Predictive Value of the AQ and the SRS-A in the Diagnosis of ASD in Adults in Clinical Practice.

机构信息

INTER-PSY, Verlengde Meeuwerderweg 7, 9723 ZM, Groningen, The Netherlands.

Department of Developmental Psychology, University of Groningen, Grote Kruisstraat 2/1, 9712 TS, Groningen, The Netherlands.

出版信息

J Autism Dev Disord. 2021 Jul;51(7):2402-2415. doi: 10.1007/s10803-020-04699-7.

DOI:10.1007/s10803-020-04699-7
PMID:33001348
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8189953/
Abstract

Questionnaires are widely used in autism assessment. However, their psychometric properties are generally not evaluated in clinical practice, and the comparability and applicability of such research is limited because questionnaires are often not simultaneously evaluated. This certainly pertains to predictive values which are highly population and setting specific. This study evaluated the power of AQ and SRS-A in predicting an ASD diagnosis within the same clinical population. The patient records of 92 adults, referred for autism assessment, were analyzed. The AQ proved somewhat better than the SRS-A at discriminating and predicting autism. The predictive values of both questionnaires were lower than reported in general population studies. Psychometric results in core publications appear less representative for clinical practice.

摘要

问卷在自闭症评估中被广泛应用。然而,其心理测量特性在临床实践中通常未得到评估,并且由于问卷通常未同时进行评估,此类研究的可比性和适用性受到限制。这肯定适用于高度具有人群和环境特异性的预测值。本研究评估了 AQ 和 SRS-A 在同一临床人群中预测 ASD 诊断的能力。分析了 92 名接受自闭症评估的成年人的患者记录。AQ 在区分和预测自闭症方面比 SRS-A 稍好一些。两个问卷的预测值均低于一般人群研究中的报告值。核心出版物中的心理测量结果似乎不太能代表临床实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb4/8189953/bbb6e51420dc/10803_2020_4699_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb4/8189953/bbb6e51420dc/10803_2020_4699_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdb4/8189953/bbb6e51420dc/10803_2020_4699_Fig1_HTML.jpg

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