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自闭症谱系障碍及相关特征的教育和诊断分类。

Educational and Diagnostic Classification of Autism Spectrum Disorder and Associated Characteristics.

机构信息

University of Missouri, Columbia, USA.

出版信息

J Autism Dev Disord. 2021 Nov;51(11):4033-4042. doi: 10.1007/s10803-020-04867-9. Epub 2021 Jan 13.

Abstract

Research continues to highlight discrepancies between clinical diagnoses of Autism Spectrum Disorder (ASD) and determination of special education eligibility for services within school settings. However, limited research has been conducted on the impact of those discrepancies for the identification of appropriate services within schools. The aim of the current study is to examine students' characteristics (e.g., language, social emotional) associated with educational eligibility and clinical diagnoses. More specifically, the study examines characteristics differentially associated with ASD diagnoses to inform targeted evidence-based interventions. The study accessed data from a four-year cluster-randomized trial of 283 students with and without reported ASD diagnosis. The results of the study demonstrate that the educational eligibility of Autism did not differentiate between students with and without autism on any of the measured characteristics including language, peer and social competence, academics, and aggressive behaviors. However, the Autism Diagnostic Observation Schedule, second edition (ADOS-2; Lord et al. in Autism diagnostic observation schedule. Western Psychological Services, Torrance, CA, 2012) classification was a more sensitive diagnostic measure for characteristics associated with autism. Implications for research, practitioners, and schools are discussed.

摘要

研究继续强调自闭症谱系障碍(ASD)的临床诊断与学校环境中特殊教育服务资格确定之间的差异。然而,对于这些差异对学校内确定适当服务的影响,研究有限。本研究的目的是检查与教育资格和临床诊断相关的学生特征(例如语言、社会情感)。更具体地说,该研究检查了与 ASD 诊断差异相关的特征,以为有针对性的循证干预提供信息。该研究从一项为期四年的、对 283 名有和没有报告 ASD 诊断的学生进行的群组随机试验中获取了数据。研究结果表明,在包括语言、同伴和社会能力、学业和攻击行为在内的任何测量特征上,自闭症的教育资格并没有在自闭症学生和非自闭症学生之间进行区分。然而,自闭症诊断观察量表第二版(ADOS-2;Lord 等人,自闭症诊断观察量表。西方心理服务,托兰斯,加利福尼亚州,2012)分类对于与自闭症相关的特征是一种更敏感的诊断措施。讨论了对研究、从业者和学校的影响。

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