Pearson Education-North America Division, San Antonio, Texas, USA.
Educational Psychology Division, Texas A & M University, Austin, Texas, USA.
Appl Neuropsychol Child. 2022 Oct-Dec;11(4):647-651. doi: 10.1080/21622965.2021.1929232. Epub 2021 Jun 7.
This study examined the accuracy of the Behavior Assessment System for Children-3 for Autism Spectrum Disorder (ASD) diagnosis using parent (PRS) and teaching rating (TRS) scales. The accuracy of three PRS and TRS derived scores with strong theoretical relationships to ASD (Developmental Social Disorders [DSD], Atypicality [ATP], and Withdrawal [WIT]) and the Autism Probability Index (AUI) was examined. The T scores of 149 children with ASD were compared with typically developing children within similar demographics to assess diagnostic accuracy (i.e., differential validity). The results revealed statistically significant differences for all scales between the group with ASD and the matched group of typically developing children. Sensitivity and specificity were maximized for both the PRS and TRS when DSD, ATP, and WIT scales were greater than 60 and a cut score of on the AUI was set at 55. Overall, sensitivity and specificity indexes associated with these cut scores demonstrated strong diagnostic utility for differentiating the two groups.
本研究采用家长评定量表（PRS）和教师评定量表（TRS），检验儿童行为评定量表第三版（BSID-III）用于自闭症谱系障碍（ASD）诊断的准确性。本研究还检验了与 ASD 具有较强理论关系的三个 PRS 和 TRS 衍生评分（发育性社交障碍 [DSD]、非典型性 [ATP] 和退缩 [WIT]）以及自闭症概率指数（AUI）的准确性。将 149 名 ASD 儿童的 T 分数与具有相似人口统计学特征的正常发育儿童进行比较，以评估诊断准确性（即差异有效性）。结果显示，ASD 组与正常发育组在所有量表上的差异均具有统计学意义。当 DSD、ATP 和 WIT 量表大于 60 且 AUI 的截断值设定为 55 时，PR 和 TR 的敏感性和特异性均达到最高。总体而言，这些截断值相关的敏感性和特异性指数显示出较强的诊断能力，可区分两组。
