Bar-Ilan University, Israel.
Association for Children at Risk, Israel.
Autism. 2023 Apr;27(3):796-807. doi: 10.1177/13623613221117020. Epub 2022 Sep 2.
Despite the attempt to diagnose autism at an early age, there are still many individuals who would only get an autism diagnosis in adulthood. For these adults, a questionnaire that could assist in highlighting their need to seek diagnostic assessment is needed. The Autism-Spectrum Quotient is a self-report scale used to assess autistic traits. It was tested cross-culturally, and a short version was recommended to help identify adults who should be referred for an autism assessment. However, its relevance for the up-to-date diagnostic criteria, according to the (5th ed.), has not been tested. This study aimed to examine the psychometric properties of the Hebrew version of the Autism-Spectrum Quotient and to create a short version of the Hebrew Autism-Spectrum Quotient, based on items which map on to (5th ed.) criteria. Ninety-three autistic adults (24 females), aged 18-51, clinically diagnosed according to (5th ed.), and 147 comparable controls (34 females) filled out the Hebrew version of the Autism-Spectrum Quotient. Ten clinicians who specialize in diagnosing autism in adults classified the Autism-Spectrum Quotient's items according to (5th ed.) criteria. The short version of the Hebrew Autism-Spectrum Quotient comprised items that best differentiated between adults with and without autism, five items representing each of the (5th ed.) diagnostic domains. The overall probability for participants to be correctly classified as autistic or neurotypical was 86% for the Hebrew version of the Autism-Spectrum Quotient and 88% for the short version of the Hebrew Autism-Spectrum Quotient. We conclude that both versions are reliable and sensitive instruments that can help referring adults for autism assessment.
尽管人们试图在早期诊断自闭症，但仍有许多人直到成年后才被诊断出患有自闭症。对于这些成年人来说，需要有一种能够帮助他们发现自己需要接受诊断评估的问卷。自闭症谱系商数（Autism-Spectrum Quotient，AQ）是一种用于评估自闭症特征的自评量表。它已经过跨文化测试，推荐使用其简短版本来帮助识别需要进行自闭症评估的成年人。然而，根据最新的诊断标准（第 5 版），其相关性尚未得到测试。本研究旨在检验希伯来语版自闭症谱系商数的心理测量特性，并根据与（第 5 版）标准相匹配的项目创建希伯来语版自闭症谱系商数的简短版本。93 名年龄在 18-51 岁之间的自闭症成年患者（24 名女性），根据（第 5 版）临床诊断标准进行诊断，以及 147 名可比对照者（34 名女性）填写了希伯来语版自闭症谱系商数。10 名专门从事成人自闭症诊断的临床医生根据（第 5 版）标准对自闭症谱系商数的项目进行分类。希伯来语版自闭症谱系商数的简短版本包括能够最好地区分自闭症和非自闭症成年人的项目，每个（第 5 版）诊断领域都有 5 个项目。对于参与者被正确分类为自闭症或神经典型的总体概率，希伯来语版自闭症谱系商数为 86%，希伯来语版自闭症谱系商数的简短版本为 88%。我们的结论是，这两个版本都是可靠且敏感的工具，可以帮助将成年人转介进行自闭症评估。
