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韩国版自闭症谱系商数(AQ)儿童版的信度和效度

The Reliability and Validity of the Korean Version of Autism Spectrum Quotient (AQ) Children's Version.

作者信息

Lee Areum, Lee Soyoung Irene, Shin Yunmi, Lee Jeewon

机构信息

Department of Psychiatry, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea.

Department of Psychiatry, Soonchunhyang University College of Medicine, Asan, Republic of Korea.

出版信息

J Autism Dev Disord. 2024 Oct 8. doi: 10.1007/s10803-024-06572-3.

Abstract

There is no validated screening measure for children with high-functioning autism spectrum disorder (ASD) in Korea. The purpose of the present study was (1) to examine the reliability and validity of the Korean version of the Autism Spectrum-Child (K-AQ-Child); (2) to find the optimal cut-off value of the K- AQ-Child in the Korean population. A total of 144 children aged 4-11 years (male 80.6%, mean age = 7.05 ± 1.75) were recruited in this study, with 72 in the high-functioning ASD group and 72 in the non-clinical Control group. The Cronbach's alpha coefficient of the K-AQ-child was 0.962, showing excellent internal consistency. For discriminant validity, the ASD group scored significantly higher than the Control group on the total score and all the scores of the subdomains of the K-AQ-Child after controlling for sex. Significant positive correlation between total scores of the K-AQ-Child and the K-SCQ was found. The optimal cut-off value of 58.5 yielded a sensitivity of 0.931 and specificity of 0.986. K-AQ-Child is a valid and reliable measure to quantify autistic traits and identify the high-risk individuals for further diagnostic evaluation in intellectually capable children aged 4-11 years. It would be useful for both clinical practice and research purposes. Clinical Trial Registration The trial was registered at the Clinical Research Information Service (CRIS) of Republic of Korea (Registration Number: KCT0008907).

摘要

在韩国,目前尚无针对高功能自闭症谱系障碍(ASD)儿童的有效筛查方法。本研究的目的是:(1)检验韩语版自闭症谱系儿童量表(K-AQ-Child)的信效度;(2)找出K-AQ-Child在韩国人群中的最佳临界值。本研究共招募了144名4至11岁的儿童(男性占80.6%,平均年龄=7.05±1.75岁),其中高功能ASD组72名,非临床对照组72名。K-AQ-Child的克朗巴哈α系数为0.962,显示出极好的内部一致性。在控制性别因素后,对于区分效度,ASD组在K-AQ-Child总分及所有子领域得分上均显著高于对照组。发现K-AQ-Child总分与K-SCQ之间存在显著正相关。最佳临界值为58.5时,灵敏度为0.931,特异度为0.986。K-AQ-Child是一种有效且可靠的工具,可用于量化4至11岁智力正常儿童的自闭症特征,并识别需要进一步诊断评估的高危个体。它对临床实践和研究目的均有用。临床试验注册 该试验在大韩民国临床研究信息服务中心(CRIS)注册(注册号:KCT0008907)。

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