El-Bouhali-Abdellaoui Fátima, Voltas Núria, Morales-Hidalgo Paula, Vigil-Colet Andreu, Hernández-Martínez Carmen, Canals-Sans Josefa
Research Group on Nutrition and Mental Health (NUTRISAM); Department of Psychology, Research Center for Behavioral Assessment (CRAMC), Rovira i Virgili University, Carretera de Valls, S/N, 43007, Tarragona, Spain.
Serra Húnter Fellow, Department of Psychology, Rovira i Virgili University, Tarragona, Spain.
J Autism Dev Disord. 2025 Sep 13. doi: 10.1007/s10803-025-07000-w.
Earlier identification of autistic traits is crucial for timely interventions in children and adolescents. This study aims to evaluate the psychometric properties of the Social Responsiveness Scale 2nd Edition (SRS-2) -answered by parents- in a Spanish population and to develop a shortened form of the scale for autism screening. A total of 528 children and adolescents with autistic diagnosis, ADHD, and non-diagnosis participated in the study. Factorial analysis indicated a unidimensional structure with excellent reliability (Cronbach's α = .96) and a KMO index of .95. A moderate sensitivity (69.4%) and high specificity (88.5%) were found for a score of ≥ 60. The 10 items with the highest factor loading have constituted a reliable SRS-2 short form (α = .92), valid for identifying autism. This shortened version showed an area under the ROC curve of 86.3%, with high sensitivity (83.8%) and moderate specificity (75.3%) for a score of ≥ 5. This short form has shown to be an effective screening tool in the Spanish population, retaining psychometric properties comparable to the original scale. The findings conclude that both versions are reliable and valid, and we support the utility of the SRS-2 short form as a practical tool for improving autism detection in the Spanish population, with significant implications for clinical and research applications.
早期识别自闭症特征对于及时干预儿童和青少年至关重要。本研究旨在评估家长作答的《社会反应量表第二版》(SRS - 2)在西班牙人群中的心理测量特性,并开发该量表的简短形式用于自闭症筛查。共有528名被诊断为自闭症、注意力缺陷多动障碍(ADHD)以及未被诊断的儿童和青少年参与了这项研究。因子分析表明该量表具有单维结构,信度极佳(克朗巴哈α系数 = 0.96),KMO指数为0.95。对于得分≥60的情况,发现其敏感性中等(69.4%),特异性较高(88.5%)。因子载荷最高的10个项目构成了一个可靠的SRS - 2简短形式(α系数 = 0.92),可有效识别自闭症。这个简短版本的ROC曲线下面积为86.3%,对于得分≥5的情况,敏感性较高(83.8%),特异性中等(75.3%)。该简短形式已证明是西班牙人群中一种有效的筛查工具,保留了与原始量表相当的心理测量特性。研究结果表明两个版本都是可靠且有效的,我们支持SRS - 2简短形式作为一种实用工具在西班牙人群中改善自闭症检测的效用,这对临床和研究应用具有重要意义。