Szatmari P, Archer L, Fisman S, Streiner D L
Department of Psychiatry, Chedoke-McMaster Hospitals, Hamilton, Ontario, Canada.
J Autism Dev Disord. 1994 Dec;24(6):703-17. doi: 10.1007/BF02172281.
Although it is well known that informants often disagree about the degree of psychopathology in children, this issue has not been systematically evaluated in children with autism. The objective of this paper is to estimate the extent of agreement between parents and teachers on the assessment of autistic symptoms and adaptive behavior skills. We assessed 83 children, 4-6 years of age, with a diagnosis of pervasive developmental disorder (PDD), using the Autism Behavior Checklist (ABC) and the Vineland Adaptive Behavior Scales (VABS). Parents and teachers rated each child on each measure. While there was good agreement between informants on the VABS, teachers tended to rate the PDD children higher than parents. In contrast, there was virtually no agreement on the ABC. High levels of stress experienced by parents appeared to be associated with parents reporting more autistic behaviors and less adaptive skills than teachers. As with other child psychiatric disorders, caution must be exercised in combining information from several informants.
尽管众所周知，提供信息者往往对儿童精神病理学程度存在分歧，但这一问题在自闭症儿童中尚未得到系统评估。本文的目的是估计家长和教师在自闭症症状及适应性行为技能评估上的一致程度。我们使用自闭症行为量表（ABC）和文兰适应性行为量表（VABS）对83名4至6岁、被诊断为广泛性发育障碍（PDD）的儿童进行了评估。家长和教师对每个孩子的各项指标进行评分。虽然在VABS上提供信息者之间有较好的一致性，但教师对PDD儿童的评分往往高于家长。相比之下，在ABC上几乎没有一致性。家长所经历的高压力水平似乎与家长报告的自闭症行为比教师更多、适应性技能比教师更少有关。与其他儿童精神疾病一样，在整合来自多个提供信息者的信息时必须谨慎。
