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自闭症和广泛性发育障碍儿童的亚分类:基于温格分组方案的问卷

Subclassification of children with autism and pervasive developmental disorder: a questionnaire based on Wing's subgrouping scheme.

作者信息

Castelloe P, Dawson G

机构信息

Department of Psychology, University of Washington, Seattle 98195.

出版信息

J Autism Dev Disord. 1993 Jun;23(2):229-41. doi: 10.1007/BF01046217.

DOI:10.1007/BF01046217
PMID:8331045
Abstract

A questionnaire (the Wing Subgroups Questionnaire, or WSQ) for subclassifying children with autism into one of Wing's three hypothesized subgroups was developed, and the validity of this measure was assessed. Forty parents of children with autism or pervasive developmental disorder not otherwise specified (PDDNOS) completed the questionnaire. Results indicated that the questionnaire has adequate external criterion-referenced validity with similar subgroup ratings made by clinicians, and good internal consistency. Furthermore, results revealed three distinct and separate subgroups corresponding to Wing's subclassification scheme. Other analyses suggested that Wing assignment based on the WSQ was independent of chronological age and age equivalents for social and daily living skills, but not independent of diagnosis of autism vs. PDDNOS, IQ, severity of autism, sex, receptive language mental age, and age equivalents for communication skills. Finally, a discriminant analysis indicated that, of all the dependent variables examined in the present study, the clinicians' Wing assignment was the best predictor of Wing assignment based on the parent-completed WSQ. These findings provide support for Wing's classification system, and suggest that the WSQ is a valid and useful tool for subclassifying individuals with autism.

摘要

开发了一份问卷(温氏亚组问卷,简称WSQ),用于将自闭症儿童分类到温氏假设的三个亚组之一,并评估了该测量方法的有效性。40位患有自闭症或未另行说明的广泛性发育障碍(PDDNOS)儿童的家长完成了问卷。结果表明,该问卷具有足够的外部标准参照效度,临床医生给出的亚组评级相似,且内部一致性良好。此外,结果显示出与温氏分类方案相对应的三个不同且独立的亚组。其他分析表明,基于WSQ的温氏分类与实际年龄以及社交和日常生活技能的年龄当量无关,但与自闭症与PDDNOS的诊断、智商、自闭症严重程度、性别、接受性语言心理年龄以及沟通技能的年龄当量有关。最后,判别分析表明,在本研究中所考察的所有因变量中,临床医生的温氏分类是基于家长完成的WSQ进行温氏分类的最佳预测指标。这些发现为温氏分类系统提供了支持,并表明WSQ是对自闭症个体进行亚组分类的有效且有用的工具。

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