A clinician-administered observation and corresponding caregiver interview capturing DSM-5 sensory reactivity symptoms in children with ASD
A clinician-administered observation and corresponding caregiver interview capturing DSM-5 sensory reactivity symptoms in children with ASD
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DOI：
10.1002/aur.1750
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发表时间：
2017-06-01
期刊：
影响因子：
4.7
通讯作者：
Tavassoli, Teresa
中科院分区：
文献类型：
--
作者：
Siper, Paige M.;Kolevzon, Alexander;Tavassoli, Teresa
背景资料：感觉反应性是《精神障碍诊断与统计手册》第五版（DSM-5）中自闭症谱系障碍（ASD）的一个新标准。然而，关于如何可靠地测量感觉反应，特别是在最低限度的语言个体中，还没有达成共识。目前的研究是对神经发育障碍感觉评估（SAND）的初步验证，SAND是一种新的临床医生管理的观察和相应的护理人员访谈，基于DSM-5 ASD标准捕获感觉症状。方法：80名2 - 12岁的儿童参加了这项研究，其中44名ASD儿童和36名典型发育（TD）儿童。使用SAND和已经验证的短感觉特征（SSP）测量感觉反应性症状。SAND的初始心理测量学特性进行了检查，包括信度，效度，敏感性和特异性。结果如下：与TD儿童相比，ASD儿童在感觉领域（视觉、触觉和听觉）和感觉亚型（高反应性、低反应性和寻找）中表现出明显更多的感觉反应症状。SAND具有较强的内部一致性、评分者间信度和重测信度，敏感度（95.5%）和特异度（91.7%）较高，与SSP具有较强的收敛效度。意义：SAND提供了一种基于DSM-5 ASD标准表征感觉反应性症状的新方法。这是第一个已知的感觉评估，结合了临床医生管理的观察和护理人员的采访，以最佳地捕捉神经发育障碍个体的感觉表型特征。SAND为研究和临床目的提供了一种有益的新工具，并有可能有意义地增强ASD的金标准评估。Autism Res2017，10：1133-1140. (c)2017年国际自闭症研究学会，Wiley Periodicals，Inc。
Background: Sensory reactivity is a new criterion for autism spectrum disorder (ASD) in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). However, there is no consensus on how to reliably measure sensory reactivity, particularly in minimally verbal individuals. The current study is an initial validation of the Sensory Assessment for Neurodevelopmental Disorders (SAND), a novel clinician-administered observation and corresponding caregiver interview that captures sensory symptoms based on DSM-5 criteria for ASD. Methods: Eighty children between the ages of 2 and 12 participated in this study; 44 children with ASD and 36 typically developing (TD) children. Sensory reactivity symptoms were measured using the SAND and the already validated Short Sensory Profile (SSP). Initial psychometric properties of the SAND were examined including reliability, validity, sensitivity and specificity. Results: Children with ASD showed significantly more sensory reactivity symptoms compared to TD children across sensory domains (visual, tactile, and auditory) and within sensory subtypes (hyperreactivity, hyporeactivity and seeking). The SAND showed strong internal consistency, inter-rater reliability and test-retest reliability, high sensitivity (95.5%) and specificity (91.7%), and strong convergent validity with the SSP. Significance: The SAND provides a novel method to characterize sensory reactivity symptoms based on DSM-5 criteria for ASD. This is the first known sensory assessment that combines a clinician-administered observation and caregiver interview to optimally capture sensory phenotypes characteristic of individuals with neurodevelopmental disorders. The SAND offers a beneficial new tool for both research and clinical purposes and has the potential to meaningfully enhance gold-standard assessment of ASD. Autism Res2017, 10: 1133-1140. (c) 2017 International Society for Autism Research, Wiley Periodicals, Inc.