Can Autism Spectrum Disorders and Social Anxiety Disorders be Differentiated by the Social Responsiveness Scale in Children and Adolescents?
Can Autism Spectrum Disorders and Social Anxiety Disorders be Differentiated by the Social Responsiveness Scale in Children and Adolescents?
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DOI：
10.1007/s10803-013-1979-4
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发表时间：
2014-05-01
影响因子：
3.9
通讯作者：
Freitag, Christine M.
中科院分区：
文献类型：
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作者：
Cholemkery, Hannah;Mojica, Laura;Freitag, Christine M.
自闭症谱系障碍(ASD)以及社交恐惧症(SP)和选择性沉默(SM)的特征是社交互动受损。我们评估了社会反应性量表(SRS)区分ASD和SP/SM的有效性。比较6-18岁ASD(N=60)、SP(N=38)、SM(N=43)和典型发育者(N=42)的原始分数。检测灵敏度和特异度。这三种疾病表现出重叠的SRS评分。特别是在患有SM(ROC-AUC=.81)的男孩中，SRS高估了ASD的存在。三份专门针对障碍的问卷相结合，导致诊断准确率略有提高。对于临床上非常相关的SP/SM的鉴别诊断，SRS的结果必须谨慎解释。
Autism spectrum disorder (ASD) as well as social phobia (SP), and selective mutism (SM) are characterised by impaired social interaction. We assessed the validity of the Social Responsiveness Scale (SRS) to differentiate between ASD, and SP/SM. Raw scores were compared in 6-18 year old individuals with ASD (N = 60), SP (N = 38), SM (N = 43), and typically developed (N = 42). Sensitivity and specificity were examined. The three disorders showed overlapping SRS scores. Especially in boys with SM (ROC-AUC = .81), presence of ASD was overestimated by the SRS. A combination of three disorder specific questionnaires resulted in marginally improved diagnostic accuracy. For the clinically very relevant differential diagnosis of SP/SM, SRS results must be interpreted with caution.