Screening for co-occurring conditions in adults with autism spectrum disorder using the strengths and difficulties questionnaire: A pilot study
Screening for co-occurring conditions in adults with autism spectrum disorder using the strengths and difficulties questionnaire: A pilot study
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DOI：
10.1002/aur.1625
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发表时间：
2016-12-01
期刊：
影响因子：
4.7
通讯作者：
McEwen, Fiona S.
中科院分区：
文献类型：
--
作者：
Findon, James;Cadman, Tim;McEwen, Fiona S.
患有自闭症谱系障碍 (ASD) 的青少年和成人同时出现心理健康问题的风险较高。这些疾病通常未被诊断出来，可能会造成严重损害，并给家庭和护理人员带来非常沉重的负担。检测同时发生的疾病非常重要。然而，目前还没有经过验证的筛选工具可用于此目的。这项试点研究的目的是测试优势和困难问卷 (SDQ) 在筛查患有自闭症谱系障碍 (ASD) 的青少年和成人中同时发生的情绪障碍和多动症的效用。 SDQ 由 126 名家长和 98 名 ASD 患者完成（在 79 例案例中，家长和自我报告均来自同一家庭）。检查了评估者间的信度、重测稳定性、内部一致性和结构效度。还将 SDQ 子量表与临床使用的情绪障碍和多动症测量指标进行比较，以确定预测疾病风险的能力。 SDQ 分量表的评分者间信度 (r=0.42)、重测稳定性 (r=0.64)、内部一致性 (=0.52-0.81) 和结构效度 (r=0.42-0.57) 与一般人群样本相当。家长和自我报告的 SDQ 分量表与焦虑、抑郁和多动的测量显着相关（正确分类的 62-74%）。家长报告的表现明显优于自我报告；患有自闭症谱系障碍 (ASD) 的成年人的困难并未得到充分报告。 SDQ 有望作为一种简单有效的方法来筛查自闭症谱系障碍青少年和成人的情绪障碍和多动症，有助于减少这些疾病对个人及其家庭的影响。然而，有必要进一步进行更系统的验证尝试。自闭症研究2016，9：1353-1363。 (c) 2016 年国际自闭症研究学会，Wiley periodicals, Inc.
Adolescents and adults with autism spectrum disorder (ASD) are at elevated risk of co-occurring mental health problems. These are often undiagnosed, can cause significant impairment, and place a very high burden on family and carers. Detecting co-occurring disorders is extremely important. However, there is no validated screening tool for this purpose. The aim of this pilot study is to test the utility of the strengths and difficulties questionnaire (SDQ) to screen for co-occurring emotional disorders and hyperactivity in adolescents and adults with ASD. The SDQ was completed by 126 parents and 98 individuals with ASD (in 79 cases both parent and self-report were available from the same families). Inter-rater reliability, test-retest stability, internal consistency, and construct validity were examined. SDQ subscales were also compared to clinically utilized measures of emotional disorders and hyperactivity to establish the ability to predict risk of disorder. Inter-rater reliability (r=0.42), test-retest stability (r=0.64), internal consistency (=0.52-0.81) and construct validity (r=0.42-0.57) for the SDQ subscales were comparable to general population samples. Parent- and self-report SDQ subscales were significantly associated with measures of anxiety, depression and hyperactivity (62-74% correctly classified). Parent-report performed significantly better than self-report; adults with ASD under-reported difficulties. The SDQ shows promise as a simple and efficient way to screen for emotional disorders and hyperactivity in adolescents and adults with ASD that could help reduce the impact of these disorders on individuals and their families. However, further more systematic attempts at validation are warranted. Autism Res2016, 9: 1353-1363. (c) 2016 International Society for Autism Research, Wiley Periodicals, Inc.