Brief Report: The Autism Mental Status Examination: Development of a Brief Autism-Focused Exam

Brief Report: The Autism Mental Status Examination: Development of a Brief Autism-Focused Exam
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DOI:
10.1007/s10803-011-1255-4
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发表时间:
2012-03-01
影响因子:
3.9
通讯作者:
Buxbaum, Joseph D.
Buxbaum, Joseph D.
中科院分区:
心理学3区
文献类型:
--
作者:
Grodberg, David;Weinger, Paige M.;Buxbaum, Joseph D.

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这里描述的自闭症精神状态检查(AMSE)是一个八项观察性评估,提示观察和记录自闭症谱系障碍(ASD)的体征和症状。AMSE旨在在临床检查的背景下无缝进行,并产生总分。受试者独立地接受AMSE和自闭症诊断观察表(ADOS)。ADOS用于估计AMSE的最有效标准临界值。5分或更高的分数在高风险样本中产生了极好的灵敏度和良好的特异性。内部一致性是可以接受的,评分者间的可靠性是良好到优秀。初步研究结果表明,良好的分类准确性,并建议AMSE提供了一个快速和可靠的观察评估,在高风险人群。
The Autism Mental Status Examination (AMSE) described here is an eight-item observational assessment that prompts the observation and recording of signs and symptoms of autism spectrum disorders (ASD). The AMSE is intended to take place seamlessly in the context of a clinical exam and produces a total score. Subjects were independently administered the AMSE and the Autism Diagnostic Observation Schedule (ADOS). The ADOS was used to estimate the most effective criterion cut-off on the AMSE. A score of five or greater produced excellent sensitivity and good specificity in a high-risk sample. Internal consistency was acceptable and inter-rater reliability was good to excellent. Preliminary findings indicate excellent classification accuracy and suggest that the AMSE provides a rapid and reliable observational assessment in a high-risk population.