The autism diagnostic observation schedule: Revised algorithms for improved diagnostic validity
The autism diagnostic observation schedule: Revised algorithms for improved diagnostic validity
复制标题
自闭症诊断观察表： 提高诊断有效性的修订算法
DOI：
10.1007/s10803-006-0280-1
复制
发表时间：
2007-04-01
影响因子：
3.9
通讯作者：
Lord, Catherine
中科院分区：
文献类型：
--
作者：
Gotham, Katherine;Risi, Susan;Lord, Catherine
对14个月至16岁患有自闭症谱系障碍（ASD）或非谱系异质性障碍的儿童的1630次评估，审查了自闭症诊断观察量表（ADOS）模块1 - 3的项目和领域总分分布。根据语言水平和年龄对儿童进行分组，以产生更具同质性的类别。选择了最能区分不同诊断的项目，并基于多因素项目反应分析将其归入不同领域。根据近期研究，修订后的算法现在包含两个新领域，即社会情感和重复刻板行为（RRB），合并为一个分数并应用阈值，从而普遍提高了预测价值。
Autism Diagnostic Observation Schedule (ADOS) Modules 1-3 item and domain total distributions were reviewed for 1,630 assessments of children aged 14 months to 16 years with an autism spectrum disorder (ASD) or with heterogeneous non-spectrum disorders. Children were divided by language level and age to yield more homogeneous cells. Items were chosen that best differentiated between diagnoses and were arranged into domains on the basis of multi-factor item-response analysis. Reflecting recent research, the revised algorithm now consists of two new domains, Social Affect and Restricted, Repetitive Behaviors (RRB), combined to one score to which thresholds are applied, resulting in generally improved predictive value.