The Toddler Autism Symptom Inventory: Use in diagnostic evaluations of toddlers.

The Toddler Autism Symptom Inventory: Use in diagnostic evaluations of toddlers.
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幼儿自闭症症状量表:用于幼儿的诊断评估。

DOI:
10.1177/13623613211021699
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发表时间:
2021-11
期刊:
Autism : the international journal of research and practice
影响因子:
--
通讯作者:
Fein DA
Fein DA
中科院分区:
其他
文献类型:
--
作者:
Coulter KL;Barton ML;Boorstein H;Cordeaux C;Dumont-Mathieu T;Haisley L;Herlihy L;Jashar DT;Robins DL;Stone WL;Fein DA

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虽然自闭症的症状在生命早期就存在,早期诊断可以带来更好的结果,但缺乏为三岁以下儿童设计的有效的自我报告访谈。我们开发了幼儿自闭症症状量表(TASI),这是一种半结构化的访谈,旨在评估12-36个月大的儿童是否存在技能和症状。建立了项目的信度和效度以及自闭症谱系障碍(ASD)可能性的截止分数。该临界值的特异性和灵敏度用交叉验证样品进行了确认。TASI有效地识别了大多数自闭症儿童,没有过多的假阳性。TASI是一种适合发展的照顾者访谈,用于三岁以下儿童的诊断评估,为非常年幼的儿童提供明确的可操作的诊断标准和自闭症可能性的截止值。确定幼儿是否患有自闭症谱系障碍(ASD)需要直接观察儿童和照顾者报告儿童的日常行为。很少有专门为三岁以下儿童设计的父母访谈。幼儿自闭症症状量表(TASI)是一项新的访谈,询问12至36个月儿童的照顾者有关可能的ASD症状。TASI使用一个截止分数来表示ASD的可能性;这个截止分数似乎可以准确地识别大多数被诊断患有ASD的儿童,而不会识别太多没有ASD的儿童。TASI访谈可以帮助临床医生确定幼儿是否表现出ASD的症状。
Although symptoms of autism are present early in life and early diagnosis can lead to better outcomes, there is a dearth of validated caregiver-report interviews designed for children under the age of three. We developed the Toddler Autism Symptom Inventory (TASI), a semi-structured interview designed to assess the presence and absence of skills and symptoms in children aged 12-36 months. Reliability and validity of items and a cutoff score for likelihood of autism spectrum disorder (ASD) were established. Specificity and sensitivity of this cutoff were confirmed with a cross-validation sample. The TASI effectively identified most children with autism without excessive false positives. The TASI is a developmentally appropriate caregiver interview for use in diagnostic evaluations of children under age three that offers clearly operationalized diagnostic criteria and a cutoff for autism likelihood for very young children. Determining whether a young child has an autism spectrum disorder (ASD) requires direct observation of the child and caregiver report of the child’s everyday behaviors. There are few interviews for parents that are specifically designed for children under three years of age. The Toddler Autism Symptom Inventory (TASI) is a new interview that asks caregivers of children age 12 to 36 months about symptoms of possible ASD. The TASI uses a cutoff score to indicate likelihood for ASD; this cutoff score appears to accurately identify most children who are diagnosed with ASD without identifying too many who do not have ASD. The TASI interview can help clinicians to determine whether a young child shows symptoms suggestive of an ASD.
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