Reliability and validity of the Japanese version of the Modified Checklist for autism in toddlers (M-CHAT)
Reliability and validity of the Japanese version of the Modified Checklist for autism in toddlers (M-CHAT)
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DOI：
10.1016/j.rasd.2010.04.016
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发表时间：
2011-01-01
影响因子：
2.5
通讯作者：
Kamio, Yoko
中科院分区：
文献类型：
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作者：
Inada, Naoko;Koyama, Tomonori;Kamio, Yoko
对于患有自闭症谱系障碍(ASD)的儿童，早期发现和干预是必不可少的。因此，我们检验了日本版幼儿自闭症检查表(M-ChAT)的信度和效度，M-ChAT是一份由18-24个月大儿童的父母填写的关于早期自闭症症状的23个项目的是非问卷。本研究以4-20个月大的儿童为研究对象，对M-Chat的可靠性进行了研究。在24对父母中，M-Chat分数(失败条目的数量)被发现显著相关(Pearson‘s r=.933)，代表了良好的评分者间可靠性。重测信度令人满意，22位母亲在两个不同的场合提供了几乎相同的M-chat分数(r=.990)。在25名2岁儿童中，M-Chat得分与儿童孤独症评定量表-东京版得分显著相关(r=.581)，显示出良好的同时效度。在后来诊断为ASD的20名儿童中，M-Chat得分显著高于对照儿童(n=1167)，显示出足够的判别效度。使用9个条目编制了M-Chat的简短版本，有效地区分了ASD儿童和对照儿童。日语版的M-Chat在普通人群的一级筛查中得到了验证。(C)2011爱思唯尔有限公司。保留所有权利。
Early detection and intervention is essential for children with autism spectrum disorders (ASD). Therefore, we examined the reliability and validity of the Japanese version of the Modified Checklist for autism in toddlers (M-CHAT), a 23-item, yes-no questionnaire regarding early autistic symptoms completed by parents of children at 18-24 months of age. Herein, the reliability of the M-CHAT was investigated for children 4-20 months of age. The M-CHAT score (the number of failed items) was found to be significantly correlated among 24 mother-father pairs (Pearson's r = .933), representing good inter-rater reliability. The test-retest reliability was satisfactory, with 22 mothers providing almost equal M-CHAT scores on two different occasions (r = .990). Significant correlations were observed between the M-CHAT score and the Childhood Autism Rating Scale-Tokyo version score in 25 two-year-old children (r = .581), indicating good concurrent validity. The M-CHAT score was significantly higher in 20 children later diagnosed with ASD compared with reference children (n = 1167), revealing sufficient discriminant validity. A short version of the M-CHAT using 9 items was proposed and effectively differentiated children with ASD from reference children. The efficacy of the Japanese version of the M-CHAT was demonstrated for first-level screening in the general population. (C) 2011 Elsevier Ltd. All rights reserved.