Agreement among four diagnostic instruments for autism spectrum disorders in toddlers
Agreement among four diagnostic instruments for autism spectrum disorders in toddlers
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DOI：
10.1007/s10803-006-0128-8
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发表时间：
2006-10-01
影响因子：
3.9
通讯作者：
Fein, Deborah
中科院分区：
文献类型：
--
作者：
Ventola, Pamela E.;Kleinman, Jamie;Fein, Deborah
幼儿的自闭症谱系障碍 (ASD) 可能很难诊断。本研究比较了应用于幼儿的诊断措施（ADOS-G、ADI-R、CARS 和使用 DSM-IV 标准的临床判断）。结果表明，ADOS-G、CARS 和临床判断相互一致，但与 ADI-R 不一致。许多按照其他标准分类为自闭症谱系障碍的儿童并未被 ADI-R 分类为自闭症，因为他们没有表现出足够的重复行为和刻板兴趣。这些结果表明，患有 ASD 的幼儿可能不会表现出重复行为和刻板兴趣，而对于幼儿来说，如果将 ADI-R 修改为包括 PDD-NOS 的诊断，则 ADI-R 将具有更高的敏感性，而 PDD-NOS 对重复行为的要求不那么严格。
Autistic spectrum disorders (ASD) can be difficult to diagnose in toddlers. This study compared diagnostic measures (ADOS-G, ADI-R, CARS, and clinical judgment using DSM-IV criteria) applied to toddlers. Results indicated that the ADOS-G, CARS, and clinical judgment agreed with each other but not with the ADI-R. Many of the children classified with ASD by the other measures were not classified with autism by the ADI-R because they did not display enough repetitive behaviors and stereotyped interests. These results indicate that young children with ASD may not display repetitive behaviors and stereotyped interests, and for toddlers, the ADI-R would have a higher sensitivity if revised to include a diagnosis of PDD-NOS, for which the requirement of repetitive behaviors is less stringent.