Reliability and Validity of Autism Diagnostic Interview-Revised, Japanese Version
Reliability and Validity of Autism Diagnostic Interview-Revised, Japanese Version
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DOI：
10.1007/s10803-012-1606-9
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发表时间：
2013-03-01
影响因子：
3.9
通讯作者：
Takei, Nori
中科院分区：
文献类型：
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作者：
Tsuchiya, Kenji J.;Matsumoto, Kaori;Takei, Nori
为了检验孤独症诊断访谈-修订版（ADI-R-JV）的评分者间信度，作者招募了51名3-19岁的个体，由两名独立的评分者进行访谈。随后，为了评估ADI-R-JV的区分和诊断效度，作者调查了317名2-19岁的个体，根据共识临床诊断将其分为以下三个诊断组：自闭症（AD），未另行指定的广泛性发育障碍，其他精神病诊断或未诊断。至于评分者间的可靠性，组内相关系数大于0.80，获得了所有三个领域的ADI-R-JV。至于判别效度，这三个领域的平均得分显着高于个人与AD比其他诊断组。至于诊断有效性，正确诊断AD的敏感性和特异性分别为0.92和0.89，但5岁以下个体的敏感性为0.55。无论年龄和智力如何，特异性始终很高。ADI-R-JV被证明是一个可靠的工具，并具有足够的判别效度和令人满意的诊断有效性，正确诊断AD，虽然诊断有效性似乎是相对于年轻人的诊断妥协。
To examine the inter-rater reliability of Autism Diagnostic Interview-Revised, Japanese Version (ADI-R-JV), the authors recruited 51 individuals aged 3-19 years, interviewed by two independent raters. Subsequently, to assess the discriminant and diagnostic validity of ADI-R-JV, the authors investigated 317 individuals aged 2-19 years, who were divided into three diagnostic groups as follows: autistic disorder (AD), pervasive developmental disorder not otherwise specified, and other psychiatric diagnosis or no diagnosis, according to the consensus clinical diagnosis. As regards inter-rater reliability, intraclass correlation coefficients of greater than 0.80 were obtained for all three domains of ADI-R-JV. As regards discriminant validity, the mean scores of the three domains was significantly higher in individuals with AD than in those of other diagnostic groups. As regards diagnostic validity, sensitivity and specificity for correctly diagnosing AD were 0.92 and 0.89, respectively, but sensitivity was 0.55 for individuals younger than 5 years. Specificity was consistently high regardless of age and intelligence. ADI-R-JV was shown to be a reliable tool, and has sufficient discriminant validity and satisfactory diagnostic validity for correctly diagnosing AD, although the diagnostic validity appeared to be compromised with respect to the diagnosis of younger individuals.