Clinical utility of autism spectrum disorder scoring algorithms for the child symptom inventory-4
Clinical utility of autism spectrum disorder scoring algorithms for the child symptom inventory-4
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DOI：
10.1007/s10803-007-0408-y
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发表时间：
2008-03-01
影响因子：
3.9
通讯作者：
Cuva, Simone
中科院分区：
文献类型：
--
作者：
Gadow, Kenneth D.;Schwartz, Joseph;Cuva, Simone
很少有研究检验自闭症谱系障碍(ASD)评定量表在筛选转诊到儿童精神科诊所的临床效用。来自纽约长岛的家长/教师完成了儿童症状清单-4，这是一个DSM-IV参考评定表，适用于6至12岁的临床转诊，诊断为自闭症(N=317)或非自闭症精神病(N=191)。在同一地理区域上公立学校和正规教育课程的两组不同的儿童也被他们的父母(N=446)和老师(N=464)评分。逐步前向回归基于所有CSI-4条目的子集生成了一个评分算法，该子集最好地区分了ASD和非ASD儿童。ROC分析表明，家长和教师评级建议的ASD分界值具有很高的敏感性/特异性。
Few studies examine the clinical utility of autism spectrum disorder (ASD) rating scales for screening referrals to child psychiatry clinics. Parents/teachers from Long Island, NY, completed the Child Symptom Inventory-4, a DSM-IV-referenced rating scale for 6- to 12-year-old clinical referrals with an ASD (N = 317) or nonASD psychiatric (N = 191) diagnosis. Two separate groups of children attending public school, regular education classes in the same geographic area were also rated by their parents (N = 446) and teachers (N = 464). Stepwise forward regression generated a scoring algorithm based on a subset of all CSI-4 items that best differentiated ASD from nonASD children. ROC analyses indicated high levels of sensitivity/specificity for recommended ASD cutoff scores for parent and teacher ratings.