Diagnostic conceptualization of autism among Indian psychiatrists, psychologists, and pediatricians

Diagnostic conceptualization of autism among Indian psychiatrists, psychologists, and pediatricians
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DOI:
10.1023/a:1017947922349
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发表时间:
2002-02-01
影响因子:
3.9
通讯作者:
Sigman, MD
Sigman, MD
中科院分区:
心理学3区
文献类型:
--
作者:
Daley, TC;Sigman, MD

文献摘要

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对937名印度精神病学家、心理学家和儿科医生使用的自闭症诊断标准和背景特征进行了检查。参与者被要求对18种行为进行评级,这些行为对诊断自闭症是必要的,对自闭症的诊断有帮助但不是必要的,或者对自闭症的诊断没有帮助,并被要求提供关于他们自闭症经历的其他信息。专业人员在诊断病例方面的经验并不因专业而异,总的来说,这三个专业就诊断最必要的特征达成了一致。然而,在个体特征的有用性和将病例诊断为自闭症的经验的量的一致性上,组内发现了差异。与DSM-III和DSM-IV标准的比较表明,印度专业人员可能会遵守这些系统。对文化背景下诊断的结论和未来研究的领域提出了建议。
Diagnostic criteria for autism and background characteristics used by 937 Indian psychiatrists, psychologists and pediatricians were examined. Participants were asked to rate 18 behaviors as necessary for a diagnosis of autism, helpful but not necessary, or not helpful in a diagnosis of autism, and were asked to provide other information about their experiences with autism. Professionals' experience with diagnosing cases did not vary by profession and, in general, the three professions agreed about the characteristics most necessary for a diagnosis. However, within-group differences were found on the agreement over the usefulness of individual characteristics and amount of experience diagnosing cases as autistic. Comparisons with DSM-III and DSM-IV criteria suggest that Indian professionals may adhere to these systems. Conclusions about diagnosis in a cultural context and areas for future research are suggested.