性别差异:ADOS-II的确认因素分析
Ingrid S Tien1, Junok Kim2, Amanda R Johnson2
1University of California, Los Angeles Department of Education, 300 Charles E. Young Blvd, Room 208A, Los Angeles, CA, 90095, USA. istien@g.ucla.edu.
Journal of autism and developmental disorders
|April 23, 2024
概括
自闭症诊断标准可能需要根据性别进行特定调整. 自闭症诊断观察表,第二版 (ADOS-II) 模块3显示性别之间的不同项目的反应,表明男性和女性有不同的潜在因素结构.
科学领域:
- 神经发育障碍 神经发育障碍
- 心理测量 心理测量 心理测量
- 儿童心理学 儿童心理学
背景情况:
- 自闭症谱系障碍 (ASD) 的表现可能因性别而异.
- 以前的研究表明,女性在自闭症诊断观察表第二版 (ADOS-II) 上的得分可能更低.
- 在ADOS-II的潜在结构中缺乏对性别差异的系统检查.
研究的目的:
- 为了研究ADOS-II模块3的潜在因子结构中的性别差异.
- 为了确定自闭症的诊断标准是否需要性别差异化.
- 在被诊断患有自闭症的大量年轻人中分析按性别的项目响应趋势.
主要方法:
- 对4100名被诊断患有自闭症的青少年进行了二次数据分析 (813名女性,3287名男性;平均年龄=9.9).
- 在ADOS-II模块3数据上使用了多组确认因素分析.
- 检查的项目响应趋势和性别因素负载.
主要成果:
- 在四个ADOS-II项目的因子负载中发现了显著的性别差异.
- 一个社会沟通和困难 (SCD) 项目和一个限制性,重复性行为 (RRB) 项目显示女性与潜伏因子的关联更强.
- 两个RRB项目在男性中显示出更大的因子负载.
结论:
- 对ADOS-II模块3跨性别的统一隐性因子结构的假设可能不有效.
- 研究结果表明,这对自闭症的性别差异诊断标准有潜在的影响.
- 需要进一步的研究来探索性别特定的ADOS-II解释的临床实用性.
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