幼儿园和学龄之间的可复制性社会响应度表格在环境影响儿童健康结果计划中的表格
Marisa A Patti1, Lisa A Croen2, Aisha S Dickerson3
1AJ Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, USA.
概括
社会响应度表 (SRS) 的得分显示,学龄前和学龄阶段的形式之间存在很好的一致性,特别是在非临床自闭症特征方面. 然而,幼儿时期的变化可能会影响临床诊断的可靠性.
科学领域:
- 儿童心理学 儿童心理学
- 发育神经科学的发展神经科学.
- 临床评估 临床评估
背景情况:
- 自闭症特征的发展在幼儿时期有所不同,尽管核心特征在老年儿童中稳定下来.
- 社会响应度量 (SRS) 评估自闭症相关特征,使用特定年龄的学前和学龄表格.
- 之前的研究证实了SRS形式内的得分一致性,但跨形式可靠性仍未评估.
研究的目的:
- 评估社会响应度表 (SRS) 在学龄前和学龄阶段的表格中的可重复性和一致性.
- 为了确定两个SRS形式之间的临床切线以上的得分不一致的预测因素.
主要方法:
- 利用了来自环境影响儿童健康结果 (ECHO) 计划 (n=853) 的数据.
- 收集了母亲关于学前 (平均年龄为3.0岁) 和学龄 (平均年龄为5.8岁) 形式的SRS分数的报告.
- 比较SRS总分数 (T分数) 和临床切线上的一致性 (T分数≥60),分析不一致性预测因子.
主要成果:
- 各种形式的SRS得分基本上相似 (平均差异:3.3分;SD: 7),学前成绩平均较低.
- 观察到高的整体一致性 (92%),大多数儿童 (88%) 在两种形式的临床截止值以下得分.
- 自闭症儿童的兄弟姐妹 (16%) 和自闭症诊断的儿童 (27%对4%一致) 的不一致性更高.
结论:
- 社会响应度量 (SRS) 评分显示,在学龄前和学龄版本中具有广泛的可重现性,特别是在非临床自闭症特征方面.
- 在临床范围内的个体中,学龄前自闭症特征的变化可能会降低可靠性,当与以后的学龄成绩进行比较时.
- 这些发现支持跨年龄组的SRS使用,但突出了由于发育变化而导致幼儿期精确临床分类的潜在局限性.
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