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自我报告的抑郁和焦虑在自闭症青年中的稳定性和有效性
Soo Youn Kim1,2, Luc Lecavalier3,4
1Department of Psychology, The Ohio State University, Columbus, OH, USA.
Journal of autism and developmental disorders
|July 13, 2024
概括
随着时间的推移,自闭症青少年可靠地报告了焦虑和抑郁症状. 像RCADS和CDI 2:SR[S]这样的自我报告工具显示出良好的可靠性,但诊断有效性各不相同,需要调整切断分数以进行准确的查.
科学领域:
- 儿童和青少年精神病学
- 神经发育障碍 神经发育障碍
- 心理评估 心理评估
背景情况:
- 自闭症谱系障碍 (ASD) 通常与焦虑和抑郁症并发.
- 对自闭症青少年这些并发症的准确评估对于有效的干预至关重要.
- 自我报告措施是有价值的,但需要在这个人群中进行验证.
研究的目的:
- 为了评估自报告抑郁和焦虑仪器在自闭症青少年的测试-重新测试可靠性.
- 通过临床面试来评估这些仪器的诊断有效性.
- 探索参与者特征如何影响评估可靠性和有效性.
主要方法:
- 评估了55名患有自闭症的青少年 (8-17岁) 患有抑郁/焦虑症状.
- 使用的工具:儿童抑郁症库存,第二版 - 自我报告简要 (CDI 2:SR[S]) 和修订的儿童焦虑和抑郁量表 (RCADS).
- 使用ICCs和ROC曲线,与Kiddie对学龄儿童情绪障碍和精神分裂症 (K-SADS-PL) 的时间表进行比较.
主要成果:
- 对于大多数尺度,除了RCADS OCD和GAD.之外,发现了良好的测试-重试可靠性 (ICC 0.74-0.87).
- RCADS社会焦虑障碍 (SOC) 和CDI 2:SR[S) 显示出良好的查潜力,但需要较低,优化的切断分数以获得特异性.
- 适应性行为得分调节了CDI 2:SR[S]可靠性.
结论:
- 自闭症青少年可以提供关于焦虑和抑郁症状的稳定自我报告.
- 自报告措施的诊断有效性是结构和仪器依赖的.
- 使用这些工具,优化截止分数是必要的,以准确选自闭症青少年的焦虑和抑郁症.
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