验证儿童行为检查清单1.5-5作为自闭症谱系障碍查工具
Norton Kitanishi1, Daniela Bordini1, Marcos V V Ribeiro1
1Universidade Federal de São Paulo, Brazil.
Autism : the international journal of research and practice
|October 29, 2024
概括
儿童行为检查清单 1.5-5 自闭症谱系问题和撤回尺度有效地选巴西儿童的自闭症谱系障碍. 这种具有成本效益的工具在低资源环境中对早期识别具有良好的可靠性和有效性.
科学领域:
- 儿童心理学 儿童心理学
- 发育儿科 发育儿科
- 心理测量验证 心理测量验证
背景情况:
- 早期发现自闭症谱系障碍 (ASD) 非常重要,特别是在资源稀缺的低收入和中等收入国家 (LMICs).
- 儿童行为检查清单 (CBCL) 1.5-5,利用自闭症谱系问题 (ASP) 和戒断综合征 (WS) 分量表,为ASD查提供了潜力.
- 然而,它在LMIC环境中的构造有效性需要彻底调查.
研究的目的:
- 为了验证CBCL 1.5-5作为代表性巴西样本中的ASD查工具.
- 评估ASP和WS子尺度用于ASD识别的可靠性和构造有效性.
主要方法:
- 确认因素分析 (CFA) 用于评估模型合适性和项目子规模相关性.
- 使用接收器操作特征 (ROC) 曲线来确定最佳切断分数.
- 这项研究包括1292名典型发育的巴西儿童 (3-5岁) 和70名被诊断为ASD的儿童 (1-5岁).
主要成果:
- 该ASP模型显示了良好的匹配 (CFI=0.96,RMSEA=0.037) 和可靠性 (ω=0.869).
- 此外,WS模型也表现出良好的匹配 (CFI=0.974,RMSEA=0.034) 和可靠性 (ω=0.776).
- 对ASP (82.5%的敏感度,83.4%的特异性) 确定了6个最佳切断点,对WS (87.9%的敏感度,82.2%的特异性) 确定了4个最佳切断点.
结论:
- CBCL 1.5-5 ASP和WS尺度是巴西儿童可靠和有效的1级自闭症查仪.
- 这些发现支持使用CBCL 1.5-5用于在LMIC中具有成本效益的早期ASD识别.
- 建议在不同人群中进行进一步验证,以确认其广泛适用性.
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