自闭症症状的简要观察:在拉丁美洲样本中进行验证研究
Nora Granana1, Francisco Astorino2, Alba Richaudeau3
1Hospital General de Agudos Carlos G. Durand, Argentina.
Autism : the international journal of research and practice
|December 3, 2024
概括
自闭症症状简要观察仪器是拉丁美洲诊断自闭症谱系障碍的验证工具,即使是通过远程医疗. 这项研究证实了它在阿根廷和智利的社会影响和重复行为方面的有效性.
科学领域:
- 发展心理学 发展心理学
- 临床心理学 临床心理学
- 心理测量 心理测量 心理测量
背景情况:
- 自闭症谱系障碍 (ASD) 诊断依赖于临床专业知识和行为观察,但在低收入国家,获得工具的机会有限.
- 随着COVID-19大流行,对诊断方案的使用进一步受到限制,需要创新的评估方法.
- 自闭症症状简要观察 (BOSA) 工具是为远程医疗评估开发的,以克服与流行病有关的障碍.
研究的目的:
- 在阿根廷和智利验证自闭症症状简要观察 (BOSA) 仪器用于诊断自闭症谱系障碍 (ASD).
- 根据已确定的诊断标准,评估BOSA模块的心理测量特性,包括灵敏度和特异性.
- 评估该工具在拉丁美洲背景下对基于远程医疗的ASD评估的实用性.
主要方法:
- 在阿根廷和智利,313名来自不同年龄组的个人参与了这项研究.
- 分析了每个BOSA模块的心理测量特性,包括使用加利福尼亚大学洛杉矶分校 (UCLA) 切断的灵敏度和特异性.
- 采用接收器操作特征 (ROC) 曲线分析和确认因子分析 (CFA) 来评估诊断准确性和结构有效性.
主要成果:
- 对于每一个BOSA模块,ROC分析表明了可信的灵敏度和特异性得分.
- 确认因素分析支持了两因素模型,区分社会影响和受限制的,重复性行为,表明有利的合适性.
- 初步发现证实了BOSA仪器在研究的拉丁美洲人口中的有效性和可靠性.
结论:
- 自闭症症状简要观察 (BOSA) 是拉丁美洲自闭症谱系障碍 (ASD) 的有效和有效的诊断工具.
- 该仪器的远程医疗适用性使其成为一种有价值的资源,特别是在资源有限的环境中.
- 博萨显示未来使用的承诺超越了大流行,以提高ASD诊断的可访问性和效率.
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