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确定三个自闭症查方法在高概率的兄弟姐妹群体中最好的歧视项目

Nurhafizah Mohd Zambri¹, Hwan Cui Koh¹, Lourdes Mary Daniel^1,2,3,4

¹Department of Child Development, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore, 229899, Singapore.

Journal of autism and developmental disorders

|July 27, 2025

概括

最好的自闭症查工具项目因年龄和文化而异. 一种替代的评分方法,

科学领域:

发育儿科发育儿科
自闭症谱系障碍研究研究
查工具心理测量心理测量

背景情况:

护理人员完成的自闭症查工具在区分自闭症方面显示了可变的准确性.
准确性取决于年龄,人口和文化背景.
优化现有工具对于早期发现自闭症至关重要.

研究的目的:

确定三个自闭症查工具中最有效的项目:幼儿自闭症修改检查清单,修订后跟踪 (M-CHAT-R/F),社会注意力和沟通监测,修订 (SACS-R) 和ASDetect.
评估替代评分方法,以提高选工具在多元文化,高概率的人群中的实用性.
分析不同年龄段 (12,18,30个月) 的查工具性能.

主要方法:

分析了141名高风险兄弟姐妹 (12-48个月) 的项目响应数据.
选工具包括M-CHAT-R/F,SACS-R和ASDetect. 这些都是最常用的.
使用最具歧视性的M-CHAT-R/F项目开发了一种替代的评分方法"Sing-CHAT".

主要成果:

确定了M-CHAT-R/F的关键项目:"遵循一个点"",假装游戏"",原始强制指针"",原始声明指针"",显示物体"",响应名称"",遵循目光"",理解指示".
"Sing-CHAT"方法的性能优于使用单个缺陷项作为切线的完整M-CHAT-R/F.
在18个月和30个月时,SACS-R和ASDetect项目显示出明显的歧视;使用所有项目和较低的切断值改善了心理测量特性.

结论:

自闭症查工具中最有效的项目是年龄,人口和文化依赖.
其他评分方法,如"Sing-CHAT",显示了提高自闭症检测准确性的潜力.
对文化适应的查和优化得分的进一步研究是有必要的.

关键词:

自闭症谱系障碍自闭症谱系障碍临床研究是临床研究.国际视角国际视角儿科儿科儿科查检查查检查查检查

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