自闭症青少年抑郁症测量工具的心理测量特性:一个系统性审查
Héloïse Young1, Hélène Lahaye2,3, Jean-Marc Guilé2,3
1Department of Child and Adolescent Psychopathology, Rouen University Hospital, Rouen, France.
Journal of autism and developmental disorders
|August 20, 2025
概括
抑郁症在自闭症青少年中很常见, 像自闭症抑郁症状评估 (EDA) 这样的工具有望提供准确的评估,
科学领域:
- 神经科学
- 精神病学
- 发展心理学
背景情况:
- 自闭症患者患抑郁症的风险是非自闭症患者的4倍.
- 自闭症青少年的抑郁症往往没有被发现,
- 准确的测量工具对于识别和管理抑郁症至关重要.
研究的目的:
- 对自闭症儿童和青少年测量抑郁症症状的工具进行系统性评估.
- 评估现有的自闭症青年抑郁症测量仪器的可靠性,有效性和响应性.
主要方法:
- 按照PRISMA 2020指南进行系统文献审查,从1980年到2024年11月搜索数据库.
- 使用COSMIN检查清单对15项实证研究中的12种测量工具进行评估.
- 评估标准包括内部一致性,可靠性,有效性 (内容,结构,标准),测量错误,响应性和跨文化有效性.
主要成果:
- 标准查表显示自闭症青少年抑郁症的有效性较低.
- 专注于行为方面的问卷,如患者健康问卷-9 (PHQ-9) 和医院焦虑和抑郁量表 (HADS),显示出更好的有效性.
- 自闭症抑郁症状评估 (EDA) 显示了更强的证据,五个心理测量领域被评为强烈或中等.
结论:
- 现有的抑郁症测量工具对于自闭症青少年来说质量不同; 像EDA这样的专门工具更有前途.
- 进一步的研究应研究不同神经发育群体中的工具及其在干预期间检测临床显著变化的能力.
- 需要改进的评估策略来解决自闭症抑郁症患者的大量未满足的心理健康需求.
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