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与临床和ADOS-2结果相比,诊断性自闭症谱面试 (DASI-2) 的可接受性和试验验证

Susan Jane Young^1,2, Nóra Kollárovics^3,4, Bernadett Frida Farkas^3,5

¹Independent Practice, Psychology Services Ltd., London, CR9 7AE, UK.

Children (Basel, Switzerland)

|August 28, 2025

概括

匈牙利版本的诊断性自闭症谱面试版本2 (DASI-2) 与之前的自闭症谱系障碍诊断有很好的一致性. 这种免费可用的工具证明了临床使用的初步有效性和可接受性.

科学领域:

发展心理学
临床心理学
心理测量

背景情况:

对自闭症谱系障碍 (ASD) 评估工具的需求越来越大,这些工具在诊断上是一致的,在临床上是可用的,并且是可访问的.
诊断自闭症谱面试版本2 (DASI-2) 是一个自由可用的,半结构化的临床面试,根据DSM-5和ICD-11标准进行映射.

研究的目的:

将DASI-2翻译成匈牙利语.
在匈牙利的临床环境中研究DASI-2的可接受性.
评估DASI-2结果与先前临床自闭症诊断之间的一致性.
检查DASI-2观察等级和ADOS-2分类之间的关系.

主要方法:

通过多步骤的翻译程序将DASI-2改编为匈牙利语.
在匈牙利多学科的临床环境中,对7名先前被评估为自闭症的儿童进行了调整的DASI-2.
评估包括对父母的采访,与孩子的直接评估以及完成DASI观察记录.
将DASI-2诊断结果与先前的临床决定进行比较,并根据ADOS-2分类分析观察得分.

主要成果:

所有七名参与者都完成了DASI-2采访.
在七个病例中,在六个病例中,DASI-2结果与先前的临床诊断结果之间发现了实质性的一致性 (κ = 0. 70).
与未被诊断的两名参与者相比,被诊断患有自闭症的五名参与者表现出明显更高的DASI-2观察得分,反映了ADOS-2严重程度的分类.

结论:

这些发现支持了DASI-2的匈牙利版本的可接受性和初步有效性.
DASI-2的结构化观测记录可以作为ADOS-2等资源密集型工具的实用补充.
建议对更大,更多样化的样本进行进一步的验证研究.

关键词:

其他:自闭症一个 DASI 自闭症临床评估诊断情况

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