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首页> 美国卫生研究院文献>The Scientific World Journal >Autism in Toddlers: Can Observation in Preschool Yield the Same Information as Autism Assessment in a Specialised Clinic?
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Autism in Toddlers: Can Observation in Preschool Yield the Same Information as Autism Assessment in a Specialised Clinic?

机译：幼儿自闭症：学前班的观察能否获得与专科诊所的自闭症评估相同的信息？

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摘要

We wanted to know whether preschool observation of children suspected of suffering from autism can provide the same information about core autism symptoms as the Autism Diagnostic Observation Schedule (ADOS) performed in a clinic. Forty 2–4-year-old children (9 girls, 31 boys), referred for assessment of suspected autism spectrum disorder participated in the study. The symptom areas covered by the ADOS algorithm were scored by an education specialist after free-field observation of each child in the preschool without using the prescribed ADOS materials. The ADOS was then completed in a clinic setting by examiners blind to the preschool results. Excellent agreement across results obtained at the two different types/settings of observations was found. The only significant difference found was with regard to spontaneous initiation of joint attention. The present study does not address the issue of whether or not one of the methods used is superior to the other when it comes to determining the “true” level of “autism problems” in these children. However, it is of interest that free-field preschool observation of children with suspected autism using a structured checklist yields very similar information as that obtained at ADOS assessment performed in a clinic setting.
机译：我们想知道对怀疑患有自闭症儿童的学前观察是否可以提供与诊所中执行的“自闭症诊断观察时间表”（ADOS）相同的关于核心自闭症症状的信息。 40名2至4岁的儿童（9名女孩，31名男孩）被转介对可疑自闭症谱系障碍进行评估，参加了该研究。在不使用规定的ADOS材料对学龄前儿童进行自由视野观察之后，教育专家对ADOS算法涵盖的症状区域进行了评分。然后，由对学前成绩不知情的检查员在诊所完成ADOS。发现在两种不同类型/设置的观测结果之间存在极好的一致性。发现的唯一显着差异是关于自发引起的关节注意。在确定这些儿童的“自闭症问题”的“真实”水平时，本研究并未解决所使用的一种方法是否优于另一种方法的问题。但是，令人感兴趣的是，使用结构化清单对可疑自闭症儿童进行的自由场学龄前观察所产生的信息与在临床环境中进行的ADOS评估所获得的信息非常相似。

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