首页> 外文期刊>Journal of Autism and Developmental Disorders >Autism Diagnostic Interview-Revised and the Childhood Autism Rating Scale: Convergence and Discrepancy in Diagnosing Autism
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Autism Diagnostic Interview-Revised and the Childhood Autism Rating Scale: Convergence and Discrepancy in Diagnosing Autism

机译:修订自闭症诊断面试和儿童自闭症评分量表:自闭症诊断中的融合和差异

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摘要

The agreement between the Autism Diagnostic Interview–Revised (ADI-R) and the Childhood Autism Rating Scale (CARS) was investigated in the diagnostic assessment of 54 children aged 22–114 months referred for possible autism. The observed agreement between the two systems was 66.7% (Cohen's kappa = .40) when the ADI-R definition for autism was applied (i.e., scores reaching cutoff in three domains on the ADI-R), but increased considerably with less stringent criteria; that is, scores reaching cutoffs in two domains and in one domain on the ADI-R. As predicted, the CARS identified more cases of autism than the ADI-R. Children classified as autistic according to both instruments had significantly lower IQ/DQ and more severe autistic symptomatology than those classified with the CARS only.
机译:在对54例可能患有自闭症的22至114个月的儿童进行的诊断评估中,对经修订的自闭症诊断访谈(ADI-R)与儿童自闭症评定量表(CARS)之间的协议进行了调查。当应用自闭症的ADI-R定义时(即,在ADI-R的三个域中得分均达到临界值),两个系统之间观察到的一致性为66.7%(科恩kappa = 0.40),但在不严格的条件下明显提高了;也就是说,分数在ADI-R的两个域和一个域中均达到临界值。如预测的那样,CARS比ADI-R识别出更多的自闭症病例。与仅使用CARS分类的儿童相比,根据这两种仪器被分类为自闭症的儿童的智商/ DQ显着降低,自闭症症状更严重。

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