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首页> 外文期刊>The British journal of psychiatry : >Efficacy of three screening instruments in the identification of autistic-spectrum disorders.
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Efficacy of three screening instruments in the identification of autistic-spectrum disorders.

机译:三种筛查手段在识别自闭症中的功效。

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BACKGROUND: Screening instruments for autistic-spectrum disorders have not been compared in the same sample. AIMS: To compare the Social Communication Questionnaire (SCQ), the Social Responsiveness Scale (SRS) and the Children's Communication Checklist (CCC). METHOD: Screen and diagnostic assessments on 119 children between 9 and 13 years of age with special educational needs with and without autistic-spectrum disorders were weighted to estimate screen characteristics for a realistic target population. RESULTS: The SCQ performed best (area under receiver operating characteristic curve (AUC)=0.90; sensitivity 0.86; specificity 0.78). The SRS had a lower AUC (0.77) with high sensitivity (0.78) and moderate specificity (0.67). The CCC had a high sensitivity but lower specificity (AUC=0.79; sensitivity 0.93; specificity 0.46). The AUC of the SRS and CCC was lower for children with IQ < 70. Behaviour problems reduced specificity for all three instruments. CONCLUSIONS: The SCQ, SRS and CCC showed strong to moderate ability to identify autistic-spectrum disorder in this at-risk sample of school-age children with special educational needs.
机译:背景:自闭症患者的筛查工具尚未在同一样本中进行比较。目的:比较社会沟通问卷(SCQ),社会反应量表(SRS)和儿童沟通清单(CCC)。方法:对119名9至13岁有特殊教育需求的儿童(有自闭症和无自闭症)进行筛查和诊断评估,以评估实际目标人群的筛查特征。结果:SCQ表现最好(接收器工作特征曲线(AUC)下的区域= 0.90;灵敏度0.86;特异性0.78)。 SRS的AUC较低(0.77),灵敏度高(0.78),特异性中等(0.67)。 CCC具有较高的敏感性,但特异性较低(AUC = 0.79;敏感性0.93;特异性0.46)。智商<70的儿童的SRS和CCC的AUC较低。行为问题降低了所有三种仪器的特异性。结论:在这个有特殊教育需求的学龄儿童的高风险样本中,SCQ,SRS和CCC表现出强到中等的识别自闭症谱系的能力。

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