系统化特征问卷的有效性:一种识别伴有或不伴有多动症的自闭症谱系障碍成人的认知、心智、感官、社交和系统化能力的新工具。

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Journal of Autism and Developmental Disorders Pub Date : 2024-08-17 DOI:10.1007/s10803-024-06511-2
Klaus D Jakobsen, Kirsten Callesen, Ejnar B Larsen, Ole B V Pedersen, Maria Didriksen, Sisse R Ostrowski, Karl B Christensen
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引用次数: 0

摘要

目的:Systemizer Profile Questionnaire (SPQ)调查了伴有或不伴有注意力缺陷多动障碍(ADHD)的自闭症谱系障碍(ASD)受试者在精神化、感觉和/或社会敏感性以及社会认知(MSSSC)方面的困难,该问卷之前从未使用过。本研究旨在评估 SPQ 各领域的可靠性和有效性,并根据 Ritvo 自闭症阿斯伯格诊断量表(RAADS)评估 SPQ 的预测有效性:方法:招募了 354 名经 RAADS 确认患有 ICD-10 型自闭症的研究对象,以及 354 名年龄组和性别匹配的对照组研究对象,通过 SPQ、有关人口统计学和临床数据的标准化问题对他们进行了系统评估。通过确证因子分析(CFA)对由 85 个项目组成的假定 SPQ 子量表进行了评估。采用项目反应理论(IRT)对修订后的子量表进行了确认,并以 RAADS 64 分以上为标准对 SPQ 分数的预测有效性进行了评估:结果:从最初的 85 个项目中删除了 22 个项目,最终形成了一个包含 63 个项目、涵盖 9 个心理测量学有效领域的工具。这些领域具有很高的灵敏度(范围:0.64 至 0.84)和特异性(范围:0.73 至 0.90)。阳性预测值(范围:0.76 至 0.89)和阴性预测值(范围:0.69 至 0.90)也很高。SPQ 总分的灵敏度为 0.95,特异度为 0.87,阳性预测值为 0.88,阴性预测值为 0.95:结论:如果 ASD 已由 RAADS 确认,SPQ 各领域是对 MSSSC 的有效描述/档案,但如果不是,则无关紧要,因为 SPQ 并非诊断工具。
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Validity of the Systemizer Profile Questionnaire: A New Tool to Identify Cognitive, Mentalizing, Sensory, Social, and Systemizing Abilities in Adults with Autism-Spectrum-Disorders With and Without Comorbid ADHD.

Purpose: Systemizer Profile Questionnaire (SPQ), which has not been used before, investigates difficulties in mentalisation, sensory- and/or social sensitivity and social cognition (MSSSC) in subjects with Autism-Spectrum-Disorders (ASD) with and without Attention-Deficit-Hyperactivity-Disorder (ADHD). The aim of this study was to evaluate the reliability and validity of the SPQ domains, and to assess the predictive validity of the SPQ against the Ritvo Autism Asperger Diagnostic Scale (RAADS).

Methods: Three-hundred-fifty-four study subjects with ICD-10 verified ASD confirmed by RAADS and 354 controls matched on age group and gender were recruited and evaluated systematically with SPQ, standardized questions about demographic and clinical data. Hypothesized SPQ subscales formed from 85 items were evaluated using confirmatory factor analysis (CFA). Resulting revised sub-scales were confirmed using item response theory (IRT) and the predictive validity of the SPQ scores was evaluated using RAADS scores above 64 as the standard.

Results: Twenty-two of the original 85 items were removed, resulting in an instrument with 63 items across nine psychometrically valid domains. These domains had high sensitivity (range: 0.64 to 0.84), and high specificity (range: 0.73 to 0.90). Positive predictive values (range: 0.76 to 0.89) and negative predictive values (range: 0.69 to 0.90) were also high. For the total SPQ score the sensitivity was 0.95, the specificity was 0.87, the positive predictive value was 0.88 and the negative predictive value was 0.95.

Conclusion: SPQ domains are valid descriptions/profiles of MSSSC given that ASD is confirmed by RAADS, though irrelevant if not, as SPQ is not a diagnostic instrument.

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来源期刊
CiteScore
8.00
自引率
10.30%
发文量
433
期刊介绍: The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.
期刊最新文献
Correction: The Knowledge of Autism Questionnaire-UK: Development and Initial Psychometric Evaluation. Correction: Analyzing Community-Based Support Requests Made by Black Families Raising Autistic Children. Brief Report: Differential Persistence of Primary Reflexes for Children with Autism Spectrum Disorder: A Systematic Replication. Brief Report: Increasing Intraverbal Responses to Subcategorical Questions via Tact and Match-to-Sample Instruction. Increasing Vocabulary and Listening Comprehension During Adapted Shared Reading: An Intervention for Preschoolers with Autism Spectrum Disorder.
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