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中文简化版孤独症谱系障碍量表-儿童版的信效度

Reliability and Validity of the Abridged Chinese Version of Autism Spectrum Quotient-Child form in China

  • 摘要: 目的 研究中文简化版孤独症谱系障碍量表-儿童版(autism-spectrum quotient,AQ)的信效度。 方法 方便取样抽取3所学校全部学生共6 896人(对照组),同时招募孤独症谱系障碍(autism spectrum disorder,ASD)患者86例作为病例组,所有被试均在专业人员指导下填写AQ量表;1个月后从对照组中随机抽取170人进行重测。计算AQ量表的信度和效度。 结果 入组时有效问卷为对照组6 472份,病例组86份,1月后对照组收集重测有效问卷159份。各分量表与总量表的相关性良好,为0.26~0.78,而各分量表之间相关性较小。对照组AQ总分在人群中呈连续性分布,类似于正态分布,偏斜度为-0.127,峰度为-0.124,说明AQ总分在人群中呈负偏态,稍平坦的分布。不同性别AQ得分有差异,男生组(42.09±9.92)高于女生组(40.07±9.94),且差异有统计学意义(P<0.01)。而在病例组的研究中未体现出性别差异。年龄和AQ总分间存在相关关系(r=0.06)。比较两组总量表和各分量表得分,发现病例组得分(54.49±14.16)高于对照组(41.12±9.98)(P<0.01),除"关注细节"以外病例组各分量表得分均高于对照组;中文简化版AQ-儿童版内部一致性良好,总量表Cronbach α系数为0.71,各分量表的系数为0.21~0.69;重测信度好,两次测量差异的平均值为0.09,且总量表和各个分量表两次测量差异均没有统计学意义(P>0.05);全量表分受试者工作特征(ROC)曲线示曲线下面积(AUC)为0.78,最佳临床界值为48分,此时灵敏度为0.71,特异度为0.71。 结论 中文简化版AQ-儿童版具有良好的信效度,能适用于中国儿童,最佳临床界值为48分,在人群中呈连续性分布。

     

    Abstract: Objective To determine the reliability and validity of the abridged Chinese version of the autism spectrum quotient (AQ)-child form. Methods A total of 86 children with autism spectrum disorder(ASD)were recruited from the West China Hospital from July 2014 to December 2016, along with 6 896 children recruited from three schools in Chengdu. The participants completed the AQ scale under instructions from a trained interviewer. Then 170 school children were selected and repeated the AQ scale within one month. Results All subscale scores were correlated with the scale score, but with weak inter-subscale correlations. The total AQ score of the control group was continuously distributed in the population, which was similar to the normal distribution. The skewness was -0.127 and the kurtosis was -0.124, indicating that the total AQ score was negatively skewed and slightly flat in the population.There were differences in AQ scores between different genders in community children (P<0.01), with male group (42.09±9.92) higher than female group (40.07±9.94).There was no gender difference in the ASD individuals. There was a correlation between age and AQ score (r=0.06).The autistic children had a higher AQ score (54.49±14.16) than the school children (41.12±9.98)(P<0.01). Similar results were found in the subscale scores, except for "attention to details". The AQ scale had a Cronbach α coefficient of 0.71:ranging from 0.21 to 0.69 for the subscales. The test-retest reliability was good for the scale and the subscales (all P>0.05). The sensitivity and specificity of AQ for screening ASD was both 0. 71. Conclusion The abridged Chinese version of the AQ-child scale has good psychometrics properties and may be a valid and reliable instrument for ASD screening with a cut-off score of 48.

     

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