中国婴幼儿期孤独症筛查量表的编制及信效度检验

doi:10.11852/zgetbjzz2018-1182

中国儿童保健杂志 ›› 2019, Vol. 27 ›› Issue (1): 15-18.DOI: 10.11852/zgetbjzz2018-1182

中国婴幼儿期孤独症筛查量表的编制及信效度检验

邵智^1,2, 张雅如^1,2, 赵琴¹, 郭磊²

1 重庆市第九人民医院重庆市儿童孤独症康复治疗中心,重庆 400700;
2 西南大学儿童孤独症临床康复实训研究中心,重庆 400700

收稿日期:2018-08-29 发布日期:2019-01-10 出版日期:2019-01-10
作者简介:邵智(1964-),男,重庆人,主任医师,主要研究方向为儿童心理行为、儿童孤独症康复治疗。
基金资助:
教育部人文社会科学研究青年基金项目(15YJC190003);中国博士后科学基金资助项目(2016M592614)

Development and reliability and validity test of Checklist for Chinese Infants with Autism

SHAO Zhi^1,2, ZHANG Ya-ru^1,2, ZHAO Qin¹, GUO Lei²

1 Chongqing Rehabilitation Center for Children with Autism,the Ninth People's Hospital of Chongqing,Chongqing 400700,China;
2 Rehabilitation Practice and Research Center for Children with Autism of Southwest University,Chongqing 400700,China

Received:2018-08-29 Online:2019-01-10 Published:2019-01-10

摘要/Abstract

摘要： 目的编制中国婴幼儿期孤独症筛查量表(CHCIA),用于12~24个月龄的儿童进行孤独症筛查,并检验其信效度。方法 2016年11月—2018年5月,在国内华北、华南、华西、华东、西南地区共抽取病例组(包括孤独症和发育迟缓儿童)和正常儿童组各60例,采用CHCIA量表进行评定。一周以后,对病例组进行复测,两次评定数据用于量表重测信度评价。同时,运用该量表在北京、深圳、青岛、西安、重庆、贵阳6个城市儿童保健门诊对5 369名儿童进行筛查,对量表得分大于界限分的儿童进行随访,至其2岁以上时由专科医生进行确诊。结果量表的重测信度、评分者一致性信度均大于0.9分,表明信度较好;量表各维度及总分在孤独症组、发育迟缓组和正常儿童组间差异统计学意义,表明量表分效度较好。当量表的筛查界限划定为J值时,诊断界限划定为Z值时,量表的灵敏度、特异度、阳性预测值均达到理想状态。在儿童保健门诊对正常儿童的运用中,15例量表评定为孤独症的儿童,在随访中都得到了确诊,表明量表效标效度较好。结论该量表设计较合理,信效度均较理想,符合量表的编制要求,可用于儿童孤独症的筛查和诊断。同时,该量表题目较少,使用方便,具有较高的临床推广使用价值。

关键词: 中国婴幼儿期孤独症筛查量表, 孤独症, 信度, 效度

Abstract: Objective To develop the Checklist for Chinese Infants with Autism (CHCIA) for children aged 12-24 months,and to test its reliability and validity. Methods A total of 60 children in case group(including autism children and children with language development retardation) and 60 normal children were selected in northern,southern,western,eastern and southwest of China from November 2016 to May 2018.All participants were assessed with CHICA and case group were reassessed in one week,re-test reliability was analyzed by the correlation of the two results.Meantime,5 369 children were screened with CHICIA in the child health care clinic in Beijing,Shenzhen,Qingdao,Xi'an,Chonqging and Guiyang. Children who scored more than the critical value were followed up till 2 years old. Results Coefficients of the test-retest reliability and evaluator consistency were both more than 0.9. There were significant differences on CHCIA scores in each dimension among autism group,development retardation group and normal group,indicating good discriminate validity of the scale. When critical value for screening was set up as J,diagnostic value as Z,the sensitivity,specificity,and positive predictive value all reached ideal state. Finally 15 children sreened as autism by CHICA were diagnosed with autism in the follow-up,indicating the criterion validity of CHICA was good. Conclusions The CHICA scale is well designed with good reliability,validity and criterion validity,and is qualified as a screening and diagnostic tool for autism children. Meantime,it has few items and is easy to use,which can be widely used in clinics.

Key words: the Checklist for Chinese Infants with Autism, autism, reliability, validity

中图分类号:

R749.94

邵智, 张雅如, 赵琴, 郭磊. 中国婴幼儿期孤独症筛查量表的编制及信效度检验[J]. 中国儿童保健杂志, 2019, 27(1): 15-18.

SHAO Zhi, ZHANG Ya-ru, ZHAO Qin, GUO Lei. Development and reliability and validity test of Checklist for Chinese Infants with Autism[J]. journal1, 2019, 27(1): 15-18.

参考文献

[1] American Psychiatric Association. Autism Spectrum Disorder[N/OL].[2018-04-27].http://www.dsm5.org/Documents/Autism Spectrum Disorder Fact Sheet.pdf.
[2] Carpenter LA,Boan AD,Wahlquist AE,et al. Screening and direct assessment methodology to determine the prevalence of autism spectrum disorders[J].Ann Epidemiol,2016,4(26):395-400.
[3] Rogers SJ,Talbott MR. Early identification and early treatment of autism spectrum disorder[C/OL]//International Review of Research in Developmental Disabilities,2016. http://dx.doi.org/10.1016/bs.irrdd.2016.05.004
[4] TSa J,Jacoba P,Srinatha S,et al. Toddlers at risk for autism spectrum disorders from Kerala,India- a community based screening[J].Asian J Psychiatr,2018,31(1):10-12.
[5] Bryson SE,Zwaigenbaum L.Autism Observation Scale for Infants[M]//Patel V,Preedy V,Martin C.Comprehensive Guide to Autism. Springer,New York,2014.
[6] Matson JL,Kozlowski AM,Hattier MA,et al. DSM-IV vs.DSM-5 diagnostic criteria for toddlers with autism[J].Dev Neurorehabil,2012,15(3):185-190.
[7] American Psychiatric Association.Autism spectrum disorder[EB/OL].[2013-5-18].http://www.dsm5.org/Documents/Autismspectrum Disorder Fact Sheet.pdf.
[8] Thorup E,Nystrom P,Gredeback G,et al. Altered gaze following during live interaction in infants at risk for autism:an eye tracking study[J].Mol Autism,2016,7(1):12-16.
[9] Dalton JC,Craisa RE,Velleman LS. Joint attention and oromotor abilities in young children with and without autism spectrum disorder[J].J Commun Disord,2017,9(69):27-43.
[10] Wadsworth HM,Maximo JO,Lemelman AR,et al.The action imitation network and motor imitation in children and adolescents with autism[J].Neuroscience,2017,343:147-156.
[11] Sun X,Allison C,Auyeung B,et al. Service provision for autism in mainland China:a service providers perspective[J].Res Dev Disabil,2013,34(1):440-451.
[12] Huang AX,Jia M,Wheeler JJ. Children with autism in the People's Republic of China:diagnosis,legal issues,and educational services[J].J Autism Dev Disord,2013,43(9):1991-2001.
[13] Khowaja MK,Hazzard AP,Robins DL. Sociodemographic barriers to early detection of autism:screening and evaluation using the M-CHAT,M-CHAT-R,and follow-up[J].J Autism Dev Disord,2015,45(6):1797-1808.
[14] Baird G,Charman T,Baron-Cohen S,et al. A screening instrument for autism at 18 months of age:a 6-year follow-up study[J].J Am Acad Child Adolesc Psychiatry,2000,39(6):694-702.
[15] Gray A,Edwards DM,O'Callaghan MJ,et al. Screening for autism spectrum disorder in very preterm infants during early childhood[J].Early Hum Dev,2015,91(12):271-276.

中国婴幼儿期孤独症筛查量表的编制及信效度检验

Development and reliability and validity test of Checklist for Chinese Infants with Autism

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	张超. 早期介入丹佛模式在不同病情程度孤独症谱系障碍儿童康复中的应用研究[J]. 中国儿童保健杂志, 2023, 31(7): 736-740.
[2]	刘安南, 姜志梅. 孤独症谱系障碍各年龄段筛查工具研究进展[J]. 中国儿童保健杂志, 2023, 31(6): 645-649.
[3]	黎梦晗, 李廷玉. 孤独症谱系障碍儿童感觉异常的研究进展[J]. 中国儿童保健杂志, 2023, 31(6): 650-655.
[4]	刘梦姣, 郑小琴, 孟仙, 吴晓玲, 葛冬梅, 聂晶. 2~5岁孤独症谱系障碍、疑似孤独症谱系障碍及全面发育迟缓儿童的智能特征分析[J]. 中国儿童保健杂志, 2023, 31(6): 668-673.
[5]	李德欣, 陈强, 庄志成, 陈红, 杨秉娇, 姜顺香, 周翔. 孤独症谱系障碍儿童肠道菌群与症状严重程度相关性研究[J]. 中国儿童保健杂志, 2023, 31(5): 497-501.
[6]	尹晓辉, 王葳, 张姣姣, 王洋, 许亚红. 父亲参与婴儿教养量表的汉化[J]. 中国儿童保健杂志, 2023, 31(4): 369-373.
[7]	王少雯, 张贻霞, 陈静静, 魏秀丽, 叶蓓, 方拴锋. Gesell发展诊断量表在语言相关的发育性疾病中的应用[J]. 中国儿童保健杂志, 2023, 31(4): 442-445.
[8]	柯晓燕. 孤独症谱系障碍早期识别与早期诊断的现状与挑战[J]. 中国儿童保健杂志, 2023, 31(3): 238-240.
[9]	宋超, 胡莉菲, 吴玲玲, 江忠权. 孤独症谱系障碍儿童合并智力功能缺陷的GBM预测模型构建与评价[J]. 中国儿童保健杂志, 2023, 31(3): 241-245.
[10]	李正, 肖贵元, 罗雅婷, 何春燕, 王念蓉, 赵妍. 孤独症谱系障碍儿童血清叶酸、维生素B12水平与肠道菌群的关联[J]. 中国儿童保健杂志, 2023, 31(3): 246-251.
[11]	董海鹏, 杨思渊, 李伟栋, 余婧. 团体社交训练对孤独症谱系障碍儿童康复效果的影响因素及Nomogram预测模型构建[J]. 中国儿童保健杂志, 2023, 31(3): 252-258.
[12]	赵丽华, 李晶. 孤独症谱系障碍儿童非典型人际同步表现及其神经机制[J]. 中国儿童保健杂志, 2023, 31(3): 274-278.
[13]	赵英欣, 何凡, 郑毅. 肠道微生物干预在孤独症谱系障碍中的应用展望[J]. 中国儿童保健杂志, 2023, 31(3): 279-283.
[14]	王静, 黄珊, 高雪婷. 孤独症谱系障碍儿童室内替代座椅干预研究进展[J]. 中国儿童保健杂志, 2023, 31(3): 284-288.
[15]	林欢喜, 刘潘婷, 童梅玲, 池霞, 钱君, 洪琴. 父母介导的干预在孤独症谱系障碍治疗中应用效果的Meta分析[J]. 中国儿童保健杂志, 2023, 31(3): 304-310.