共 50 条
Psychometric properties of the Autism Spectrum Disorder in Adults Screening Questionnaire (ASDASQ) in a sample of Italian psychiatric outpatients
被引:3
|作者:
Fusar-Poli, Laura
[1
]
Bisso, Emanuele
[1
]
Concas, Ilaria
[1
]
Surace, Teresa
[1
]
Tinacci, Silvia
[1
]
Vanella, Antonio
[1
]
Furnari, Rosaria
[1
]
Signorelli, Maria Salvina
[1
]
Nylander, Lena
[2
,3
]
Aguglia, Eugenio
[1
]
机构:
[1] Univ Catania, Dept Clin & Expt Med, Psychiat Unit, Via Santa Sofia 78, I-95123 Catania, Italy
[2] Lund Univ, Dept Clin Sci Psychiat, Lund, Sweden
[3] Univ Gothenburg, Gillberg Neuropsychiat Ctr, Gothenburg, Sweden
关键词:
Autism spectrum disorder;
Psychiatry;
Adult;
Screening;
Differential diagnosis;
Misdiagnosis;
Clinician-rated tool;
DIAGNOSTIC INTERVIEW;
QUOTIENT AQ;
INDIVIDUALS;
RELIABILITY;
PREVALENCE;
D O I:
10.1016/j.rasd.2020.101668
中图分类号:
G76 [特殊教育];
学科分类号:
040109 ;
摘要:
Background: The present study aimed to examine the reliability and validity of the Italian version of the Autism Spectrum Disorder in Adults Screening Questionnaire (ASDASQ), a screening tool for autism spectrum disorder (ASD) among psychiatric outpatients. Methods: We recruited 340 subjects via an outpatient psychiatric service in Italy. Forty-eight had a diagnosis of ASD, confirmed after a comprehensive clinical assessment and the administration of the Autism Diagnostic Observation Schedule-2 (ADOS-2). The remaining 292 participants had other diagnoses, confirmed after a careful psychiatric evaluation and the administration of the Structured Clinical Interview for DSM-5 (SCID-5). The ASDASQ was administered to contact clinicians of each subject. Results: The ASDASQ showed outstanding accuracy (AUC = 0.96) in discriminating between ASD and non-ASD patients, with good sensitivity (0.85) and specificity (0.92). Agreement with clinical diagnosis was substantial (k = 0.68). Internal consistency of the tool was good (Cronbach's alpha = -0.82), while intra- (ICC = 0.97) and inter-rater reliability (ICC = 0.92) were excellent. We found also a moderate correlation between ASDASQ and ADOS-2 scores in the ASD sample (r = 0.56). Conclusion: Our findings suggest that the ASDASQ, in the Italian adaptation, may be considered a quick, simple, and effective tool to screen for ASD among psychiatric outpatients. Further studies are needed to evaluate its utility in other clinical settings.
引用
收藏
页数:10
相关论文