Autism Spectrum Screening Questionnaire (ASSQ) 自闭症谱系商数儿童版量表

synopsis(简介)

The ASSQ is a 27 question assessment filled in by parents or teachers of children or adolescents (6 to 17 years of age). It is designed to be an initial screen for Autism Spectrum Disorder (ASD) especially in those with high or normal IQ, or those with only mild intellectual disability. It can be used with boys and girls and uses the older conceptualisation of Aspergers syndrome to describe people on the milder end of the autism spectrum. It is not appropriate for people with moderate or severe intellectual disability.

自闭症谱系障碍(ASSQ)是由家长或教师为儿童或青少年(6 至 17 岁)填写的 27 道评估题。其设计目的是对自闭症谱系障碍(ASD)进行初步筛查,尤其是对那些智商较高或正常,或仅有轻度智力障碍的儿童。它适用于男孩和女孩,并使用较早的阿斯伯格综合症概念来描述自闭症谱系中的轻度患者。它不适用于中度或重度智障者。

Validity and Reliability(效度和信度)

In a sample of 87 boys and 23 girls aged 6 to 17 it was found that autism spectrum disorder (DSM-IV Aspergers) validation sample scored an average of 25.1 (SD 7.3) (Ehlers, Gillberg, Wing, 1999). These scores were similar to those of the autism spectrum disorder group in the main sample. The subjects in the validation sample were independently diagnosed with ASD (DSM-IV Aspergers) by a psychologist specializing in the disorder and a child psychiatrist. Moderately and severely intellectually disabled children were excluded due to the fact that the ASSQ does not tap features characteristic for such low-functioning subjects.

Convergent validity was determined by a Pearson correlation between parent ratings on the ASSQ and Rutter scale was r = .75 n = 107; p < .0001. The mean interrater difference (i.e., between parent and teacher scoring) on the ASSQ (paired t test) was -1.96; t(104) = -2.39; p = .0188. No significant gender differences or differences across normal and intellectually disabled subjects were found regarding mean total score on the ASSQ.

在一个由 87 名男孩和 23 名女孩(年龄在 6 至 17 岁之间)组成的样本中发现,自闭症谱系障碍(DSM-IV Aspergers)验证样本的平均得分为 25.1(标准差为 7.3)(Ehlers、Gillberg、Wing,1999 年)。这些分数与主要样本中自闭症谱系障碍组的分数相似。验证样本中的受试者均由一名专门研究自闭症的心理学家和一名儿童精神病学家独立诊断为自闭症谱系障碍(DSM-IV Aspergers)。中度和重度智障儿童被排除在外,原因是 ASSQ 并没有挖掘出这类低功能受试者的特征。
家长对 ASSQ 和 Rutter 量表的评分之间的皮尔逊相关性为 r = .75 n = 107;p < .0001。ASSQ 的平均译者间差异(即家长和教师评分之间的差异)(配对 t 检验)为-1.96;t(104) = -2.39; p = .0188。在 ASSQ 的平均总分方面,正常受试者和智障受试者之间没有发现明显的性别差异或差异。

Scoring and Interpretation(得分解释)

Results consist of a total score between 0 and 54, where higher scores indicate that many characteristics of ASD were reported. A score of 13 and above indicates ASD is probable, with a true positive rate of 90% and a false positive rate of 22% (Ehlers, Gillberg, Wing, 1999).

In addition, a percentile based on Ebler, Gillberg and Wing (1999) sample of ASD children is presented.  A percentile of around 50 would indicate that this individual scored at a similar level to the validation sample who were independently diagnosed with ASD (DSM-IV Aspergers). A percentile of 4.9 corresponds to the the cutoff raw score of 13.  See developer reference for further details.

结果由 0 到 54 分的总分组成,分数越高,表示报告的 ASD 特征越多。13 分及以上表示可能患有 ASD,真阳性率为 90%,假阳性率为 22%(埃勒斯、吉尔伯格和温格,1999 年)。
此外,根据埃勒斯、吉尔伯格和温格(1999 年)的 ASD 儿童样本,还提出了一个百分位数。 如果百分位数为 50 左右,则表明此人的得分水平与被独立诊断为 ASD(DSM-IV Aspergers)的验证样本相似。百分位数 4.9 相当于原始分 13 分的临界值。更多详情,请参阅开发人员参考资料。