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Validation of existing diagnosis of autism in mainland China using standardised diagnostic instruments
Sun, Xiang1,2,3; Allison, Carrie2; Auyeung, Bonnie2,4; Zhang, Zhixiang5; Matthews, Fiona E.6; Baron-Cohen, Simon2; Brayne, Carol1
关键词autism spectrum disorders China diagnosis validation
刊名AUTISM
2015-11-01
DOI10.1177/1362361314556785
19期:8页:1010-1017
收录类别SSCI
文章类型Article
WOS标题词Social Sciences
类目[WOS]Psychology, Developmental
研究领域[WOS]Psychology
关键词[WOS]SPECTRUM QUOTIENT AQ ; ADI-R ; CHILDREN ; INTERVIEW ; DISORDERS ; PRESCHOOL ; VALIDITY ; VERSION ; JAPAN ; ADOS
英文摘要

Research to date in mainland China has mainly focused on children with autistic disorder rather than Autism Spectrum Conditions and the diagnosis largely depended on clinical judgment without the use of diagnostic instruments. Whether children who have been diagnosed in China before meet the diagnostic criteria of Autism Spectrum Conditions is not known nor how many such children would meet these criteria. The aim of this study was to evaluate children with a known diagnosis of autism in mainland China using the Autism Diagnostic Observation Schedule and the Autism Diagnostic Interview-Revised to verify that children who were given a diagnosis of autism made by Chinese clinicians in China were mostly children with severe autism. Of 50 children with an existing diagnosis of autism made by Chinese clinicians, 47 children met the diagnosis of autism on the Autism Diagnostic Observation Schedule algorithm and 44 children met the diagnosis of autism on the Autism Diagnostic Interview-Revised algorithm. Using the Gwet′s alternative chance-corrected statistic, the agreement between the Chinese diagnosis and the Autism Diagnostic Observation Schedule diagnosis was very good (AC1=0.94, p<0.005, 95% confidence interval (0.86, 1.00)), so was the agreement between the Chinese diagnosis and the Autism Diagnostic Interview-Revised (AC1=0.91, p<0.005, 95% confidence interval (0.81, 1.00)). The agreement between the Autism Diagnostic Observation Schedule and the Autism Diagnostic Interview-Revised was lower but still very good (AC1=0.83, p<0.005).

语种英语
WOS记录号WOS:000362678000013
项目编号U105292687
资助机构International Development Fund Cambridge-CUHK Collaboration on Autism Research in Hong Kong and China ; MRC UK ; UK Medical Research Council
引用统计
被引频次:2[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/63666
专题北京大学第一临床医学院_儿科
作者单位1.Univ Edinburgh, Dept Psychol, Edinburgh, Midlothian, Scotland
2.Univ Cambridge, Dept Publ Hlth & Primary Care, Cambridge Inst Publ Hlth, Cambridge CB2 0SR, England
3.Univ Cambridge, Dept Psychiat, Autism Res Ctr, Cambridgeshire & Peterborough NHS Fdn Trust, Cambridge CB2 0SR, England
4.Chinese Univ Hong Kong, Jockey Club Sch Publ Hlth & Primary Care, Shatin, Hong Kong, Peoples R China
5.Peking Univ, Dept Paediat, Hosp 1, Beijing 100871, Peoples R China
6.Cambridge Inst Publ Hlth, MRC Biostat Unit, Cambridge, England
推荐引用方式
GB/T 7714
Sun, Xiang,Allison, Carrie,Auyeung, Bonnie,et al. Validation of existing diagnosis of autism in mainland China using standardised diagnostic instruments[J]. AUTISM,2015,19(8):1010-1017.
APA Sun, Xiang.,Allison, Carrie.,Auyeung, Bonnie.,Zhang, Zhixiang.,Matthews, Fiona E..,...&Brayne, Carol.(2015).Validation of existing diagnosis of autism in mainland China using standardised diagnostic instruments.AUTISM,19(8),1010-1017.
MLA Sun, Xiang,et al."Validation of existing diagnosis of autism in mainland China using standardised diagnostic instruments".AUTISM 19.8(2015):1010-1017.
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