伊朗版自闭症诊断访谈修订版（ADI-R）对自闭症谱系障碍儿童的心理测量特性

IF 1.1 Q4 PSYCHOLOGY, DEVELOPMENTAL

Advances in Autism Pub Date : 2021-06-21 DOI:10.1108/aia-01-2021-0003

S. Bashirian, A. Soltanian, Mahdieh Seyedi, S. Khazaei, E. Jenabi, K. Razjouyan, Hadi Zarafshan, M. Barati, M. Afshari

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引用次数: 1

摘要

目的本研究的目的是评估自闭症诊断访谈-修订版(ADI-R)在伊朗人群中的有效性，以确定其在识别父母为波斯语的自闭症谱系障碍(ASD)儿童中的有效性。设计/方法/方法于2020年3月至7月在伊朗哈马丹市进行了一项病例对照研究。病例组是由临床医生使用基于DSM-IV ASD标准的编码方案检查的儿童。对照组是家庭中的所有孩子，包括健康的兄弟姐妹，他们被要求参加这项研究。通过信度、内容和面效度来评估工具的心理测量特性。采用验证性因子分析(Confirmatory factor analysis, CFA)评价工具的四维结构(评分A、B、C、D)。采用SPSS 21的AMOS软件进行统计学分析，统计学显著水平均小于0.05。结果定量内容效度分析显示，各领域的内容效度比(CVR)和内容效度指数(CVI)均值分别为0.94和0.91。对于CFA，使用了A、B、C和D四个域，并证明了良好的拟合(CFI = 0.92, RMSEA = 0.06)。A、B、C、D领域的敏感性、特异性、阳性预测值(PPV)和阴性预测值(NPV)均为100%。B域(非言语)的敏感性、特异性、PPV和NPV分别为86.7%、100%、100%和88.2%。研究局限性/意义本研究表明，ADI-R有足够的能力区分患有ASD的儿童和那些没有精神诊断的儿童，它在伊朗是一个可靠的工具。无论检查者的年龄和认知水平如何，正确诊断ASD的敏感性和特异性都很高。原创性/价值据作者所知，这是第一篇关于自闭症儿童的ADI-R心理测量特性的论文。

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The psychometric properties of the Iranian version of Autism Diagnostic Interview-Revised (ADI-R) in children with autism spectrum disorder

Purpose The purpose of this paper is to assess the validity of the Autism Diagnostic Interview-Revised (ADI-R) in an Iranian population to determine its efficacy in identifying children with autism spectrum disorder (ASD) who parents have Persian-speaking parents. Design/methodology/approach A case–control study was performed in March until July 2020 in Hamadan city, Iran. The case group was children were examined by the clinicians used a coding scheme based on the DSM-IV criteria for ASD. The control group was all children in the family, including healthy siblings, were asked to participate in the study. The reliability, content and face validity were performed to assess the psychometric properties of the tool. Confirmatory factor analysis (CFA) was performed to evaluate the four-dimensional structure of the tool (Scores A, B, C and D). Statistical analysis was performed using AMOS for SPSS 21, and the statistical significant level was less than 0.05. Findings The quantitative content validity analysis revealed that the mean of content validity ratio (CVR) and content validity index (CVI) for all domains was 0.94 and 0.91, respectively. For CFA, four domains A, B, C and D were used and demonstrated a good fit (CFI = 0.92 and RMSEA = 0.06). The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) in domains A, B (verbal), C and D were 100%. For domain B (non-verbal), the sensitivity, specificity, PPV and NPV were 86.7%, 100%, 100% and 88.2%, respectively. Research limitations/implications This study showed that ADI-R has sufficient ability to discriminate between children with ASD and those with no psychiatric diagnosis, and it is a reliable tool in Iran. The sensitivity and specificity for correctly diagnosing ASD was high, regardless of the age and cognitive level of the examiner. Originality/value To the best of the authors’ knowledge, this is the first paper on psychometric properties of ADI-R in children with ASD.

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来源期刊

Advances in Autism PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

2.30

自引率

0.00%

发文量

期刊介绍： Advances in Autism is unique in its focus on the health and care aspects and outcomes for people with autism. The journal''s content is international in focus and peer-reviewed. It includes the following: research-based articles evidence-based clinical and support articles articles on policy and advances in services where these can be internationally applied. Key areas of research covered include: clinical developments people''s experience through qualitative research policy debates and outcomes inclusion and quality of life developmental issues population and epidemiological studies services developments evidence-based reviews of key practice issues.