认知加工维度对一级自闭症谱系障碍诊断信度的影响

M. Rúa
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引用次数: 0

摘要

自闭症谱系障碍(ASD)的诊断过程仅仅基于对目标行为的观察,关于互动和社会沟通(社交)和限制行为(行为),似乎对2-3级自闭症谱系障碍的特异性诊断最有效;然而,1级ASD的诊断可能会有很多错误,因为得分总和在与其他特定人格或社会沟通障碍相对应的范围内(美国精神病学协会(APA), 2013)。因此,它需要补充对构成信息处理的感知-认知维度的变量的分析,以指定诊断有效性,并避免可能在教育过程中产生重要偏见的初始错误。本研究对38名1级ASD患者进行了3个维度的差异分析。事实上,结果表明,虽然通过线性回归分析发现的诊断预测分析常数显示诊断综合的显著数据,但这是由于认知加工维度的临界影响:0.00,而单独分析的其他两个维度显示不显著影响,社会维度为临界显著水平:0.12,行为维度为临界显著水平:0.35。因此,需要设计包含感知-认知加工功能基本原理的诊断量表,以避免自闭症诊断中的错误。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Incidence of cognitive processing dimension for the diagnostic reliability of level-1 autism spectrum disorder
Diagnostic processes of Autism Spectrum Disorder (ASD) just based over the observation of target- behaviors, regarding to interaction and social communication (social) and restrictive behavior (behavior), seem be most effective for level 2-3 ASD specific diagnosis; however, level 1 ASD diagnosis may be many errors, since the scores sum are within limits corresponding the other specific personality or social communication disorders (American Psychiatric Association (APA), 2013). For this reason, it´s needs complement the analysis of variables that make up the perceptual- cognitive dimension of information processing to specify the diagnosis validity and avoid initial errors that can create important prejudices along educational processes. This study delimits the differential analysis of 3 dimensions on total of 38 participants with level 1 ASD. Indeed, results indicate that, although the constant of diagnostic predictive analysis found through the linear regression analysis shows significant data for diagnosis synthesis, it´s owing to critical influence of cognitive processing dimension: .00, while other 2 dimensions analyzed individually show non-significant influence, being critical significant level for social dimension: .12 and behavior dimension: .35. Therefore, it´s need design diagnostic scales that include the basic principles of perceptual-cognitive processing functioning to avoid errors in autism diagnosis.
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