异常行为量表中文版在儿童孤独症群体中的信效度

摘要

Objective: To explore the applicability of Chinese version of the Aberrant Behavior Checklist (ABC) to children with autism. Methods: Totally 206 subjects with childhood autism, aged 1.5 ～ 14 years old,were rated with the Aberrant Behavior Checklist (ABC) . Forty-nine subjects were rated by fathers and mothers separately, the same parents of 30 subjects filled in the checklist again 2 ～ 4 weeks later to test inter-rater reliability and test-retest reliability. Some children were rated with the Childhood Autism Rating Scale ( CARS), Autism Behavior Checklist (ABC), Conner Parent Symptom Questionnaire and Achenbach Child Behavior Checklist according to the applicable range of age of these scales to test the criterion validity of the ABC. Results: The inter-rater reliability (ICC) of the five factors were 0. 820 ～ 0. 898 and test-retest reliability (ICC) of the five factors were 0. 873 ～0. 944 (P= 0. 000) . The Cronbach' s alpha coefficients of internal consistency of the five factors and the total scale were 0. 748 ～ 0. 951. The five factors of Aberrant Behavior Checklist were positively correlated respectively with the corresponding factors of CARS, Autism Behavior Checklist, Conner Parent Symptom Questionnaire and Achenbach Child Behavior Checklist ( r= 0. 27 ～ 0. 67, P ＜ 0. 01 ) . Confirmatory factor analysis confirmed construct validity of the ABC ( x2/df = 1.91, RMSEA = 0. 060, GFI = 0. 704, NFl = 0. 62, CFI =0. 77) . Conclusion: The Chinese version of Aberrant Behavior Checklist has good reliability and validity. The checklist is suitable for the evaluation of Chinese children with autism and the further revising should be needed.%目的:引进并探讨异常行为量表(Aberrant Behavior Checklist,ABC)在我国儿童孤独症群体的适用性.方法:对206例孤独症儿童(1.5～14.0岁)进行ABC评定,其中49例患儿由父母分别填写ABC,30例患儿于2～4周后由同一位家长再次评定,以检验评定者信度和重测信度;根据适用年龄范围对部分患儿评定儿童孤独症评定量表、孤独症行为评定量表、Conner父母评定量表及Achenbach儿童行为量表,经比较检验ABC的校标效度;对ABC结构模型进行验证性因素分析以检验结构效度.结果:ABC中文版各因子的评定者信度(ICC)在0.820～0.898之间(P<0.001),重测信度(ICC)0.873～0.944(P<0.001),各因子及总量表的内部一致性系数为0.748～0.951;ABC中文版各因子与儿童孤独症评定量表、孤独症行为评定量表、Conner父母评定量表及Achenbach儿童行为量表的相应因子间呈正相关(r=0.27～0.67,均P<0.01);验证性因素分析检验了结构的有效性(X2/df=1.91,RMSEA=0.060,GFI=O.704,NFI=0.62,CFI=0.77).结论:异常行为量表中文版的信、效度较好,适用于儿童孤独症的量化评估,但仍需进一步修订完善.