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RAADS-14 Screen: validity of a screening tool for autism spectrum disorder in an adult psychiatric population

机译:RAADS-14筛查:成人精神病患者自闭症谱系障碍筛查工具的有效性

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Background Autism spectrum disorder (ASD) can be difficult to distinguish from other psychiatric disorders. The clinical assessment of ASD is lengthy, and has to be performed by a specialized clinician. Therefore, a screening instrument to aid in the identification of patients who may have undiagnosed ASD should be useful. The purpose of this study was to develop such a screening instrument. Methods Based on the 80 item Ritvo Autism and Asperger Diagnostic Scale-Revised (RAADS-R), we developed a 14 item self-evaluation questionnaire, the RAADS-14 Screen. In total, 135 adults with ASD and 508 psychiatric controls completed the abridged version of the RAADS-R. Results The RAADS-14 Screen score was significantly higher in the ASD group than in the control samples, with a median score of 32 for ASD, 15 for attention deficit hyperactivity disorder, and 11 for other psychiatric disorders (P?
机译:背景自闭症谱系障碍(ASD)可能很难与其他精神科疾病区分开。 ASD的临床评估很长,必须由专业的临床医生进行。因此,一种有助于识别可能未诊断为ASD的患者的筛查工具应该是有用的。这项研究的目的是开发这种筛查仪器。方法基于80项Ritvo自闭症和阿斯伯格诊断量表修订版(RAADS-R),我们开发了14项自我评估问卷,即RAADS-14筛查表。总共有135名患有ASD的成年人和508名精神病控制者完成了RAADS-R的简化版。结果ASD组的RAADS-14筛查分数显着高于对照组,ASD的中位数为32,注意缺陷多动障碍为15,其他精神疾病为11(P <0.001)。截止得分为14或更高,灵敏度为97%,特异性为46%至64%。因素分析确定了与心理缺陷,社交焦虑和感觉反应相关的三个因素,这些因素与ASD的诊断有关。结果表明,RAADS-14 Screen的心理测量性能令人满意。结论这项研究的结果表明,RAADS-14筛查是筛查成人精神科门诊患者ASD的有前途的措施。

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