Validation of Existing Diagnosis of Autism in Mainland China Using Standardised Diagnostic Instruments

Autor/inn/en	Sun, Xiang; Allison, Carrie; Auyeung, Bonnie; Zhang, Zhixiang; Matthews, Fiona E.; Baron-Cohen, Simon; Brayne, Carol
Titel	Validation of Existing Diagnosis of Autism in Mainland China Using Standardised Diagnostic Instruments
Quelle	In: Autism: The International Journal of Research and Practice, 19 (2015) 8, S.1010-1017 (8 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/1362361314556785
Schlagwörter	Foreign Countries; Autism; Pervasive Developmental Disorders; Clinical Diagnosis; Diagnostic Tests; Children; Symptoms (Individual Disorders); Observation; Test Validity; Comparative Analysis; China; Autism Diagnostic Observation Schedule + Suchen Sie Ihr Suchwort? Ausland; Autismus; Diagnostic test; Diagnostischer Test; Child; Kind; Kinder; Psychiatrische Symptomatik; Beobachtung; Testvalidität
Abstract	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). (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01