中国孤独症谱系障碍儿童适应行为量表编制及信效度研究

Reliability and validity of Adaptive Behavior Scale for Children with Autism Spectrum Disorder

目的编制符合中国文化、具有良好信度和效度的中国孤独症谱系障碍(autism spectrum disorder,ASD)儿童适应行为量表,为有效反映中国ASD儿童康复治疗效果提供参考。方法根据量表编制理论和程序、ASD临床表现及适应行为概念编制中国ASD儿童适应行为量表,经过预调查和项目分析形成正式量表;以便利抽样的方式纳入广州、惠州、深圳多所医院及孤独症康复中心2~12岁ASD儿童301例,入组儿童均符合精神疾病诊断和统计手册第5版诊断标准。结果经项目分析及探索性因子分析,正式量表包含58项条目,6个公因子,可解释总变异的64.24%。全量表Cronbachα系数为0.98,概念技能、社交技能、团体适应、语言技能、生活技能、沟通技能因子层面依次为0.94,0.93,0.91,0.95,0.88,0.94;全量表重测信度为0.86,各因子层面依次为0.88,0.81,0.81,0.87,0.88,0.79。与适应性行为评定量表第2版(Adaptive Behavior Assessment System-second Edition,ABAS-Ⅱ)的全量表效标关联效度为-0.77,与儿童孤独评定量表(Children Autism Rating Scale,CARS)的效标关联效度为0.64。结论 ASD儿童适应行为量表具备良好的信度及效度,值得推广使用。

Objective To develop a native adaptive behavior scale for children with autism spectrum disorder( ASD) and to explore its reliability and validity.Methods Items of ASD adaptive behavior rating scale were selected based on the scale development theory,ASD knowledge and adaptive behavior concept through preliminary survey and statistical,and 301 ASD children aged 2 to 12 from hospitals in Guangzhou,Huizhou,Shenzhen who met the Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition were selected,data was analyzed by the item analysis.Results After item analysis and exploratory factor analysis,the final version of the scale contains 58 items,and 64.24% of the total variation could be explained by 6 factors;The Cronbach’s α coefficient of the full scale was 0.98,and the coefficient value of dimen sional factors were 0.94,0.93,0.91,0.95,0.88,0.94.The test-test reliability r of full scale was 0.86,the r of the factor were 0.88,0.81,0.81,0.87,0.88,0.79.The criterion-related validity r with the ABAS-Ⅱ scale was-0.77,the criterion-related validity r with the CARS scale was 0.64.Conclusion The ASD Child Adaptive Behavior Scale showed good reliability and validity,and could be used widely.