ABSTRACT

With the publication of DSM-5, clinical assessment of Autism Spectrum Disorder (ASD) has begun to follow a new dimensional framework which includes new severity specifiers. Little research has explored these severity ratings in comparison to other previously established severity indicators (e.g. ADOS-2 calibrated severity score). The current study compared parent and teacher ratings using the BASC-2 for 43 children and adolescents diagnosed with DSM-5 ASD, to contribute novel information to the BASC literature and to explore the new DSM-5 severity ratings. Linear regression analyses were conducted to determine the extent to which the DSM-5 Social Communication and Restrictive/Repetitive Behavior Severity Ratings (clinician-rated) predicted autism severity based on ADOS-2 calibrated severity scores. Furthermore, linear regressions were conducted to explore whether teacher ratings on the BASC-2 enhance parent ratings. Implications of these preliminary results for the assessment of children and adolescents with ASD are suggested.

摘要

随着DSM-5的发布，自闭症谱系障碍（ASD）的临床评估已开始遵循新的维度框架，其中包括新的严重性说明符。与其他先前建立的严重性指标（例如，ADOS-2校准的严重性评分）相比，很少有研究探索这些严重性等级。当前的研究比较了使用BASC-2对43位诊断为DSM-5 ASD的儿童和青少年的父母和老师的评分，以为BASC文献提供新颖的信息并探索新的DSM-5严重程度评分。进行线性回归分析以确定DSM-5的程度社交沟通和限制性/重复性行为严重性等级（由医生评定）基于ADOS-2校准的严重性评分来预测自闭症的严重性。此外，进行了线性回归，以探讨BASC-2上的教师评分是否能提高家长评分。建议这些初步结果对ASD儿童和青少年评估的意义。