Few measures of autism-related symptoms have been established as both psychometrically robust and sensitive to the effects of treatment. In the present study, a personalized measure of autism-related symptoms using the Youth Top Problems (YTP) method (Weisz et al., 2011) was evaluated. Participants included 68 children with diagnoses of autism (ages 6-13 years), and their parents, who were randomized to cognitive behavioral therapy (CBT) or enhanced standard community treatment (ESCT) addressing autism-related symptoms. At pretreatment, parents described their child's top autism-related problems (YTPs) in their own words and rated the severity of these problems on a Likert-type scale. Parents also made daily severity ratings on the child's top three YTPs for 5 days prior to treatment and 5 days following treatment while videorecording their child's behavior at home on each of these days. Trained observers coded these videorecordings, focusing on the same YTPs that the parents rated. Parents also completed standardized checklists of autism-related symptoms and general mental health symptoms. There was evidence of convergent and discriminant validity as well as good test-retest reliability for the YTP measures. YTP severity scores converged with the standardized measure of autism-related symptoms. Parent-reported YTP scores predicted observers' YTP scores at the daily level, and both parent-reported and observers' YTP scores decreased from pre- to post treatment. Observers' ratings of the videorecordings exhibited sensitivity to treatment condition. These applications of the YTP method are promising and may complement standardized symptom checklists for clinical trials focusing on autism-related symptoms. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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使用青少年最常见问题量表进行个性化自闭症症状评估：临床试验应用的观察和家长报告格式。

很少有自闭症相关症状的测量方法被确定为在心理测量上既可靠又对治疗效果敏感。在本研究中，评估了使用青年头号问题 (YTP) 方法 (Weisz et al., 2011) 对自闭症相关症状的个性化测量。参与者包括 68 名被诊断为自闭症的儿童（年龄 6-13 岁）及其父母，他们被随机分配接受认知行为疗法 (CBT) 或增强标准社区治疗 (ESCT) 以解决自闭症相关症状。在预处理时，父母用自己的话描述了他们孩子最常见的自闭症相关问题（YTP），并以李克特式量表评估这些问题的严重程度。父母还每天对孩子进行严重程度评级 治疗前 5 天和治疗后 5 天的前三名 YTP，同时在这些日子里每天记录孩子在家中的行为。训练有素的观察员对这些录像进行编码，重点关注父母评价的相同 YTP。父母还完成了自闭症相关症状和一般心理健康症状的标准化清单。有证据表明 YTP 措施具有收敛效度和区分效度以及良好的重测信度。YTP 严重程度评分与自闭症相关症状的标准化测量值一致。家长报告的 YTP 分数可预测观察者的日常 YTP 分数，并且家长报告的和观察者的 YTP 分数从治疗前到治疗后均有所下降。观察者对录像的评价表现出对治疗条件的敏感性。YTP 方法的这些应用是有希望的，并且可以补充针对自闭症相关症状的临床试验的标准化症状检查表。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。