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논문 기본 정보

자료유형
학술저널
저자정보
Chun Jeeyoung (Department of Psychiatry Seoul National University Hospital) Bong Guiyoung (Department of Psychiatry Seoul National University Bundang Hospital) Han Jae Hyun (Department of Psychiatry Seoul National University Bundang Hospital) Oh Miae (Department of Psychiatry Kyung Hee University Hospital) Yoo Hee Jeong (Department of Psychiatry Seoul National University Bundang Hospital Seoul National University Colle)
저널정보
대한신경정신의학회 PSYCHIATRY INVESTIGATION PSYCHIATRY INVESTIGATION 제18권 제9호
발행연도
2021.9
수록면
831 - 840 (10page)
DOI
10.30773/pi.2021.0182

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초록· 키워드

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Objective This cross-cultural study aims to examine the psychometric properties of the Social Responsiveness Scale (SRS) and to determine the best-estimate-cut-off scores for the diagnosis of autism spectrum disorder (ASD) in Korean preschool children.Methods A total of 563 children was recruited from multiple sources, including Seoul National University Bundang Hospital. Participants were assessed by a multidisciplinary research team using multiple diagnostic tools based on DSM-5 diagnostic criteria. Discriminative validity was tested by comparing the difference in SRS scores between ASD and non-ASD groups. Convergent validity was tested by examining correlations between SRS scores with other diagnostic instruments. A receiver operation characteristic curve analysis was conducted to test the sensitivity and specificity of SRS and to determine the best-estimate-cut-off scores for screening ASD in Korean preschool children.Results There were significant differences in the total SRS scores between the ASD (n=242) and non-ASD group (n=321) (p<0.01, 95% confidence interval [CI]: 14.08?17.24). The differences were significant even after adjusting for age. SRS scores were significantly correlated with other prescreening diagnostic tools for ASD. The best-estimate cut-off score to screen ASD was 55 (area under curve=0.88, sensitivity 78.1%, specificity 86.6%).Conclusion The SRS is a valid and reliable instrument to screen and aid in the diagnosis of ASD in Korean preschool children. The adjusted cut-off scores, notably lower than in the original U.S. version, may yield a more accurate diagnosis by reflecting transcultural differences.

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