克氏行為量表篩檢自閉症類群障礙症幼兒：追蹤研究

Using the Clancy Behavior Scale for Detecting Autism Spectrum Disorder in Toddlers: A Follow-up Study

陳昭芬(Chao-Fen Chen)；吳進欽(Chin-Chin Wu)

自閉症類群障礙症 ； 特異度 ； 敏感度 ； 篩檢 ； autism spectrum disorder ； specificity ； sensitivity ； screening

若瑟醫護雜誌

15卷1期（2021 / 07 / 01）

6 - 19

繁體中文

背景與目的：自閉症類群障礙症早期介入的效果，彰顯早期篩檢的重要性。然而，台灣自閉症類群障礙症幼兒早期篩檢的追蹤研究不多。因此，藉由追蹤研究的方式，本研究目的探究「克氏行為量表（Clancy Behavior Scale）」用在臨床場域篩檢3歲以下幼兒的長期正確率。方法：時間點一，參與者為18至36個月的發展問題幼兒100名，由主要照顧者填寫克氏行為量表。時間點二，第一次評估經過5年後進行追蹤評估確認診斷，家長再次填寫克氏行為量表。參與者的診斷分別是46名自閉症類群障礙症兒童與54名非自閉症類群障礙幼兒。結果：時間點一，克氏行為量表完整14題，以10分作為切截分數，長期敏感度.83，長期特異度.46；簡版九題，以5分作為切截分數，長期敏感度.80，長期特異度.48。時間點二，克氏行為量表完整14題，以7分作為切截分數，敏感度.72，特異度.48；簡版九題，以4分作為切截分數，敏感度.78，特異度.56。結論：本研究發現克氏行為量表簡版九題的正確率相對較為理想。研究結果可以作為執行自閉症類群障礙症篩檢與診斷的參考。

Purposes: Background and purpose: The effectiveness of early intervention in autism spectrum disorder (ASD) highlights the importance of early diagnosis. However, there are few follow-up studies for examining longitudinal accuracy of early screening in young children with ASD in Taiwan. Thus, this follow-up study investigated the utility of the Clancy Behavior Scale (CBS) in detecting ASD in young children before 36 months of age. Methods: Participants included 100 young children with developmental problems aged 18 to 36 months and their caregivers who completed CBS (Time 1). After a period of 5 years, children underwent follow-up assessment and finalized the diagnosis and their caregivers who completed CBS again (Time 2). Finally, participants were 46 children with ASD and 54 children with non-ASD. Results: Time 1, using a score of 10 of the 14 CBS items, the longitudinal sensitivity and specificity were .83 and .46, respectively. Using a score of 5 of the 9 CBS critical items, the longitudinal sensitivity and specificity were .80 and .48, respectively. Time 2, using a score of 7 of the 14 CBS items, the sensitivity and specificity were .72 and .48, respectively. Using a score of 4 of the 9 CBS critical items, the sensitivity and specificity were .78 and .56, respectively. Conclusion: the findings oh this study suggested that the 9 CBS critical items showed better accuracy. This current study provided implications for screening and diagnosis in ASD.

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