Validation of Social Responsiveness Scale for Korean Preschool Children With Autism
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초록
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.
Abstract
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.
참고문헌 (45)
- Bradshaw J, "Feasibility and effectiveness of very early intervention for infants at-risk for autism spectrum disorder : a systematic review", J Autism Dev Disord, 45, pp.778~794 (2015)
- Estes A, "Longterm outcomes of early intervention in 6-year-old children with autism spectrum disorder", J Am Acad Child Adolesc Psychiatry, 54, pp.580~587 (2015)
- Constantino JN, "Validation of a brief quantitative measure of autistic traits : comparison of the social responsiveness scale with the autism diagnostic interview-revised", J Autism Dev Disord, 33, pp.427~433 (2003)
- Blanken LM, "Cortical morphology in 6-to 10-year old children with autistic traits : a population-based neuroimaging study", Am J Psychiatry, 172, pp.479~486 (2015)
- Duvall JA, "A quantitative trait locus analysis of social responsiveness in multiplex autism families", Am J Psychiatry, 164, pp.656~662 (2007)
- Lowe JK, "Social responsiveness, an autism endophenotype : genomewide significant linkage to two regions on chromosome 8", Am J Psychiatry, 172, pp.266~275 (2015)
- Constantino JN, "Intergenerational transmission of subthreshold autistic traits in the general population", Biol Psychiatry, 57, pp.655~660 (2005)
- Lyall K, "Parental social responsiveness and risk of autism spectrum disorder in offspring", JAMA Psychiatry, 71, pp.936~942 (2014)
- Page J, "Quantitative autistic trait measurements index background genetic risk for ASD in Hispanic families", Mol Autism, 7, pp.39~ (2016)
- Lyall K, "Distributional properties and criterion validity of a shortened version of the social responsiveness scale : results from the ECHO program and implications for social communication research", J Autism Dev Disord, 51, pp.2241~2253 (2021)
- Cheon KA, "The social responsiveness scale in relation to DSM IV and DSM5 ASD in Korean children", Autism Res, 9, pp.970~980 (2016)
- Constantino JN, "The Social Responsiveness Scale" (2002), Western Psychological Services
- Constantino JN, "Social Responsive Scale: Manual" (2005), Western Psychological Services
- Constantino JN, "Social Responsive Scale Manual (2nd ed., SRS-2)" (2012), Western Psychological Services
- Bolte S, "Assessing autistic traits : cross-cultural validation of the social responsiveness scale(SRS)", Autism Res, 1, pp.354~363 (2008)
- Wigham S, "The reliability and validity of the Social Responsiveness Scale in a UK general child population", Res Dev Disabil, 33, pp.944~950 (2012)
- Tehrani-Doost M, "Cross-cultural validation and normative data of the social responsiveness scale in a group of Iranian general child population", J Autism Dev Disord, 50, pp.2389~2396 (2020)
- Fombonne E, "Screening for autism in Mexico", Autism Res, 5, pp.180~189 (2012)
- Cen CQ, "Investigating the validation of the Chinese Mandarin version of the Social Responsiveness Scale in a Mainland China child population", BMC Psychiatry, 17, pp.51~ (2017)
- Gau SF, "Psychometric properties of the Chinese version of the Social Responsiveness Scale", Res Autism Spectr Disord, 7, pp.349~360 (2013)
- Wang J, "Assessing autistic traits in a Taiwan preschool population : cross-cultural validation of the Social Responsiveness Scale(SRS)", J Autism Dev Disord, 42, pp.2450~2459 (2012)
- Nguyen PH, "The reliability and validity of the social responsiveness scale to measure autism symptomology in Vietnamese children", Autism Res, 12, pp.1706~1718 (2019)
- Kamio Y, "Utility of teacher-report assessments of autistic severity in Japanese school children", Autism Res Treat, 2013, pp.373240~ (2013)
- Bolte S, "Autistic traits and autism spectrum disorders : the clinical validity of two measures presuming a continuum of social communication skills", J Autism Dev Disord, 41, pp.66~72 (2011)
- Chan W, "Validating the social responsiveness scale for adults with autism", Autism Res, 10, pp.1663~1671 (2017)
- Takei R, "Verification of the utility of the social responsiveness scale for adults in non-clinical and clinical adult populations in Japan", BMC Psychiatry, 14, pp.302~ (2014)
- Stickley A, "Assessment of autistic traits in children aged 2 to 4(1", 2)years with the preschool version of the Social Responsiveness Scale(SRS-P) : findings from Japan, 2017, pp.10, 852~865
- Bong G, "The feasibility and validity of autism spectrum disorder screening instrument : Behavior Development Screening for Toddlers(BeDevel)-A pilot study", Autism Res, 12, pp.1112~1128 (2019)
- Autism Diagnostic Observation Schedule (ADOS-2) Modules 1-4, "Lord C", Western Psychological Services, ~ (2012)
- Yoo H, "Korean Version of Autism Diagnostic Observation Schedule-Second Edition (ADOS-2)" (2017), Inpsyt
- Rutter M, "Autism Diagnostic Interviewed Revised ADI-R" (2003), Western Psychological Services
- International Statistical Classification of Diseases and Related Health Problems 10th Revision Version for 2006, "World Health Organization", World Health Organization, ~ (1992)
- Yoo H, "Korean Version of Autism Diagnostic Interview-Revised (ADIR)" (2007), Inpsyt
- Schopler E, "The Childhood Autism Rating Scale" (1988), Western Psychological Services
- Kim T, "Korean Version of Childhood Autism Rating Scale" (1995), Special Education
- Kwon HJ, "Readjusting the cut-off score of the Korean version of the Childhood Autism Rating Scale for high-functioning individuals with autism spectrum disorder", Psychiatry Clin Neurosci, 71, pp.725~732 (2017)
- Rutter M, "Social Communication Questionnaire" (2003), Western Psychological Services
- 김주현, "한국어판 사회적 의사소통 설문지 타당화 연구", Journal of the Korean Academy of Child and Adolescent Psychiatry, 26(3), pp.197~208 (2015), 대한소아청소년 정신의학회
- Pine E, "Quantitative assessment of autistic symptomatology in preschoolers", Autism, 10, pp.344~352 (2006)
- Volkmar FR, "Vineland Adaptive Behavior Scales, Second Edition. Encyclopedia of Autism Spectrum Disorders" (2013), Springer
- Kim Y, "Sequenced Language Scale for Infants (SELSI)" (2003), Special Education Publication Co
- Oh Miae, "Validating the Autism Diagnostic Interview-Revised in the Korean Population", PSYCHIATRY INVESTIGATION, 18(3), pp.196~204 (2021), 대한신경정신의학회[DOI]
- Camarata S, "Early identification and early intervention in autism spectrum disorders: accurate and effective?", Int J Speech Lang Pathol, 16, pp.1~10 (2014)
- Warren Z, "A systematic review of early intensive intervention for autism spectrum disorders", Pediatrics, 127, pp.e1303~ (2011)
- Constantino JN, "Deconstructing autism : from unitary syndrome to contributory developmental endophenotypes", Int Rev Psychiatry, 30, pp.18~24 (2018)