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Abstract：
UNASSIGNED: Autism assessment processes need to improve for deaf children as they are currently being diagnosed later than their hearing counterparts and misdiagnosis can occur. We took one of the most commonly used parent developmental interviews for autism spectrum disorder the Autism Diagnostic Interview-Revised and adapted it using international expert advice. Modifications were proposed and agreed by the expert panel for 45% of items; the remaining 55% of items were unchanged. We then tested the revised version, adapted for deaf children (Autism Diagnostic Interview-Revised Deaf Adaptation), in a UK sample of 78 parents/carers of deaf children with autism spectrum disorder and 126 parents/carers with deaf children without autism spectrum disorder. When compared to National Institute for Health and Care Excellence guideline standard clinical assessments, the Autism Diagnostic Interview-Revised Deaf Adaptation diagnostic algorithm threshold scores could identify those deaf children with a definite diagnosis (true autism spectrum disorder positives) well (sensitivity of 89% (79%-96%)) and those deaf children who did not have autism spectrum disorder (true autism spectrum disorder negatives) well (specificity of 81% (70%-89%)). Our findings indicate that the Autism Diagnostic Interview-Revised Deaf Adaptation is likely to prove a useful measure for the assessment of deaf children with suspected autism spectrum disorder and that further research would be helpful.
摘要：
■自闭症评估过程需要改善聋哑儿童，因为他们目前被诊断的时间晚于听力同行，并且可能会发生误诊。我们采取了自闭症谱系障碍最常用的父母发育访谈之一，即自闭症诊断访谈-修订版，并使用国际专家建议对其进行了调整。专家组对45％的项目提出了修改建议并同意；其余55％的项目保持不变。然后我们测试了修订版，适用于聋哑儿童(自闭症诊断访谈-修订的聋哑适应)，在英国样本中，有78名患有自闭症谱系障碍的聋哑儿童的父母/照顾者和126名患有自闭症谱系障碍的聋哑儿童的父母/照顾者。与美国国家健康与护理卓越研究所指南标准临床评估相比，自闭症诊断访谈-修订的聋人适应诊断算法阈值评分可以很好地识别那些明确诊断的聋儿(真正的自闭症谱系障碍阳性)(敏感性为89%(79%-96%))和那些没有自闭症谱系障碍(真正的自闭症谱系障碍阴性)的聋儿(特异性为81%(70%-89%)).我们的发现表明，自闭症诊断访谈修订的聋人适应可能证明是评估疑似自闭症谱系障碍的聋儿的有用措施，并且进一步的研究将有所帮助。
