PDF(Pubmed)
Abstract：
The current study examined differences between parent report and diagnostician direct assessment of receptive language, expressive language, and fine motor abilities in toddlers with autism spectrum disorder (ASD) and other delays. Additionally, this study examined whether parent-diagnostician consistency varied by child diagnosis and sex assigned at birth (SAB). Initial mixed analysis of variances (ANOVAs) were conducted using data from a sample of 646 toddlers to examine whether parent-diagnostician consistency differed by child diagnosis. Matched samples (using child age, SAB, and nonverbal IQ) were then created within each diagnostic group and mixed ANOVAs were conducted to examine if consistency was similar in matched diagnostic subsamples and whether it differed by SAB. Findings from the full sample mostly replicated previous research that has documented consistency between parent report and direct observation regardless of child diagnosis. However, when examined in matched diagnostic subgroups, more nuanced patterns were observed. Parent report of receptive language was lower in ASD and ASD features subgroups and parent report of fine motor skills was lower than direct observation in the ASD, ASD features, and developmental delay groups. When examining the moderating effect of SAB, only expressive language was impacted for children in the ASD group. Results indicate the importance of considering child demographic characteristics and that child SAB may impact parent report and/or diagnostician perception of expressive language.
摘要：
当前的研究检查了父母报告和诊断医生对接受语言的直接评估之间的差异，富有表现力的语言,以及患有自闭症谱系障碍（ASD）和其他延迟的幼儿的精细运动能力。此外,这项研究检查了父母-诊断医生的一致性是否因儿童诊断和出生时性别(SAB)而异.使用来自646名幼儿样本的数据进行了最初的方差混合分析（ANOVA），以检查父母诊断医生的一致性是否因儿童诊断而异。匹配的样本(使用儿童年龄，SAB,然后在每个诊断组中创建非语言IQ），并进行混合方差分析，以检查匹配的诊断子样本的一致性是否相似，以及SAB是否不同。来自完整样本的发现大多重复了先前的研究，这些研究记录了父母报告和直接观察之间的一致性，无论儿童诊断如何。然而,当在匹配的诊断亚组中检查时，观察到更细微的模式。在ASD和ASD特征亚组中，接受语言的父母报告较低，在ASD中，精细运动技能的父母报告低于直接观察。ASD功能，和发育迟缓组。在检查SAB的调节作用时，ASD组儿童仅表达性语言受到影响.结果表明，考虑儿童人口统计学特征的重要性，儿童SAB可能会影响父母的报告和/或诊断医生对表达语言的看法。
