DOI QR코드

DOI QR Code

한국판 아스퍼거 증후군 진단척도의 타당화 및 진단 분할점 산출

A Study of the Validity of and Cut-Off Scores for the Korean Version of Asperger Syndrome Diagnostic Scale

  • 김하나 (서울대학교 연건보건진료소 상담실) ;
  • 신민섭 (서울대학교 의과대학 정신과학교실)
  • Kim, Ha-Na (Department of Health Service Center, Seoul National University) ;
  • Shin, Min-Sup (Department of Psychiatry, Seoul National University, College of Medicine)
  • 투고 : 2010.05.24
  • 심사 : 2010.07.02
  • 발행 : 2011.06.30

초록

Objectives : This study examined the reliability and validity of the Korean version of Asperger Syndrome Diagnostic Scale (K-ASDS), to calculate the cut-off score in the diagnosis of Asperger syndrome. Further, we examined classification error rate when applying cut-off scores. Methods : One hundred sixty-seven children participated in this study, including 46 with Asperger syndrome, 26 with PDD or PDD NOS, 43 with ADHD, and 52 normal children. Results : An ANCOVA demonstrated no significant differences in the K-ASDS total score between the Asperger and the PDD & PDD NOS groups. However, these groups did show significantly higher scores than the ADHD and normal groups. Among the five subscales on the K-ASDS, the Asperger group obtained significantly higher scores on the language and cognition subscales than the PDD & PDD NOS groups. Two scales were found to be useful in distinguishing the Asperger group from the PDD & PDD NOS group through a discriminant analysis. According to an analysis of ROC curve, the cut-off score on the K-ASDS for the diagnosis of PDD including Asperger syndrome was 121. Conclusion : We discussed that K-ASDS has pretty limit.

키워드

참고문헌

  1. Szatmari P, Brenner R, Nagy J. Asperger's syndrome: A review of clinical features. Can J Psychiatry 1989;34:554-560. https://doi.org/10.1177/070674378903400613
  2. Yoo HJ. Concept and Diagnosis of Asperger's disorder. J Kyung Hee Univ Med Cent 2007;23:118-124.
  3. Kim JH, Shin MS. A study of Reliability & validity for the Korean version of Asperger syndrome diagnostic scale. J Korean Acad Child Adolesc Psychiatry 2005;16:98-105.
  4. Boggs KM, Gross AM, Gohm CL. Validity of the Asperger syndrome Diagnostic Scale. J Dev Phys Disabil 2006;18:163-182. https://doi.org/10.1007/s10882-006-9008-6
  5. Matson JL, Wilkins J. Nosology and diagnosis of Asperger's syndrome. Res Autism Spectr Disord 2008;2:288-300. https://doi.org/10.1016/j.rasd.2007.07.003
  6. Lord C, Rutter M, Le Coteur A. Autism Diagnostic Interview-Revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. J Autism Dev Disord 1994;24:659-685. https://doi.org/10.1007/BF02172145
  7. Lord C, Risi S, Lambrecht L, Cook EH, Leventhal BL, Dilavore PC, et al. The autism diagnostic observation schedule-generic: a standard measure of social and communication deficits associated with the spectrum of autism. J Autism Dev Disord 2000;30:205-223. https://doi.org/10.1023/A:1005592401947
  8. Schopler E, Reichler RJ, Renner BR. The Childhood Autism Rating Scale. Los Angeles: Western Psychological Services;1998.
  9. Gilliam JE. Gilliam Autism Rating Scale. Austin: Pro-ed;2001.
  10. Gillberg IC, Gillberg C. Asperger Syndrome: Some Epidemiological Considerations. J Child Psychol Psychiatry 1989;30:631-638. https://doi.org/10.1111/j.1469-7610.1989.tb00275.x
  11. Kadesjo B, Gillberg C, Hagberg B. Brief report: Autism and Asperger syndrome in seven-year-old children: a total population study. J Autism Dev Disord 1999;29:327-331. https://doi.org/10.1023/A:1022115520317
  12. Attwood T. Asperger's Syndrome: A Guide for Parents and Professionals. Philadelphia: Jessica Kingsley;1998.
  13. Safran SP. Asperger syndrome: The emerging challenge to special education. Except Child 2001;67:151-160. https://doi.org/10.1177/001440290106700201
  14. Scott FJ, Baron-Cohen S, Bolto P, Brayne C. The CAST (Childhood Asperger Syndrome Test): preliminary development of a UK screen for mainstream primary-school-age children. Autism 2002; 6:9-31. https://doi.org/10.1177/1362361302006001003
  15. Myles B, Bock S, Simpson S. Asperger Syndrome Diagnostic Scale. Austin: Pro-ed;2001.
  16. South M, Williams BJ, McMahon WM, Owley T, Filipek PA. Utility of the Gilliam Autism Rating Scale in research and clinical populations. J Autism Dev Disord 2002;32:593-599. https://doi.org/10.1023/A:1021211232023
  17. Yang YR, Shin MS. Comperison of KEDI-WISC and BGT performance between the Asperger's disorder and PDD NOS children. Korean J Child & Adol Psyciatr 2009;18:277-292.
  18. Gillberg C, Billstedt E. Autism and Asperger syndrome: Coexistence with other clinical disorders. Acta Psychiatr Scand 2000;102:321-330. https://doi.org/10.1034/j.1600-0447.2000.102005321.x
  19. Klin A, Sparrow S, Marans W, Carter A, Volkmar F. Assessment issues in children and adolescents with Asperger syndrome. In: Klin A, Volkmar F, Sparrow S, editors. Asperger Syndrome. New York: Guilford Press;2000.
  20. Wellman HM, Lagattuta KH. Developing understandings of mind. In: Baron-Cohen S, Tager-Flusberg H, Cohen D, editors. Understanding other minds: Perspectives from developmental cognitive neuroscience. 2th ed. UK: Oxford University Press;2000.
  21. Han MK, Ghim HR, Son JW, Ghim YL, Choi HO. Understanding of mind, social competence, attention deficit, hyperactivity, inhibitory control. J Child Educ 2009;18:277-292.
  22. Miler JN, Ozonoff S. The external validity of Asperger Disorder: Lack of evidence from the domain of Neuropsychology. J Abnorm Psychol 2000;109:227-238. https://doi.org/10.1037/0021-843X.109.2.227
  23. Prior M, Eisenmajer R, Leekam S, Wing L, Gould J, Ong B, et al. Are there subgroups within the autistic spectrum: A cluster analysis of a group of children with autistic spectrum disorders. J Child Psychol Psychiatry 1998;39:893-902. https://doi.org/10.1111/1469-7610.00389
  24. Howlin P. Assessment instruments for Asperger syndrome. Child Psychol Psychiatr Rev 2000;5:120-129. https://doi.org/10.1017/S1360641700002288