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Assessing the Accuracy of the Modified Chinese Autism Spectrum Rating Scale and Social Responsiveness Scale for Screening Autism Spectrum Disorder in Chinese Children

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Neuroscience Bulletin 2017年第2期33卷 168-174页

作者： Bingrui Zhou Hao Zhou Lijie Wu Xiaobing Zou Xuerong Luo eric fombonne Yi Wang Weili Yan Xiu Xu Department of Child Healthcare Children’s Hospital of Fudan UniversityShanghai 201102China Department of Neurology Children’s Hospital of Fudan UniversityShanghai 201102China School of Public Health Harbin Medical UniversityHarbin 150081China Child Development Center The Third Affiliated HospitalSun Yat-Sen UniversityGuangzhou 510630China Department of Psychiatry The Second Xiangya Hospital of Central South UniversityChangsha 410011China Oregon Health and Science University PortlandOR 97239USA Department of Clinical Epidemiology Children’s Hospital of Fudan UniversityShanghai 201102China

The reported prevalence of autism spectrum disorder（ASD） has been increasing rapidly in many parts of the world. However, data on its prevalence in China are largely missing. Here, we assessed the suitability of the modi？ed Chinese version of a newly-developed ASD screening tool, the Modi？ed Chinese Autism Spectrum Rating Scales（MC-ASRS） in screening for ASD in Chi nese children aged 6–12 years, through comparison with the Social Responsiveness Scale（SRS） that has been widely used for ASD screening. We recruited the par ents/caregivers of 1588 typically-developing children and190 children with ASD aged 6–12 years to complete the MC-ASRS and SRS, and evaluated the validity of both scales in discriminating children with ASD from those developing typically. The results showed that MC-ASRSperformed as well as SRS in sensitivity, speci？city, and area-under-the-curve（both [0.95） in receiver operating characteristic analysis, with a fair false-negative *** results suggest that MC-ASRS is a promising tool for screening for children with ASD in the general Chinese population.

关键词： Autism spectrum disorder Screening accuracy ROC analysis Modi?ed Chinese Autism Spectrum Rating Scale Social Responsiveness Scale

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Chinese Norms for the Autism Spectrum Rating Scale

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Neuroscience Bulletin 2017年第2期33卷 161-167页

作者： Hao Zhou Lili Zhang Xiaobing Zou Xuerong Luo Kun Xia Lijie Wu Yimin Wang Xiu Xu Xiaoling Ge Yong-Hui Jiang eric fombonne Weili Yan Yi Wang Division of Neurology Children’s Hospital of Fudan UniversityShanghai 201102China Child Development Center The Third Affiliated HospitalSun Yat-Sen UniversityGuangzhou 510000China Department of Psychiatry The Second Xiangya Hospital of Central South UniversityChangsha 410008China State Key Laboratory of Medical Genetics Changsha 400078China School of Public Health Harbin Medical University Harbin 150081China Department of Child Healthcare Children’s Hospital of Fudan UniversityShanghai 201102China Children’s Hospital of Fudan University Shanghai 201102China Division of Medical Genetics Department of Pediatrics and NeurobiologyDuke University School of MedicineDurhamNC 27710USA Oregon Health and Science University PortlandOR 97239USA Department of Clinical Epidemiology Children’s Hospital of Fudan UniversityShanghai 201102China Pediatric Department Guizhou Provincial People’s HospitalGuiyang 550002China

This study aimed to establish norms for the modi？ed Chinese version of the Autism Spectrum Rating Scale（ASRS）. Participants were recruited from Shanghai,Harbin, Guangzhou, and Changsha, China, and their parents and teachers were invited to complete the Chinese Parent version and the Teacher version of the ASRS. In both versions, boys had signi？cantly higher sub-scale scores and total score（T-score） by 1–3 and 4–5 points respectively, than girls（both P ／ 0.001）. Age had weak correlations with some sub-scores and the T-score（r ranged from-0.1859 to 0.0738）, and some reached signi？cance（P ／ 0.03）. The correlations appeared stronger and were more common in females. The T-score based on Chinese norms ideally correlated with the score based on the United States norms in boys and girls for both *** for the Chinese version of the ASRS for children aged 6–12 years are proposed and may be helpful for screening individuals with autism spectrum disorders from the general population of children.

关键词： Autism spectrum disorders Autism spectrum rating scale Norm Children

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Modifying the Autism Spectrum Rating Scale(6–18 years)to a Chinese Context:An Exploratory Factor Analysis

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Neuroscience Bulletin 2017年第2期33卷 175-182页

作者： Hao Zhou Lili Zhang Xuerong Luo Lijie Wu Xiaobing Zou Kun Xia Yimin Wang Xiu Xu Xiaoling Ge Yong-Hui Jiang eric fombonne Weili Yan Yi Wang Department of Neurology Children’s Hospital of Fudan UniversityShanghai 201102China Department of Psychiatry The Second Xiangya Hospital of Central South UniversityChangsha 410008China School of Public Health Harbin Medical UniversityHarbin 150081China Child Development Center The Third Affiliated HospitalSun Yat-Sen UniversityGuangzhou 510000China State Key Laboratory of Medical Genetics Changsha 400078China Department of Child Healthcare Children’s Hospital of Fudan UniversityShanghai 201102China Children’s Hospital of Fudan University Shanghai 201102China Division of Medical Genetics Department of Pediatrics and NeurobiologyDuke University School of MedicineDurhamNC 27710USA Institute on Development and Disability Oregon Health and Science UniversityPortlandOR 97239USA Department of Clinical Epidemiology Children’s Hospital of Fudan UniversityShanghai 201102China Pediatric Department of Guizhou Provincial People’s Hospital Guiyang 550002China

The purpose of this study was to explore the psychometric properties of the Chinese version of the autism spectrum rating scale（ASRS）. We recruited 1,625community-based children and 211 autism spectrum disorder（ASD） cases from 4 sites, and the parents of all participants completed the Chinese version of the ASRS. A robust weighted least squares means and variance adjusted estimator was used for exploratory factor analysis. The3-factor structure included 59 items suitable for the current sample. The item reliability for the modi？ed Chinese version of the ASRS（MC-ASRS） was excellent. Moreover,with 60 as the cut-off point, receiver operating characteristic analysis showed that the MC-ASRS had excellent discriminate validity, comparable to that of the unmodi？ed Chinese version（UC-ASRS）, with area under the curve values of 0.952（95% CI： 0.936–0.967） and 0.948（95% CI：0.930–0.965）, respectively. Meanwhile, the con？rm factor analysis revealed that MC-ASRS had a better construct validity than UC-ASRS based on the above factor solution in another children sample. In conclusion, the MC-ASRS shows better ef？cacy in epidemiological screening for ASD in Chinese children.

关键词： Autism spectrum disorder Screening Epidemiology Exploratory factor analysis Children

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Prevalence of Autism Spectrum Disorder in China:A Nationwide Multi-center Population-based Study Among Children Aged 6 to 12 Years

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Neuroscience Bulletin 2020年第9期36卷 961-971页

作者： Hao Zhou Xiu Xu Weili Yan Xiaobing Zou Lijie Wu Xuerong Luo Tingyu Li Yi Huang Hongyan Guan Xiang Chen Meng Mao Kun Xia Lan Zhang Erzhen Li Xiaoling Ge Lili Zhang Chunpei Li Xudong Zhang Yuanfeng Zhou Ding Ding Andy Shih eric fombonne Yi Zheng Jisheng Han Zhongsheng Sun Yong-hui Jiang Yi Wang LATENT-NHC Study Team Department of Neurology Children’s Hospital of Fudan UniversityShanghai 201102China Child Health Care Children’s Hospital of Fudan UniversityShanghai 201102China Department of Clinical Epidemiology Children’s Hospital of Fudan UniversityShanghai 201102China Child Development Behavior Center The Third Affiliated HospitalSun Yat-Sen UniversityGuangzhou 510630China Department of Children and Adolescent Health School of Public HealthHarbin Medical UniversityHarbin 150081China Department of Psychiatry The Second Xiangya Hospital of Central South UniversityChangsha 410011China Child Health Care Children’s Hospital of Chongqing Medical UniversityChongqing 400014China Department of Psychiatry West China Hospital of Sichuan UniversityChengdu 610041China Capital Institute of Pediatrics Beijing 100020China The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University Wenzhou 325027China Child Health Care Chengdu Women and Children’s HospitalChengdu 610091China Center for Medical Genetics School of Life SciencesCentral South UniversityChangsha 410013China Children’s Hospital of Fudan University Shanghai 201102China Huashan Hospital of Fudan University Shanghai 200040China Autism Speaks 1 East 33rd StreetNew YorkNY 10016USA Oregon Health and Science University PortlandOR 97239USA Beijing Anding Hospital Capital Medical UniversityBeijing 10008&China Neuroscience Research Institute Peking UniversityBeijing 100191China Beijing Institutes of Life Science Chinese Academy of SciencesBeijing 100021China Department of Genetics and Pediatrics Yale School of MedicineNew HavenCT 06520USA

This study aimed to obtain the first national estimate of the prevalence of autism spectrum disorder(ASD) in Chinese *** targeted the population of 6 to 12-year-old children for this prevalence study by multistage convenient cluster *** Modified Chinese Autism Spectrum Rating Scale was used for the screening *** the target population of 142,086 children,88.5%(n=125,806) participated in the study.A total of 363 children were confirmed as having *** observed ASD prevalence rate was 0.29%(95% CI:0.26%-0.32%) for the overall *** adjustment for response rates,the estimated number of ASD cases was867 in the target population sample,thereby achieving an estimated prevalence of 0.70%(95% CI:0.64%-0.74%).The prevalence was significantly higher in boys than in girls(0.95%;95% CI:0.87%-1.02% versus 0.30%;95%CI:0.26%-0.34%;P <0.001).Of the 363 confirmed ASD cases,43.3% were newly diagnosed,and most of those(90.4%) were attending regular schools,and 68.8% of the children with ASD had at least one neuropsychiatric *** findings provide reliable data on the estimated ASD prevalence and comorbidities in Chinese children.

关键词： Autism spectrum disorder Prevalence Comorbidity Autism Spectrum Rating Scale China

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