Validity and reliability analysis of the Chinese parent version of the Autism Spectrum Rating Scale (6-18 years)

Hao Zhou, Lili Zhang, Lijie Wu, Xiaobing Zou, Xuerong Luo, Kun Xia, Yimin Wang, Xiu Xu, Xiaoling Ge, Caihong Sun, Hongzhu Deng, Eric Fombonne, Yong Hui Jiang, Weili Yan, Yi Wang

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

This study aimed to investigate the validity and reliability of the Chinese parent version of the Autism Spectrum Rating Scale (ASRS, 6-18 years) for a general sample of Chinese children. The study involved assessing 1625 community-based subjects aged 6-12 years from four sites (Shanghai, Guangzhou, Changsha, and Harbin city) in China and 211 clinic-based participants aged 6-18 with a confirmed diagnosis of autism spectrum disorders (ASDs). The internal consistency (Cronbach's alpha) ranged from 0.585 to 0.929, and the test-retest reliability (interclass correlations) ranged from 0.542 to 0.749, indicating no significant difference between the two tests at an interval of 2-4 weeks. The construct validity was relatively excellent, and the concurrent validity with the Social Responsiveness Scale (SRS) (Pearson correlations) was 0.732 between the two total scores. Receiver operating characteristics (ROC) analyses showed excellent and comparable discriminant validity of the ASRS with respect to the SRS, with an area under the curve (AUC) of 0.9507 (95% CI: 0.93-0.97) versus 0.9703 (95% CI: 0.96-0.98), respectively. Our data suggested a cutoff ≥60 for the Chinese version of the ASRS, with good accuracy in screening autism symptoms (sensitivity=94.2%, specificity=77%). The Chinese parent version of the ASRS is therefore a reliable and valid tool for screening autistic symptoms in Chinese children in general.

Original languageEnglish (US)
Pages (from-to)255-261
Number of pages7
JournalPsychiatry Research
Volume230
Issue number2
DOIs
StatePublished - Dec 15 2015

Keywords

  • Autism
  • Child
  • Epidemiology
  • Scale
  • Screening
  • Validation

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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    Zhou, H., Zhang, L., Wu, L., Zou, X., Luo, X., Xia, K., Wang, Y., Xu, X., Ge, X., Sun, C., Deng, H., Fombonne, E., Jiang, Y. H., Yan, W., & Wang, Y. (2015). Validity and reliability analysis of the Chinese parent version of the Autism Spectrum Rating Scale (6-18 years). Psychiatry Research, 230(2), 255-261. https://doi.org/10.1016/j.psychres.2015.09.003