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 Citations (Scopus)

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)
JournalPsychiatry Research
DOIs
StateAccepted/In press - Feb 24 2015

Fingerprint

Autistic Disorder
Reproducibility of Results
Parents
ROC Curve
Area Under Curve
China
Sensitivity and Specificity

Keywords

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

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

Cite this

Validity and reliability analysis of the Chinese parent version of the Autism Spectrum Rating Scale (6-18 years). / Zhou, Hao; Zhang, Lili; Wu, Lijie; Zou, Xiaobing; Luo, Xuerong; Xia, Kun; Wang, Yimin; Xu, Xiu; Ge, Xiaoling; Sun, Caihong; Deng, Hongzhu; Fombonne, Eric; Jiang, Yong Hui; Yan, Weili; Wang, Yi.

In: Psychiatry Research, 24.02.2015.

Research output: Contribution to journalArticle

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, YH, 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. https://doi.org/10.1016/j.psychres.2015.09.003
Zhou, Hao ; Zhang, Lili ; Wu, Lijie ; Zou, Xiaobing ; Luo, Xuerong ; Xia, Kun ; Wang, Yimin ; Xu, Xiu ; Ge, Xiaoling ; Sun, Caihong ; Deng, Hongzhu ; Fombonne, Eric ; Jiang, Yong Hui ; Yan, Weili ; Wang, Yi. / Validity and reliability analysis of the Chinese parent version of the Autism Spectrum Rating Scale (6-18 years). In: Psychiatry Research. 2015.
@article{2f8dbf80eb6f47d1afb3125a055cd0b8,
title = "Validity and reliability analysis of the Chinese parent version of the Autism Spectrum Rating Scale (6-18 years)",
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.",
keywords = "Autism, Child, Epidemiology, Scale, Screening, Validation",
author = "Hao Zhou and Lili Zhang and Lijie Wu and Xiaobing Zou and Xuerong Luo and Kun Xia and Yimin Wang and Xiu Xu and Xiaoling Ge and Caihong Sun and Hongzhu Deng and Eric Fombonne and Jiang, {Yong Hui} and Weili Yan and Yi Wang",
year = "2015",
month = "2",
day = "24",
doi = "10.1016/j.psychres.2015.09.003",
language = "English (US)",
journal = "Psychiatry Research",
issn = "0165-1781",
publisher = "Elsevier Ireland Ltd",

}

TY - JOUR

T1 - Validity and reliability analysis of the Chinese parent version of the Autism Spectrum Rating Scale (6-18 years)

AU - Zhou, Hao

AU - Zhang, Lili

AU - Wu, Lijie

AU - Zou, Xiaobing

AU - Luo, Xuerong

AU - Xia, Kun

AU - Wang, Yimin

AU - Xu, Xiu

AU - Ge, Xiaoling

AU - Sun, Caihong

AU - Deng, Hongzhu

AU - Fombonne, Eric

AU - Jiang, Yong Hui

AU - Yan, Weili

AU - Wang, Yi

PY - 2015/2/24

Y1 - 2015/2/24

N2 - 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.

AB - 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.

KW - Autism

KW - Child

KW - Epidemiology

KW - Scale

KW - Screening

KW - Validation

UR - http://www.scopus.com/inward/record.url?scp=84941695117&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84941695117&partnerID=8YFLogxK

U2 - 10.1016/j.psychres.2015.09.003

DO - 10.1016/j.psychres.2015.09.003

M3 - Article

C2 - 26384573

AN - SCOPUS:84941695117

JO - Psychiatry Research

JF - Psychiatry Research

SN - 0165-1781

ER -