目的 编制孤独症儿童社会技能评定量表(ASSS),并测定其效度和信度。方法 以Patrick对社会技能的定义为理论依据,在参考相关文献的基础上,形成初始量表;选取392名孤独症儿童,进行预测试,对初始量表进行项目分析、探索性因素分析,修改形成再测量表。选取889名孤独症儿童,进行正式测试,对其进行验证性因素分析和内部一致性检验;采用文兰社会适应量表(VABS)第一套表的社会领域维度和儿童孤独症评定量表(CARS)进行效标效度检验;随机选取其中95名孤独症儿童间隔3周进行重测。结果 ASSS包含50个项目,分为社会趋向、社会认知、社会沟通、社会参与和自我调控5个因子,共解释总变异的70.81%;验证性因素分析表明5个因子的模型拟合良好(χ2/df=2.02, RMSEA=0.075, NFI=0.96, NNFI=0.97, CFI=0.97, IFI=0.97, TLI=0.98, GFI=0.91);ASSS总分及5个因子分与VABS第一套表的社会领域维度得分呈正相关(r=0.535~0.796, 均P<0.01),而与CARS得分呈负相关(r=-0.517~-0.600, 均P<0.01)。总量表的Cronbach α系数为0.98,5个因子的α系数为0.94~0.98;总量表的重测信度为0.92,5个因子的重测信度为0.88~0.94。结论 本研究编制的ASSS具有较好的效度和信度,可用于评定我国孤独症儿童的社会技能。
Objective To develop Autism Social Skills Scale (ASSS) and examine its validity and reliability. Methods With the definition of social skills presented by Nancy J. Patrick as theoretical basis, the preliminary ASSS (first version) was developed by literature analysis, open questionnaire. Totally, 392 children with autism participated in the pre-investigation, and the structure of the scale was confirmed after selecting and modifying items, then the second version of ASSS was developed. To test the validity and reliability of ASSS (formal version), totally 889 children with autism were sampled as respondents tested for confirmatory factor analysis (CFA) and internal consistency test, and criterion validity was tested with the social domain of the first version Vineland Adaptive Behavior Scale (VABS) and Childhood Autism Rating Scale (CARS). Totally 95 children with autism were retested three weeks later to exam the test-retest reliability. Results ASSS was composed of 50 items in five factors, including social orienting, social recognition, social communication, social participation and self-regulation, and 70.81% of the variance could be explained totally. Furthermore, the result of CFA (χ2/df=2.02, RMSEA=0.075, NFI=0.96, NNFI=0.97, CFI=0.97, IFI=0.97, TLI=0.98, GFI=0.91) indicated that the model fitted the data with well construct validity. The scores of ASSS were positively correlated with the social domains of the scores of the first version VABS (r=0.535-0.796, P<0. 01), while negatively correlated with The scores of CARS (r=-0.517 to -0.600, P<0.01). The Cronbach's α coefficients were 0.98 for the whole scale and 0.94-0.98 for the five factors. The test-retest coefficients were 0.92 for the whole scale and 0.88-0.94 for the five factors. Conclusion ASSS including five factors as social orienting, social recognition, social communication, social participation and self-regulation, has acceptable reliability and validity and it is a good tool to assess the social skills for the children with autism.
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