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Evaluation of a Screening Instrument for Autism Spectrum Disorders in Prisoners 英文参考文献.docVIP

Evaluation of a Screening Instrument for Autism Spectrum Disorders in Prisoners 英文参考文献.doc

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Evaluation of a Screening Instrument for Autism Spectrum Disorders in Prisoners 英文参考文献

EvaluationofaScreeningInstrumentforAutism SpectrumDisordersinPrisoners LouiseRobinson1*,MichaelD.Spencer2,LindsayD.G.Thomson1,AndrewC.Stanfield3, DavidG.C.Owens1,JeremyHall1,EveC.Johnstone1 1Division of Psychiatry, School of Molecular and Clinical Medicine, University of Edinburgh, Edinburgh, United Kingdom, 2Department of Psychiatry, University of Cambridge,Cambridge,UnitedKingdom,3PatrickWildCentre,UniversityofEdinburgh,Edinburgh,UnitedKingdom Abstract Therehavebeenconcernsthatindividualswithautismspectrumdisorders(ASDs)areover-representedbutnotrecognised inprisonpopulations.AscreeningtoolforASDsinprisonshasthereforebeendeveloped. Aims:WeaimedtoevaluatethistoolinScottishprisonersbycomparingscoreswithstandardmeasuresofautistictraits (Autism Quotient (AQ)), neurodevelopmental history (Asperger Syndrome (and High-Functioning Autism) Diagnostic Interview(ASDI)),andsocialcognition(Ekman60Facestest). Methods: Prison officers across all 12 publicly-run closed prisons in Scotland assessed convicted prisoners using the screeningtool.Thissampleincludedmaleandfemaleprisonersandbothadultandyoungoffenders.Prisonerswithhigh scores, along with anequal number of age and sex-matched controls,were invited totake partin interviews. Prisoners’ relativeswerecontactedtocompleteaneurodevelopmentalassessment. Results:2458prisonerswerescreenedusingthetool,and4%scoredabovethecut-off.126prisonerswerefurtherassessed usingstandardisedmeasures.7ofthose126assessedscored32orabove(cut-off)ontheAQ.44interviewswerecompleted with prisoners’ relatives, no prisoner reached the cut-off score on the ASDI. Scores on the screening tool correlated significantlywithAQandASDIscores,andnotwiththeEkman60FacesTestorIQ.Sensitivitywas28.6%andspecificity 75.6%;AUCwas59.6%. Conclusions:Althoughthisscreeningtoolmeasuresautistictraitsinthispopulation,sensitivityforscoresof32oraboveon theAQispoor.Weconsiderthatthislimitsitsusefulnessanddonotrecommendthatthetoolisroutinelyusedtoscreenfor ASDsinprisons. Citation:Robin

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