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