Systematic review of assessment tools of anxiety for children with autism spectrum disorder

doi:10.11852/zgetbjzz2022-0271

Abstract

Abstract: Objective To systematically evaluate the anxiety assessment tools for children with autism spectrum disorder(ASD) at home and abroad, in order to provide evidence for practice and research in this field. Methods Eleven electronic databases were searched. Studies on the development of anxiety assessment tools and/or the testing of psychometric properties for children with ASD were included and evaluated according to the COSMIN standards. Results A total of 31 articles in English language that appraised 16 anxiety assessment tools for ASD children were yielded and included in the systematic review. Among the 16 tools, ten were developed for typically developed children, five were specifically adapted for children with ASD, and one was developed to measure the anxiety of both typically developed children and ASD children. The Anxiety Scale for Children with Autism Spectrum Disorder (ASC-ASD) demonstrated the best psychometric properties. Conclusions Among the tools in English, ASC-ASD is the most recommended anxiety assessment tool for children with ASD. To our best knowledge, the Chinese version of ASC-ASD is still not found, which can be prioritized for translation and validation.

Key words: autism spectrum disorder, anxiety, assessment tools, systematic review, The Anxiety Scale for Children with Autism Spectrum Disorder (ASC-ASD)

摘要： 目的对国内外孤独症谱系障碍(ASD)儿童焦虑评估工具心理测量学属性进行系统评价,为该领域实践和研究提供证据。方法计算机检索11个中英文数据库,筛选以ASD儿童(年龄＜18岁)为对象并且文献主题为焦虑测量工具的编制和/或性能评价的原始研究文献,基于选择健康测量工具的共识标准(COSMIN)对其进行系统评价。结果最终纳入31篇英文文献、16个ASD儿童焦虑测量工具,其中10个工具为典型发育儿童制定,5个工具专为ASD儿童编制,1个工具为同时测量典型发育儿童和ASD儿童焦虑而研制。所有测量工具中,孤独症儿童焦虑量表(ASC-ASD)测量学属性最佳。结论 ASC-ASD是目前最为推荐的ASD儿童焦虑评估工具,尚未发现国内关于该工具的研究文献,可优先考虑对其进行翻译修订、评价和应用。

关键词: 孤独症谱系障碍, 焦虑, 评估工具, 系统评价, 孤独症儿童焦虑量表

CLC Number:

R179

LYU Ping-ping, CUI Nai-xue, HAN Jing, HU Meng-zhu, YUE Lei, SHAN Ru-jie. Systematic review of assessment tools of anxiety for children with autism spectrum disorder[J]. Chinese Journal of Child Health Care, 2022, 30(12): 1358-1363.

吕萍萍, 崔乃雪, 韩静, 胡梦珠, 乐蕾, 单瑞洁. 孤独症谱系障碍儿童焦虑评估工具的系统评价[J]. 中国儿童保健杂志, 2022, 30(12): 1358-1363.

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