社会交流障碍是孤独症谱系障碍(ASD)的核心症状之一,其能力水平从轻度功能缺陷到完全无语言交流不等,症状表现异质性高。基于ICF理论框架,孤独症社会交流功能分级系统(ACSF:SC)为ASD儿童的社会交流功能提供了系统的分级标准,将社会沟通功能分类量化为5个等级,替代模糊的“轻/中/重度”标签。ACSF:SC在国外的临床实践中展现出良好的信效度,为制定个性化干预方案和教育策略提供了重要依据。本文对ACSF:SC的理论基础、核心维度、优势、应用现状和局限性进行论述,为推动ACSF:SC在我国的本土化研究和实践提供参考与意见。
Abstract
Social communication disorder is one of the core symptoms of autism spectrum disorder (ASD), with ability levels ranging from mild functional deficits to complete absence of verbal communication, and showing high heterogeneity in symptom manifestations. Based on the International Classification of Functioning, Disability and Health (ICF) theoretical framework, the Autism Classification System of Functioning: Social Communication (ACSF: SC) provides a systematic grading standard for the social communication function of children with ASD. It quantitatively classifies social communication functions into five levels, replacing the vague labels of mild, moderate, and severe. In international clinical practice, the ACSF: SC has demonstrated robust reliability and validity, providing an essential basis for the development of individualized intervention programs and educational strategies. This article discusses the theoretical foundation, core dimensions, advantages, current application status, and limitations of the ACSF: SC, aiming to provide references and recommendations for the localization and practical implementation of the ACSF: SC in China.
关键词
孤独症谱系障碍 /
社会交流功能 /
分级系统
Key words
autism spectrum disorder /
social communication function /
classification system
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基金
深圳市福田区卫生健康系统科研项日(FTWS080)
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