Modifying the Autism Spectrum Rating Scale (6-18 years)to a Chinese Context: An Exploratory Factor A

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The purpose of this study was to explore the psychometric properties of the Chinese version of the autism spectrum rating scale (ASRS).We recruited 1,625 community-based children and 211 autism spectrum disorder (ASD) cases from 4 sites,and the parents of all participants completed the Chinese version of the ASRS.A robust weighted least squares means and variance adjusted estimator was used for exploratory factor analysis.The 3-factor structure included 59 items suitable for the current sample.The item reliability for the modified Chinese version of the ASRS (MC-ASRS) was excellent.Moreover,with 60 as the cut-off point,receiver operating characteristic analysis showed that the MC-ASRS had excellent discriminate validity,comparable to that of the unmodified Chinese version (UC-ASRS),with area under the curve values of 0.952 (95% CI:0.936-0.967) and 0.948 (95% CI:0.930-0.965),respectively.Meanwhile,the confirm factor analysis revealed that MC-ASRS had a better construct validity than UC-ASRS based on the above factor solution in another children sample.In conclusion,the MC-ASRS shows better efficacy in epidemiological screening for ASD in Chinese children.
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