社交反应量表第二版（SRS-2）（Social Responsiveness Scale, Second Edition）是一种自闭症（孤独症）筛查的便利工具吗？
 
社交反应量表第二版（SRS-2）（Social Responsiveness Scale, Second Edition），作为一种筛查工具，为自闭症（孤独症）的诊断提供了便利。SRS-2只需15到20分钟就能完成测试，能识别出与自闭症（孤独症）谱系障碍（ASD）相关的社交障碍，并量化其严重程度。社交反应量表第二版（SRS-2），足够敏感，可以检测出细微的症状，可以区分临床群体，包括区分自闭症（孤独症）谱系和自闭症（孤独症）和其他疾病。并且，随着规范样本的年龄范围扩大，SRS-2可以用来监测几乎整个生命周期的人群有关社交障碍方面的症状。
 
一、SRS-2工具简介
用途：用于筛查儿童、青少年和成人在社交行为方面的困难，尤其是评估与自闭症相关的社会障碍表现程度；
适用人群：2岁6个月至成年（涵盖学前、儿童、青少年与成人）；
评估者：可由父母、教师、配偶或其他熟悉者填写；
完成时间：约10至15分钟；
项目数量：65个条目（Likert五级评分）；
 
二、SRS-2的评估内容维度
SRS-2涵盖与ASD特征相关的五个领域：

• 社交认知  理解他人情感和意图的能力
• 社交沟通  言语与非言语沟通的适当性
• 社交动机  社交主动性与交往兴趣
• 限制性兴趣与刻板行为      行为重复、兴趣狭隘等特征
• 社会意识  注意他人行为与情绪的能力

 
三、作为筛查工具的便利性优势

• 高效快捷

填表快速，不需要专业人员干预评估过程；
特别适合学校、家庭、初级卫生保健机构进行第一步筛查。

• 多版本适配广泛场景

提供完全套装、儿童/青少年版（School-Age）、成人版（Adult）与教师表格（Teacher Form）；

• 国际研究支持广泛

SRS-2被广泛用于科研与临床自闭症谱系障碍研究；
在多个国家完成本地化常模建设，如美国、德国、日本等。
 
四、信效度分析
信度：内部一致性系数高（α > 0.90），重测信度在0.88左右；
效度：可区分ASD儿童与其他发展障碍（如ADHD、语言障碍），与ADOS等金标准工具相关性显著。
 
五、局限与使用建议

• 不能独立确诊   SRS-2是筛查工具，不是诊断量表，需结合ADOS-2、ADI-R等使用
• 受主观评价影响        依赖观察者填写，可能因主观偏差导致低估或高估
• 对高阶个体识别率稍低      特别是沟通能力较强者，可能T分不显著异常

 
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