隨著泛自閉症障礙(Autism Spectrum Disorders)盛行率逐年增加，臨床工作者與研究者對於此族群的表徵與特質也越來越深入。泛自閉症障礙的表徵在孩子兩歲左右就會逐漸顯露，早期療育的介入可以協助泛自閉症障礙的孩子獲得有效進步，而且介入年齡越早越好。大部分的診斷與篩檢工具都適用於3歲以上的孩童，然而近年來的泛自閉症篩檢指標研究與篩檢工具發展逐漸開始針對2歲的兒童。其中，泛自閉症篩檢量表為2010年所發展一項信效度高且適用範圍較廣的篩檢工具。在台灣由於缺乏適合臨床使用的工具，泛自閉症障礙篩檢並非健兒門診中的常規發展篩檢之一，在醫療院所中也少見針對泛自閉症障礙的標準化評估。故本研究首先鎖定早期篩檢的適用篩檢工具，將泛自閉症篩檢量表幼兒短版中文化，藉由前導研究探測可行性，並修正量表。而後使用中文版收案並檢驗其在台灣使用的信效度及反應性。
本研究採方便取樣，共招募了165組家長及其2歲至5歲11個月的孩童，分為族群樣本組135組（其中隨機抽樣30組做為對照組）及泛自閉症障礙組30組。165位家長都填寫了中文版泛自閉症篩檢量表幼兒短版，另外對照組及泛自閉症障礙組的60位孩童接受了自閉症兒童心理教育評核第三版的評估。結果顯示中文版泛自閉症篩檢量表幼兒短版的內在一致性佳，與自閉症兒童心理教育評核第三版結果也有中度相關性。中文版心理計量與英文版相比也有良好結果，雖然中文版切截分數與英文版有所不同，但經由調整後更適合在台灣使用。
本研究研究對象集中於台灣西南部，數量不足以發展台灣常模。未來研究建議進行分層抽樣，並增加樣本數，確認此工具對於兩歲孩童的鑑別力與三歲以上孩童無異。經由本研究翻譯及檢驗，中文版泛自閉症篩檢量表幼兒短版具有良好信效度，是適用於基層醫療及健兒門診篩檢泛自閉症障礙的標準化篩檢工具。

The prevalence of autism spectrum disorders (ASD) is globally increasing each year. There is more information and evidence for the researchers and clinic practitioners to clarify the whole story about ASD. According to the literature reviews, the symptoms of ASD could be found out when the children are around 2 years old. The benefits and importance of the early intervention for children with ASD have been estimated. Children with ASD can have more improvement if they could have the intervention services earlier. The researchers now focus on the development of evaluation tools for children at the age of two. The Autism Spectrum Rating Scales (ASRS) is a standard ASD screening tool for both level 1 and 2 screening. In this research, we translated the ASRS-short form (2-5 years) into Mandarin. After the questionnaire was refined by the feedback of experts and 30 parents, 165 parents filled the Chinese version of ASRS-short form (2-5 years). We also used the Psychoeducational Profile: Third Edition (PEP-3) as research tool on 60 children.
The results showed that the Chinese version of ASRS-short form (2-5 years) has good internal reliability, good responsiveness, and moderate Pearson correlation coefficient with PEP-3. The cut-off point was different between the Chinese and English versions, but it was fit into a cultural environment in Taiwan after the adjustment.
The findings of this research provide considerable and valuable information about instrument and offer suggestions for future research. Future research using larger samples across different cities in Taiwan is needed. In the future, we could develop the other three forms of ASRS, and build the norm of Chinese version of ASRS-short form (2-5 years) in Taiwan. Therefore, ASRS could be not only used as a standard level 1 screening tool in primary care setting, but also help to build a system of ASD screening, which we need to develop in Taiwan as soon as possible.

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