Assessment & Research

A Comparison of the Stress Survey Schedule in Children with Autism and Typically Developing Children: A Brief Report.

Woodard et al. (2021) · Journal of autism and developmental disorders 2021
★ The Verdict

The Stress Survey Schedule validly separates stress levels in autistic youth from typical peers and works across pre-teen and teen ages.

✓ Read this if BCBAs running assessments or writing behavior plans for school-age and adolescent clients with autism.
✗ Skip if Clinicians who only serve autistic adults or use solely parent-report tools.

01Research in Context

01

What this study did

The team gave the Stress Survey Schedule to kids with autism and to typically developing kids.

They compared scores across both groups and across younger and older ages.

The goal was to see if the tool truly separates stress levels in autistic youth from their peers.

02

What they found

Autistic kids scored higher on the Stress Survey Schedule than their typical peers.

Scores also differed between younger and older kids, showing the tool picks up age changes.

The results support the schedule’s divergent validity—it tells the groups apart.

03

How this fits with other research

Bakhtiari et al. (2021) also asked if autistic youth can self-report. They found BASC-2 answers are usable when IQ is 80 or above and attention problems are low. Together, the two studies say you can trust self-report scales in autistic youth if you screen for these factors.

Lemons et al. (2015) looked at anxiety, not stress, in the same age range. They warned that parent and child ratings often clash, especially when IQ is lower. The new stress study adds a twist: the child’s own voice can be valid, so collect both views instead of choosing one.

Nah et al. (2018) extended brief screening to adults, showing the two-minute DASS-21 flags anxiety and depression in nearly half of autistic adults. The youth stress findings now close the gap—quick self-report tools work across the lifespan.

04

Why it matters

You now have evidence that the Stress Survey Schedule is a quick, valid way to hear directly from autistic clients about their stress. Give it at intake, repeat each quarter, and track changes before and after interventions. Pair it with parent or teacher data to spot mismatches early and adjust supports faster.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Add the 5-minute Stress Survey Schedule to your intake packet and score it before the first treatment plan meeting.

02At a glance

Intervention
not applicable
Design
quasi experimental
Population
autism spectrum disorder, intellectual disability, neurotypical
Finding
positive

03Original abstract

Past research suggests that stress and anxiety are more prevalent in persons with autism as compared to typically developing persons. The Stress Survey Schedule (SSS) was developed in 2001 as a means to measure stressors common to persons with Autism Spectrum Disorder (ASD). The present study compared SSS responses of a sample of students diagnosed with ASD and intellectual disability with a group of typically developing students to explore the divergent validity and internal consistency of this measure, and to assess changes in scores among pre-adolescent and adolescent populations. Results indicated significant mean differences in SSS scores between persons with ASD and persons who are typically developing, and mean score differences among identified ASD age groups.

Journal of autism and developmental disorders, 2021 · doi:10.1177/1088357615610114