Comparing the Psychometric Properties of the Self- and Parent-Report Versions of Autism-Spectrum Quotient-Adult in Hong Kong (AQ-Adult-HK).

The team compared two ways to give the Autism-Spectrum Quotient-Adult in Hong Kong.

Adults with ASD filled out the self-report form. Parents filled out the same form about their adult child.

Researchers then checked which version spotted ASD better using AUC, sensitivity, and specificity.

The parent-report version won. It had higher AUC, sensitivity, and specificity than the self-report version.

In plain words, parents caught autism signs that adults missed when rating themselves.

Frazier et al. (2023) extends this work. They showed the short 10-item AQ also works well in Hong Kong Chinese samples.

Booth et al. (2013) set the stage. They first proved AQ-10 screens adults as well as the long form, giving K et al. a model to follow.

Bakhtiari et al. (2021) and Cederlund et al. (2010) echo the rater gap. Both found youth and adult self-reports under-report problems compared with parent views, matching K et al.'s adult findings.

If you screen adults for ASD in Hong Kong, ask a parent to complete the AQ-Adult-HK instead of relying only on self-report. You will get cleaner hits, fewer false negatives, and more confident referrals. Keep a few parent forms clipped to your clipboard Monday morning.