Discrepancies When Assessing Interpersonal Problem-Solving Skills in Autism Spectrum Disorder: A Diagnostic Indicator.
Big gaps between child test scores and adult ratings of social skills point toward autism—collect both data sources.
01Research in Context
What this study did
Gómez-Pérez et al. (2019) compared two ways of measuring social problem-solving in kids. They asked children with autism and neurotypical children to solve social puzzles on their own. They also asked parents and teachers to rate each child’s everyday social skills.
The team then looked for gaps between the child’s test score and the adult ratings. They wanted to know if these gaps showed up only in autism.
What they found
Only the autism group had big gaps. Their test scores looked fine, but adults saw clear social struggles. The neurotypical kids showed no such split.
The authors say this mismatch itself can flag autism during diagnosis.
How this fits with other research
Knott et al. (2006) saw the same split earlier. Parents rated social skills worse than their autistic children did. Mar’s team shows the gap is still there in late elementary years.
Morrison et al. (2017) seems to disagree. They found no gap between toddler skills and parent report across any group. The difference is age: toddlers may not yet show the split that emerges by eight to eleven years.
Cederlund et al. (2010) widens the lens. They found self- versus parent-report gaps in teens and young adults with Asperger’s. Together the studies trace a line: the older the child, the wider the view gap.
Why it matters
If you test social problem-solving, always add a parent or teacher form. A large gap between child score and adult rating is a red flag for autism, not poor parenting. Use both pieces to guide goals and to explain assessment results to families.
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02At a glance
03Original abstract
In children with autism spectrum disorder (ASD), there are often discrepancies between direct assessment and third-party reports. We compared these children with groups with/without difficulties in interpersonal problem-solving skills in order to determine whether these discrepancies appear and if they could be a diagnostic indicator for ASD. There were 91 participants (ages 7-13): 28 children with ASD, 36 in a high family risk situation, and 27 typically developing children, all tested with direct measures and third-party reports. Results showed discrepancies only in the ASD group. Consequently, direct performance measures and third-party reports seem to be evaluating different constructs in children with ASD. In addition, both types of measures discriminate between groups, such that both are needed, especially in diagnostic assessments.
Journal of autism and developmental disorders, 2019 · doi:10.1016/j.chiabu.2014.03.008