Assessment & Research

Discriminant and convergent validity of the anxiety construct in children with autism spectrum disorders.

Renno et al. (2013) · Journal of autism and developmental disorders 2013
★ The Verdict

Anxiety in autistic kids is measurable and separate from core ASD—use multi-informant tools to spot separation and overall anxiety.

✓ Read this if BCBAs doing intake assessments or writing anxiety goals for late-elementary autistic clients.
✗ Skip if Clinicians who only treat adults or whose clients show no anxiety concerns.

01Research in Context

01

What this study did

Renno et al. (2013) asked if anxiety in autistic kids is its own thing or just part of autism.

They used multitrait-multimethod math on ratings from parents, kids, and teachers.

All kids were 7-11 years old with ASD.

02

What they found

Anxiety showed good discriminant validity. That means it measured anxiety, not general autism severity.

Separation anxiety and overall anxiety also showed convergent validity. Different raters saw the same traits.

You can trust the scores to tell you about real anxiety, not just more autism traits.

03

How this fits with other research

Bitsika et al. (2015) extends this work. They showed parent and child reports often disagree, so you need both.

Adams et al. (2019) adds parent descriptions of anxiety signs at home and in the community. These real-world examples line up with the valid scores Patricia found.

Greene et al. (2019) widens the lens to school. Teachers saw clinical anxiety in nearly half of students, proving the same construct shows up across settings.

Burrows et al. (2018) synthesis agrees with Patricia. Experts call for better anxiety measures before treatment starts.

04

Why it matters

You can now feel safe using standard anxiety rating scales with autistic 7-11-year-olds. High scores mean real anxiety, not just more ASD traits. Collect at least two viewpoints—parent and child or parent and teacher—to catch separation and overall anxiety. If scores clash, probe contexts instead of doubting the tool.

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→ Action — try this Monday

Add an anxiety rating scale to your intake packet and ask both parent and child (or teacher) to fill it out.

02At a glance

Intervention
not applicable
Design
other
Sample size
88
Population
autism spectrum disorder
Finding
positive

03Original abstract

Despite reports of high anxiety in children with autism spectrum disorders (ASD), there is controversy regarding differential diagnosis of ASD symptoms and anxiety symptoms. This study examined 88 children, aged 7-11 years, with ASD referred for concerns about anxiety. A multitrait-(social anxiety, separation anxiety, overall anxiety severity, and overall ASD severity), multimethod-(diagnostic interviews, parent-, and child-based measures) analysis was conducted. Results from structural equation modeling suggest statistical discrimination between anxiety and ASD severity and convergence among differing reports of two of the anxiety subdomains (separation anxiety and overall anxiety). These findings suggest that anxiety symptoms experienced by children with ASD are separate from ASD symptom severity and may instead reflect anxiety syndromes (e.g., separation anxiety) similar to those that occur in typically developing children.

Journal of autism and developmental disorders, 2013 · doi:10.1007/s10803-013-1767-1