Assessment & Research

Psychometric Properties of the Spence Children's Anxiety Scale: Parent Report in Children with Autism Spectrum Disorder.

Jitlina et al. (2017) · Journal of autism and developmental disorders 2017
★ The Verdict

Use just four SCAS-P subscales—Generalized Anxiety, Separation Anxiety, Panic, and Agoraphobia—to measure anxiety in autistic kids; skip the rest.

✓ Read this if BCBAs who screen or track anxiety in school-age or clinic-referred autistic children.
✗ Skip if Practitioners working with non-autistic populations or those who rely on teacher-report tools.

01Research in Context

01

What this study did

Jitlina et al. (2017) checked if the full Spence Children’s Anxiety Scale–Parent Report (SCAS-P) works in autistic children. They ran a factor analysis on parent answers from a large group of kids with autism. The goal was to see which parts of the scale keep their meaning in this population.

02

What they found

The six-factor structure of the full SCAS-P did not hold up. Only four subscales—Generalized Anxiety, Separation Anxiety, Panic, and Agoraphobia—kept good reliability and validity. The other two subscales (Social Anxiety and Physical-Injury Fears) fell apart, so the authors advise skipping them.

03

How this fits with other research

Magiati et al. (2017) ran almost the same study the same year and reached a similar conclusion: the total SCAS-P score is reliable for screening, but the six-factor model is messy. Together, the two papers act like a direct replication, boosting confidence that clinicians should use the total score or selected subscales, not the full factor map.

Chowdhury et al. (2016) and Tde Wit et al. (2024) echo the same recipe: start with a long parent questionnaire, run a factor analysis, and keep only the cleanest items. The HSQ-ASD and ASDQ both ended up shorter and stronger, just like the trimmed SCAS-P.

Green et al. (2020) and Saad (2025) show the same pattern in stress scales: full versions wobble, but brief, well-fitting subscales survive. The message across studies is consistent—shorter, targeted tools outperform long ones in autism samples.

04

Why it matters

When you assess anxiety in autistic clients, grab only the four solid SCAS-P subscales. You will save parents time, cut scoring errors, and still track the symptoms that matter. Drop the Social Anxiety and Physical-Injury items unless you want noisy data. This pick-and-choose approach is now backed by two independent 2017 studies and mirrors the shortening strategy that works for other parent scales.

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Open your last SCAS-P protocol and cross out the Social Anxiety and Physical-Injury Fears items before the next parent interview.

02At a glance

Intervention
not applicable
Design
other
Sample size
238
Population
autism spectrum disorder
Finding
mixed

03Original abstract

Although anxiety is frequently reported in children with autism spectrum disorder (ASD), existing anxiety scales are often psychometrically inappropriate for this population. This study examined the internal structure, reliability, convergent and discriminant validity of the Spence Children's Anxiety Scale-Parent Report (SCAS-P; Spence 1999) in 238 school-aged children with ASD. While confirmatory factor analysis did not support the original six-correlated-factor structure, structural support as well as acceptable internal consistency and convergent validity was found for Generalized Anxiety, Separation Anxiety, Panic, and Agoraphobia subscales. Use of the SCAS-P in its original form for assessment in children with ASD was not supported. However, four subscales showed viability, and may benefit re-analyses of existing SCAS-P data and future scale adaptations for research and clinical purposes.

Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-017-3110-8