Assessment & Research

Variation in the Profile of Anxiety Disorders in Boys with an ASD According to Method and Source of Assessment.

Bitsika et al. (2015) · Journal of autism and developmental disorders 2015
★ The Verdict

Parent and child anxiety scores rarely line up in boys with autism—always gather both views and adjust for age.

✓ Read this if BCBAs who assess or treat anxiety in school-age or teen boys with autism.
✗ Skip if Clinicians who work only with non-verbal adults or girls.

01Research in Context

01

What this study did

The team looked at 64 boys with autism and 43 boys without autism.

All boys were 7 to 18 years old.

Parents filled out one anxiety checklist.

The boys filled out a different anxiety checklist.

Researchers compared the two sets of scores.

02

What they found

Boys with autism scored higher on anxiety than typical boys.

Parents and boys did not pick the same fears.

Younger boys showed different fear patterns than older boys.

The source of the report mattered as much as the anxiety itself.

03

How this fits with other research

Boudreau et al. (2015) pooled 49 studies and found only moderate agreement (r = .36) between any two reporters.

That meta-analysis supports the mismatch Vicki saw.

Greene et al. (2019) later added teachers and found almost half of students with autism were rated anxious at school.

Together the three papers form a triangle: parent, child, and teacher views each add unique data.

Cox et al. (2015) showed CBT can cut anxiety in autistic youth, but their long-term follow-up revealed some symptoms crept back.

Because reports differ, use more than one informant both at intake and at booster checks.

04

Why it matters

If you screen for anxiety with only a parent interview, you will miss some problems and over-count others.

Collect at least two sources—parent plus child or teacher—before you write a treatment plan.

Note the child’s age; fear profiles shift as kids grow.

This quick step keeps your baseline clean and your progress data honest.

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Add a child self-report anxiety scale to your intake packet for boys with autism, then compare it side-by-side with the parent form.

02At a glance

Intervention
not applicable
Design
other
Sample size
190
Population
autism spectrum disorder, neurotypical
Finding
not reported

03Original abstract

To determine any variation that might occur due to the type of assessment and source used to assess them, the prevalence of 7 anxiety disorders were investigated in a sample of 140 boys with an Autism spectrum disorder (ASD) and 50 non-ASD (NASD) boys via the Child and Adolescent Symptom Inventory and the KIDSCID Clinical Interview. Boys with an ASD were significantly more anxious than their NASD peers. Data collected from the boys with an ASD themselves showed differences in the severity and diagnostic criterion of anxiety disorders to data collected from the boys' parents. There were age-related variations to the pattern of anxiety disorder differences across reports from the boys with an ASD and reports from their parents.

Journal of autism and developmental disorders, 2015 · doi:10.1007/s10803-014-2343-z