Assessment & Research

Views of Teachers on Anxiety Symptoms in Students with Autism Spectrum Disorder.

Syriopoulou-Delli et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Teachers see clinically significant anxiety in nearly half of students with ASD, especially those with strong language.

✓ Read this if BCBAs writing IEPs for school-age students with autism.
✗ Skip if Clinicians who only serve infants or adults.

01Research in Context

01

What this study did

Greene et al. (2019) asked the teachers to rate anxiety in their students.

Half of the students had autism; half were neurotypical.

Teachers used a short checklist that lists common worry signs.

02

What they found

Teachers marked 48 out of every the students with ASD as highly anxious.

Students with stronger language skills got higher anxiety scores.

Typical peers were rated far lower, showing the signal is real.

03

How this fits with other research

Bitsika et al. (2015) already showed parent, child, and teacher anxiety scores rarely line up.

Their data say you need more than one reporter; K et al. prove teacher-only views still flag a big problem.

Gundeslioglu et al. (2025) moved the same question to university students and found the same gap—autistic students report more mental-health trouble—so the worry trail continues after high school.

Melegari et al. (2025) add that bullying plus high parent stress turns the worry up even further, hinting why some teachers see more signs than others.

04

Why it matters

If half of your learners with ASD look anxious to teachers, build calm-down breaks and clear schedules into the IEP.

Check verbally skilled students extra—they may hide worry behind fluent talk.

Finally, pair teacher checklists with a quick parent or self-rating; the numbers won’t match, but you’ll catch the kids who need help.

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→ Action — try this Monday

Add a two-minute teacher anxiety checklist to your regular data folder and review it before the next BSP update.

02At a glance

Intervention
not applicable
Design
survey
Sample size
409
Population
autism spectrum disorder, neurotypical
Finding
not reported

03Original abstract

People with autism spectrum disorder (ASD) exhibit comorbidity with anxiety. The aim of this study was the investigation of the perception of teachers on anxiety in school children with ASD. The Scale Teacher Response (SAS-TR) questionnaire was completed by 291 special education and 118 general education teachers, providing data on students in their classes with ASD and of typical development (TD), respectively. According to the total scores on SAS-TR, 46.8% of the children with ASD presented levels of anxiety within the clinical spectrum compared with 15.3% of the children of TD. Gender and age were not associated with the anxiety scores, but in the children with ASD, higher intelligence quotient (IQ) was weakly, and better verbal skills more strongly correlated with a higher anxiety level. Teachers' awareness of anxiety symptoms in children with ASD may contribute to their social inclusion.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-018-3752-1