Autism & Developmental

The Relationship Between Child Anxiety and the Quality of Life of Children, and Parents of Children, on the Autism Spectrum.

Adams et al. (2020) · Journal of autism and developmental disorders 2020
★ The Verdict

Child anxiety drags down both the child’s and parents’ quality of life, and later predicts school refusal and suicidality—screen early and treat.

✓ Read this if BCBAs working with autistic clients in clinic or school settings
✗ Skip if Practitioners serving only adult or non-autistic populations

01Research in Context

01

What this study did

Researchers asked 67 parents of autistic kids to fill out three short surveys. One measured the child's anxiety, one measured the child's quality of life, and one measured the parent's own quality of life.

02

What they found

The higher the child's anxiety score, the lower both the child and parent quality-of-life scores. Social anxiety hurt the child's school life the most. Physical-injury fears hurt the child's emotional life the most.

03

How this fits with other research

Adams et al. (2020) asked the kids themselves and found a large share said they felt anxious, yet only half thought adults noticed it at school. Together the two studies show anxiety is common, often missed, and clearly drags life quality down.

Adams et al. (2025) followed autistic middle-schoolers for a year and found child anxiety was the strongest predictor of missing school. The QoL drop we see today can turn into long-term school refusal tomorrow.

Chen et al. (2020) linked rising anxiety to higher suicidality risk in kids with elevated autistic traits. The same anxiety that lowers QoL can also create life-threatening crises.

04

Why it matters

Screen for anxiety at every intake. A quick 20-item parent checklist can flag kids whose daily life and learning are already slipping. Pair the screen with child self-report so you catch what adults overlook. Early anxiety treatment is not extra—it protects the child’s school attendance, emotional health, and even safety, while lifting parent well-being too.

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→ Action — try this Monday

Add the 20-item SCAS anxiety checklist to your intake packet and review parent and child forms together.

02At a glance

Intervention
not applicable
Design
survey
Sample size
64
Population
autism spectrum disorder
Finding
negative

03Original abstract

Children on the autism spectrum experience high rates of anxiety but little is known about the impact of anxiety on child or parent quality of life (QoL). This study aimed to investigate the relationship between anxiety, autism characteristics, and QoL in children and their parents. Sixty-four parents of children on the spectrum completed questionnaires on their child's autism characteristics, anxiety symptomatology, and both child (PedsQL) and parent QoL (WHOQoL-BREF). Parents of children with elevated anxiety reported lower child and parent QoL. Regression models highlight specific anxiety subscales as predictive of PedsQL school and emotional functioning but not of parent QoL. Anxiety symptomatology may be a significant factor contributing to specific aspects of QoL for children on the spectrum.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-019-03932-2