Department of Psychology, Virginia Polytechnic Institute and State University, 109 Williams Hall 0436, Blacksburg, VA 24061, USA.
J Autism Dev Disord. 2012 Jun;42(6):1138-45. doi: 10.1007/s10803-011-1353-3.
Anxiety may exacerbate interpersonal difficulties and contribute to secondary behavioral problems in adolescents with High-Functioning Autism Spectrum Disorder (HFASD). This study was conducted to assess the psychometric properties and construct validity of measures of anxiety with a sample (n = 30) of adolescents with HFASD and comorbid anxiety disorders. Results indicate that the measures (CASI-Anxiety Scale; Sukhodolsky et al. 2008; MASC; March 1998) possess acceptable internal consistency, and there is evidence of discriminant validity. Most of the adolescents, however, under-reported problems with anxiety, compared to parent-reported and clinician-derived reports and given they were seeking treatment for anxiety problems. Findings highlight the importance of using multiple raters in clinical practice and consideration of rater discrepancies in clinical research.
焦虑可能会加剧人际困难，并导致高功能自闭症谱系障碍（HFASD）青少年出现继发性行为问题。本研究旨在评估焦虑测量工具的心理测量学特性和结构效度，样本包括 30 名患有 HFASD 合并焦虑障碍的青少年。结果表明，这些测量工具（CASI-Anxiety Scale；Sukhodolsky 等人，2008 年；MASC；March，1998 年）具有可接受的内部一致性，并且具有区分效度的证据。然而，与父母报告和临床医生报告相比，大多数青少年报告的焦虑问题较少，考虑到他们正在接受焦虑问题的治疗。研究结果强调了在临床实践中使用多个评定者的重要性，并考虑到临床研究中评定者之间的差异。
