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自闭症谱系障碍青少年社交焦虑量表的心理测量分析:照顾者-青少年一致性、因子结构及效度

A Psychometric Analysis of the Social Anxiety Scale for Adolescents Among Youth With Autism Spectrum Disorder: Caregiver-Adolescent Agreement, Factor Structure, and Validity.

作者信息

Schiltz Hillary K, Magnus Brooke E, McVey Alana J, Haendel Angela D, Dolan Bridget K, Stanley Rachel E, Willar Kirsten A, Pleiss Sheryl J, Carson Audrey M, Carlson Mary, Murphy Christina, Vogt Elisabeth M, Yund Brianna D, Van Hecke Amy Vaughan

机构信息

Marquette University, Milwaukee, WI, USA.

Medical College of Wisconsin, Milwaukee, WI, USA.

出版信息

Assessment. 2021 Jan;28(1):100-115. doi: 10.1177/1073191119851563. Epub 2019 Jun 5.

Abstract

Social anxiety is common among adolescents with autism spectrum disorder (ASD). An ongoing challenge for both research and clinical practice in ASD is the assessment of anxious symptomatology. Despite its widespread use in samples of youth with ASD, the Social Anxiety Scale for Adolescents (SAS-A) has not received psychometric evaluation within this population; thus, the validity of its use in research and clinical practice for ASD remains unclear. The present study conducted a psychometric analysis of caregiver and adolescent SAS-A forms in a sample of adolescents with ASD ( = 197). Results revealed (1) poor caregiver-adolescent item-level agreement, (2) a two-factor structure, (3) lack of measurement invariance between reporters, and (4) modest evidence for convergent and discriminant validity. Overall, findings suggest that this measure demonstrates reasonable psychometric properties in an ASD sample. Lack of measurement invariance, however, calls for careful interpretation of research involving the SAS-A in ASD samples, particularly when the primary goal is to compare adolescent and caregiver reports. The implications of these findings for future research and clinical practice are discussed.

摘要

社交焦虑在患有自闭症谱系障碍(ASD)的青少年中很常见。ASD研究和临床实践中持续面临的挑战是焦虑症状的评估。尽管青少年社交焦虑量表(SAS - A)在患有ASD的青少年样本中广泛使用,但尚未在该人群中进行心理测量学评估;因此,其在ASD研究和临床实践中的有效性仍不明确。本研究对197名患有ASD的青少年样本中的照顾者和青少年版SAS - A进行了心理测量学分析。结果显示:(1)照顾者与青少年在项目层面的一致性较差;(2)呈现两因素结构;(3)报告者之间缺乏测量不变性;(4)有适度的证据支持聚合效度和区分效度。总体而言,研究结果表明该测量方法在ASD样本中表现出合理的心理测量学特性。然而,缺乏测量不变性要求在涉及ASD样本中使用SAS - A的研究中进行谨慎解读,特别是当主要目标是比较青少年和照顾者报告时。讨论了这些发现对未来研究和临床实践的意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5ea/9717689/0a14c8c0f3f5/nihms-1844216-f0001.jpg

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