Moore Heather L, Freeston Mark, Rodgers Jacqui, Cassidy Sarah
School of Psychology, Dame Margaret Barbour Building, Wallace Street, Newcastle upon Tyne, NE2 4DR, UK.
Population Health Sciences Institute, Sir James Spence Institute, Newcastle University, Royal Victoria Infirmary, Level 3, Queen Victoria Road, Newcastle upon Tyne, NE1 4LP, UK.
J Autism Dev Disord. 2025 Mar;55(3):981-996. doi: 10.1007/s10803-024-06260-2. Epub 2024 May 14.
The Anxiety Scale for Autism-Adults (ASA-A) captures the autistic anxiety experience, but we do not know whether it is structurally equivalent for men and women, or non-autistic people. Measurement invariance analysis considered gender and diagnostic status (342 cis-gender autistic men (N = 105) and women (N = 237), 316 cis-gender non-autistic men (N = 104) and women (N = 212)). Strict invariance was achieved between autistic men and women and between non-autistic men and women, but the ASA-A structure is quantitatively different in autistic compared to non-autistic adults. Therefore, this tool cannot be used to directly compare anxiety between these groups. Autistic women scored significantly higher on the ASA-A than autistic men and Uncertainty was the highest scoring factor for autistic participants. Future research should include alternative gender identities.
成人自闭症焦虑量表（ASA - A）能够捕捉自闭症患者的焦虑体验，但我们尚不清楚它在结构上对男性和女性，或对非自闭症患者是否等同。测量不变性分析考虑了性别和诊断状态（342名顺性别自闭症男性（N = 105）和女性（N = 237），316名顺性别非自闭症男性（N = 104）和女性（N = 212））。自闭症男性与女性之间以及非自闭症男性与女性之间实现了严格不变性，但与非自闭症成年人相比，ASA - A结构在自闭症成年人中存在数量差异。因此，该工具不能用于直接比较这些群体之间的焦虑情况。自闭症女性在ASA - A上的得分显著高于自闭症男性，并且不确定性是自闭症参与者得分最高的因素。未来的研究应纳入其他性别认同。
