Lampinen Linnea A, Ederer Jeannine E, Bal Vanessa H
Department of Psychology, Rutgers University- New Brunswick, 152 Frelinghuysen Rd, Piscataway, NJ, 08854, USA.
Graduate School of Applied and Professional Psychology, Rutgers University- New Brunswick, 152 Frelinghuysen Rd, 604 Allison Road, Piscataway, NJ, 08854, USA.
J Autism Dev Disord. 2025 Aug 6. doi: 10.1007/s10803-025-06988-5.
The Social Responsiveness Scale, 2nd Edition (SRS-2) is widely used to characterize autistic features and screen for autism in clinical and research settings. Previous research indicates that scores on the parent-report SRS-2 School-age form are associated with internalizing and externalizing symptoms in both autistic and non-autistic children, yet less is known about the self-report SRS-2-Adult (SRS-2-A). Considering the widespread use of the SRS-2-A for a variety of different research and clinical purposes, examining how non-autism-specific factors affect SRS-2-A scores is warranted.
This study aimed to examine the relationship between scores on the SRS-2-A and the ASEBA Adult Self Report in a sample of 203 autistic independent adults.
Findings indicate that the SRS-2-A was significantly associated with scales designed to screen for internalizing, externalizing, and personality disorders. The Avoidant Personality scale has direct overlap with SRS-2 items, which may partially explain associations with this scale. The Depressive and Anxiety scales are somewhat less easily explained.
Taken together, results suggest that SRS-2-A scores may reflect a combination of diagnostic and autism-related features, as well as symptoms associated with non-autism co-occurring conditions. Caution is warranted when using SRS-2-A scores to characterize autistic adults. Information from multiple sources is needed to help distinguish autistic features from those related to commonly co-occurring conditions, such as depression and anxiety, and ultimately inform understanding of how these features interact with other individual and contextual factors to improve measurement of autism diagnostic features.
《社会反应量表》第二版（SRS - 2）在临床和研究环境中被广泛用于描述自闭症特征和筛查自闭症。先前的研究表明，家长报告的SRS - 2学龄版得分与自闭症和非自闭症儿童的内化和外化症状相关，但对于自我报告的SRS - 2成人版（SRS - 2 - A）了解较少。鉴于SRS - 2 - A在各种不同研究和临床目的中的广泛应用，有必要研究非自闭症特异性因素如何影响SRS - 2 - A得分。
本研究旨在考察203名自闭症独立成人样本中SRS - 2 - A得分与ASEBA成人自我报告之间的关系。
研究结果表明，SRS - 2 - A与用于筛查内化、外化和人格障碍的量表显著相关。回避型人格量表与SRS - 2项目有直接重叠，这可能部分解释了与该量表的关联。抑郁和焦虑量表的关联则较难解释。
综合来看，结果表明SRS - 2 - A得分可能反映了诊断性和自闭症相关特征的组合，以及与非自闭症共病情况相关的症状。在使用SRS - 2 - A得分来描述自闭症成人时需谨慎。需要来自多个来源的信息，以帮助区分自闭症特征与那些与常见共病情况（如抑郁和焦虑）相关的特征，并最终有助于理解这些特征如何与其他个体和背景因素相互作用，以改进自闭症诊断特征的测量。
