Article: texte impriméSymptom overlap on the srs-2 adult self-report between adults with asd and adults with high anxiety / Mikle SOUTH in Autism Research, 10-7 (July 2017) Ouvrir le lien
in Autism Research > 10-7 (July 2017) . - p.1215-1220
Titre :Symptom overlap on the srs-2 adult self-report between adults with asd and adults with high anxiety
Type de document : texte imprimé
Auteurs : Mikle SOUTH, Auteur ; AnnaLisa W. CARR, Auteur ; Kevin G. STEPHENSON, Auteur ; Max E. MAISEL, Auteur ; Jonathan C. COX, Auteur
Article en page(s) : p.1215-1220
Langues :Anglais (eng)
Mots-clés : autism  anxiety  screening  SRS-2  discriminant validity  adults
Index. décimale : PER Périodiques
Résumé : Many people diagnosed with autism spectrum disorder (ASD) also experience significant symptoms of anxiety, while many people with anxiety disorders likewise experience social difficulties. These concerns can be difficult to tease apart in general clinical settings. The Social Responsiveness Scale (SRS) is one of the most frequently used measures of dimensional ASD symptoms. In order to investigate the overlap of autism and anxiety on the SRS, we compared three groups of adults (an ASD group, n?=?40; a high anxious group, n?=?56; and a typical comparison group, n?=?29) using the new Adult Self Report version of the SRS-2nd Edition (SRS-2-ASR) alongside a battery of anxiety questionnaires. Based on previous research with children from the parent-report SRS (first edition), we hypothesized that the SRS-2-ASR would have difficulty discriminating between the ASD and high anxious groups. Results showed that both these clinical groups scored significantly higher on the SRS than a typical control group. Discriminant validity was poor, including sensitivity of 0.65 when including all participants and 0.48 when only the two clinical groups were included. In particular, the Social Motivation subscale of the SRS-ASR failed to distinguish between ASD and anxiety groups. As recommended in the SRS-2 manual, we highlight the need for caution when using the SRS-2-ASR to support diagnostic decision making, especially in clinical settings involving anxiety, ADHD, or other concerns that can affect reciprocal social communication and/or behavioral flexibility.
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