Discrepancies Between Parent- and Child-Reported Anxiety Symptoms in Autistic and Non-Autistic Youth

Abstract

Anxiety is one of the most common co-occurring conditions in youth on the autism spectrum (ASD) and can manifest differently compared to non-ASD youth, making it difficult to identify anxiety in ASD youth. The Screen for Child Anxiety-Related Emotional Disorders (SCARED; Birhmaher et al., 1997) is a gold-standard measurement tool that aims to provide a dual-informed perspective of anxiety symptoms (Behrens et al., 2020). However, discrepancies between parent and child reports have been observed, suggesting a need for further analysis of whether discrepancies vary by diagnostic group (ASD or non-ASD). This study aimed to determine if discrepancies existed between parent- and self-reported anxiety symptoms and if there was a difference between diagnostic groups. Data were obtained from a larger study examining anxiety and heart rate variability in youth. Results of a correlation test showed that parent and child-reported anxiety symptoms scores were not statistically significantly correlated (r = 0.33, p = .07). An independent samples t-test indicated that there was a significant difference between parent-reported and child-reported anxiety symptoms (t = - 3.00, p = .01), such that parent anxiety symptom ratings were 7.4 points lower than child anxiety symptoms (95% CI [-13.33, -2.5]). There was a significant mean difference between the discrepancies for the ASD and non-ASD groups (t = -3.41, p = .001) with a higher rate of discrepancy in the non-ASD group (95% CI [-15.44, 0.07]). These results indicate that parents of non-ASD youth are more likely to underreport their child’s anxiety symptoms, while parents of ASD youth are more likely to align with their child’s report.