» Articles » PMID: 31165617

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

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.

Citing Articles

Understanding Mechanisms that Maintain Social Anxiety Disorder in Autistic Individuals Through the Clark and Wells (1995) Model and Beyond: A Systematic Review.

Lei J, Mason C, Russell A, Hollocks M, Leigh E Clin Child Fam Psychol Rev. 2024; 27(4):966-1030.

PMID: 39562437 PMC: 11609128. DOI: 10.1007/s10567-024-00509-z.


Measurement invariance of the PROMIS emotional distress and subjective well-being domains among autistic and General Population adolescents.

Kaplan-Kahn E, Benecke R, Guthrie W, Yerys B, Graham Holmes L, Miller J Qual Life Res. 2024; 33(11):3003-3012.

PMID: 39080090 PMC: 11541282. DOI: 10.1007/s11136-024-03742-9.


Conceptual, methodological, and measurement factors that disqualify use of measurement invariance techniques to detect informant discrepancies in youth mental health assessments.

De Los Reyes A, Tyrell F, Watts A, Asmundson G Front Psychol. 2022; 13:931296.

PMID: 35983202 PMC: 9378825. DOI: 10.3389/fpsyg.2022.931296.


Characterizing Youth-Caregiver Concordance and Discrepancies in Psychopathology Symptoms in a US Community Sample.

Xavier R, Calkins M, Bassett D, Moore T, George W, Taylor J Issues Ment Health Nurs. 2022; 43(11):1004-1013.

PMID: 35839118 PMC: 9709771. DOI: 10.1080/01612840.2022.2099494.


Role of Gender-Based Emotional Intelligence in Corporate Financial Decision-Making.

Ran Z, Gul A, Akbar A, Haider S, Zeeshan A, Akbar M Psychol Res Behav Manag. 2022; 14:2231-2244.

PMID: 35002341 PMC: 8721288. DOI: 10.2147/PRBM.S335022.


References
1.
Rodebaugh T, Woods C, Heimberg R, Liebowitz M, Schneier F . The factor structure and screening utility of the Social Interaction Anxiety Scale. Psychol Assess. 2006; 18(2):231-7. DOI: 10.1037/1040-3590.18.2.231. View

2.
Thapar A, McGuffin P . Validity of the shortened Mood and Feelings Questionnaire in a community sample of children and adolescents: a preliminary research note. Psychiatry Res. 1998; 81(2):259-68. DOI: 10.1016/s0165-1781(98)00073-0. View

3.
Constantino J, Davis S, Todd R, Schindler M, Gross M, Brophy S . Validation of a brief quantitative measure of autistic traits: comparison of the social responsiveness scale with the autism diagnostic interview-revised. J Autism Dev Disord. 2003; 33(4):427-33. DOI: 10.1023/a:1025014929212. View

4.
Mazefsky C, Kao J, Oswald D . Preliminary evidence suggesting caution in the use of psychiatric self-report measures with adolescents with high-functioning autism spectrum disorders. Res Autism Spectr Disord. 2013; 5(1):164-174. PMC: 3762501. DOI: 10.1016/j.rasd.2010.03.006. View

5.
Pugliese C, Fritz M, White S . The role of anger rumination and autism spectrum disorder-linked perseveration in the experience of aggression in the general population. Autism. 2014; 19(6):704-12. PMC: 4843796. DOI: 10.1177/1362361314548731. View