Volume 9, Issue 11 pp. 1205-1215
RESEARCH ARTICLE

Development of the anxiety scale for children with autism spectrum disorder (ASC-ASD)

Jacqui Rodgers

Corresponding Author

Jacqui Rodgers

Institute of Neuroscience, Newcastle University, UK

Address for correspondence and reprints: Jacqui Rodgers, Clinical Psychology, Ridley Building, Institute of Neuroscience, Newcastle University, Newcastle, NE1 7RU, UK. E-mail: [email protected]Search for more papers by this author
Sarah Wigham

Sarah Wigham

Institute of Neuroscience, Newcastle University, UK

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Helen McConachie

Helen McConachie

Institute of Health & Society, Newcastle University, UK

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Mark Freeston

Mark Freeston

School of Psychology, Newcastle University, UK

Northumberland, Tyne and Wear NHS Trust

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Emma Honey

Emma Honey

School of Psychology, Newcastle University, UK

Northumberland, Tyne and Wear NHS Trust

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Jeremy R. Parr

Jeremy R. Parr

Institute of Neuroscience, Newcastle University, UK

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First published: 17 February 2016
Citations: 210

Funding source: The Baily Thomas Foundation, UK

Abstract

Many children with autism spectrum disorder (ASD) experience high levels of anxiety. A widely used measure for typically developing children is the Revised Child Anxiety and Depression Scale (RCADS). However, such anxiety measures may require adaptation to accommodate characteristics of those with ASD. An adapted version of the RCADS was created based on empirical evidence of anxiety phenomenology in ASD, which included additional items related to sensory anxiety, intolerance of uncertainty, and phobias. Content validity was refined during focus groups with parents. Polychoric factor analysis was undertaken on data from 170 children with ASD, aged 8-16, and their parents. This process resulted in the creation of a new 24 item scale (self and parent report) each with four subscales: Performance Anxiety, Uncertainty, Anxious Arousal, and Separation Anxiety, with evidence of good reliability and validity. The freely available Anxiety Scale for Children - ASD, Parent and Child versions (ASC-ASD) has promising psychometric properties including good internal consistency, validity, and 1 month test–retest reliability. Autism Res 2016, 9: 1205–1215. © 2016 International Society for Autism Research, Wiley Periodicals, Inc.

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