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Discrepancies between parent and child report of anxiety in children with high functioning autism spectrum disorder

Published online by Cambridge University Press:  13 August 2021

R. Ayoub ,
T. Brahim ,
H. Ben Abid ,
S. Bousleh  and
A. Guedria
R. Ayoub
Affiliation:
Child And Adolescent Psychiatry Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia
T. Brahim*
Affiliation:
Child And Adolescent Psychiatry Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia
H. Ben Abid
Affiliation:
Child And Adolescent Psychiatry Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia
S. Bousleh
Affiliation:
Child And Adolescent Psychiatry Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia
A. Guedria
Affiliation:
Child And Adolescent Psychiatry Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Many children with autism spectrum disorder (ASD) experience high levels of anxiety. However, inconsistencies between parent and child reports may complicate the assessment of anxiety in this population.

Objectives

The aim of this study is to investigate discrepancies between parent and self-reported anxiety among children with high functioning ASD.

Methods

Children aged between 8 and16 years with high functioning ASD, followed in the outpatient unite of child psychiatry at the University Hospital of Monastir, Tunisia and their parents, were invited to complete the Arabic version of the Anxiety Scale for Children with Autism Spectrum Disorder (ASC-ASD). The ASC-ASD is a 24-item questionnaire with six sub-scales, designed specifically for the assessment of anxiety symptomatology in children with ASD. A total score of ≥ 20 indicate significant levels of anxiety.

Results

We recruited 66 children and their parents. The mean age was 10 years old. High rates of anxiety were found: children’s reports revealed that 70% of them present anxiety and 60 % were coated anxious by parent’s reports. Performance Anxiety, Uncertainty and Social Anxiety were the most frequent types of anxiety reported by both parents and children. We did not find a significant difference between the parents and children rating of anxiety except for the apprehension subscale.

Conclusions

This is one of the first studies to compare between parent and self-reported anxiety among children with ASD using an autism-specific measure of anxiety. No discrepancies have been found between parents and children report, however others studies are needed to investigate discrepancies in children with severe ASD.

Keywords

AnxietyHigh Functioning Autism Spectrum DisorderASC-ASD
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S215
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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