Co‐occurring anxiety is common in children with autism spectrum disorder (ASD). However, inconsistencies across parent and child reports of anxiety may complicate the assessment of anxiety in this population. The present study examined parent and child anxiety ratings in children with ASD with and without anxiety disorders and tested the association between parent–child anxiety rating discrepancy and ASD symptom severity. Participants included children aged 8–16 years in three diagnostic groups: ASD with co‐occurring anxiety disorders (ASD + Anxiety; n = 34), ASD without co‐occurring anxiety disorders (ASD; n = 18), and typically developing healthy controls (TD; n = 50). Parents and children completed ratings of child anxiety using the Multidimensional Anxiety Rating Scale. Patterns of parent and child anxiety ratings differed among the three groups, with parent ratings exceeding child ratings only in the ASD + Anxiety group. Parents reported higher levels of child anxiety in the ASD + Anxiety versus ASD group, whereas children reported comparable levels of anxiety in the two groups. Among children with ASD, ASD symptom severity was positively associated with the degree to which parent ratings exceeded child ratings. Results suggest that children with ASD and co‐occurring anxiety disorders endorse some anxiety symptoms but may underreport overall levels of anxiety. In addition, ASD symptom severity might increase discrepancies in parent–child anxiety ratings. These findings suggest a unique and valuable role of child anxiety ratings and suggest that both parent and child anxiety ratings should be considered in light of children's ASD symptom severity and used to guide further assessment. Autism Res 2020, 13: 93–103. © 2019 International Society for Autism Research, Wiley Periodicals, Inc.

中文翻译：

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自闭症谱系障碍儿童的父母和孩子对焦虑的评分之间存在差异。

患有自闭症谱系障碍 (ASD) 的儿童通常会同时出现焦虑。然而，父母和儿童焦虑报告的不一致可能会使该人群的焦虑评估复杂化。本研究检查了伴有和不伴有焦虑障碍的 ASD 儿童的父母和儿童焦虑评分，并测试了亲子焦虑评分差异与 ASD 症状严重程度之间的关联。参与者包括 8-16 岁的儿童，分为三个诊断组：ASD 伴有并发的焦虑症（ASD + 焦虑症；n = 34），没有并发焦虑症的 ASD（ASD；n = 18），以及通常发育健康的对照组(TD; n= 50）。父母和孩子使用多维焦虑量表完成儿童焦虑的评级。三组中父母和孩子的焦虑评分模式不同，只有 ASD + 焦虑组的父母评分超过儿童评分。父母报告称，ASD + 焦虑组与 ASD 组儿童的焦虑水平较高，而儿童报告的两组焦虑水平相当。在患有 ASD 的儿童中，ASD 症状严重程度与父母评分超过儿童评分的程度呈正相关。结果表明，患有 ASD 和并发焦虑症的儿童认可一些焦虑症状，但可能低估了总体焦虑水平。此外，ASD 症状的严重程度可能会增加亲子焦虑评分的差异。自闭症研究2020，13：93–103。© 2019 国际自闭症研究协会，Wiley Periodicals, Inc.