Skip to main content
Log in

Examining Shared and Unique Aspects of Social Anxiety Disorder and Autism Spectrum Disorder Using Factor Analysis

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

Social Anxiety Disorder (SAD) and Autism Spectrum Disorders (ASD) are fairly common psychiatric conditions that impair the functioning of otherwise healthy young adults. Given that the two conditions frequently co-occur, measurement of the characteristics unique to each condition is critical. This study evaluated the structure and construct overlap of two screening measures of SAD and ASD. Results from 623 young adults indicated that separable, though highly correlated, factors can be derived from the two measures related to social anxiety and social difficulties. The ASD screening measure also taps unique factors related to restricted interests and attention to details, theory of mind deficits, and a preference for routine. Recommendations are provided for accurate screening of symptoms of both SAD and ASD.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Amaral, D. G., Bauman, M. D., & Mills Schumann, C. (2003). The amygdale and autism: Implications from non-human primate studies. Genes, Brain and Behavior, 2, 295–302. doi:10.1034/j.1601-183X.2003.00043.x.

    Article  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.

  • Austin, E. J. (2005). Personality correlates of the broader autism phenotype as assessed by the Autism Spectrum Quotient (AQ). Personality and Individual Differences, 38, 451–460. doi:10.1016/j.paid.2004.04.022.

    Article  Google Scholar 

  • Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., & Clubley, E. (2001). The Autism-Spectrum Quotient (AQ): Evidence from asperger syndrome/High-functioning autism, males and females, scientists and mathematicians. Journal of Autism and Developmental Disorders, 31(1), 5–17. doi:10.1023/A:1005653411471.

    Article  PubMed  Google Scholar 

  • Bauminger, N., & Kasari, C. (2000). Loneliness and friendship in high-functioning children with autism. Child Development, 71, 447–456.

    Article  PubMed  Google Scholar 

  • Bellini, S. (2004). Social skill deficits and anxiety in high-functioning adolescents with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 19(2), 78–86. doi:10.1177/10883576040190020201.

    Article  Google Scholar 

  • Buss, A. H., & Perry, M. (1992). The aggression questionnaire. Personality Processes and Individual Differences, 63(3), 452–459. doi:10.1037/0022-3514.63.3.452.

    Google Scholar 

  • Caron, C., & Rutter, M. (1991). Comorbidity in child psychopathology: Concepts, issues and research strategies. Journal of Child Psychology and Psychiatry, 32(7), 1063–1080.

    Article  PubMed  Google Scholar 

  • Cath, D. C., Ran, N., Smit, J. H., van Balkom, A. J. L. M., & Comijs, H. C. (2008). Symptom overlap between autism spectrum disorder, generalized social anxiety disorder and obsessive-compulsive disorder in adults: A preliminary case-controlled study. Psychopathology, 41, 101–110. doi:10.1159/000111555.

    Article  PubMed  Google Scholar 

  • Constantino, J. N., & Todd, R. D. (2003). Autistic traits in the general population. Archives of General Psychiatry, 60, 524–530.

    Article  PubMed  Google Scholar 

  • Constantino, J. N., & Todd, R. D. (2005). Intergenerational transmission of subtreshold autistic traits in the general population. Biological Psychiatry, 57, 655–660.

    Article  PubMed  Google Scholar 

  • Creed, A. T., & Funder, D. C. (1998). Social anxiety: From the inside and outside. Personality and Individual Differences, 25(1), 19–33. doi:10.1016/S0191-8869(98)00037-3.

    Article  Google Scholar 

  • Dalton, K. M., Nacewicz, B. M., Johnstone, T., Schaefer, H. S., Gernsbacher, M. A., Goldsmith, H. H., et al. (2005). Gaze fixation and the neural circuitry of face processing in autism. Nature Neuroscience, 8(4), 519–526. doi:10.1016/j.biopsych.2006.05.019.

    PubMed  Google Scholar 

  • Fabrigar, L. R., Wegener, D. T., MacCallum, R. C., & Strahan, E. J. (1999). Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods, 4(3), 272–299.

    Article  Google Scholar 

  • Gorsuch, R. L. (2008). Factor Analysis (2nd Ed ed.). Mahwah, NJ: Psychology Press.

    Google Scholar 

  • Guadagnoli, E., & Velicer, W. F. (1988). Relation of sample size to the stability of component patterns. Psychological Bulletin, 103(2), 265–275.

    Article  PubMed  Google Scholar 

  • Hoekstra, R. A., Bartels, M., Cath, D. C., & Boomsma, D. I. (2008). Factor structure, reliability, and criterion validity of the Autism-Spectrum Quotient (AQ): A study in Dutch population and patient groups. Journal of Autism and Developmental Disorders, 38(8), 1555–1566. doi:10.1007/s10803-008-0538-x.

    Article  PubMed  Google Scholar 

  • Hurst, R. M., Mitchell, J. T., Kimbrel, N. A., Kwapil, T. K., & Nelson-Gray, R. O. (2007). Examination of the reliability and factor structure of the Autism Spectrum Quotient (AQ) in a non-clinical sample. Personality and Individual Differences, 43, 1938–1949. doi:10.1016/j.paid.2007.06.012.

    Article  Google Scholar 

  • Hurtig, T., Kuusikko, S., Mattila, M., Haapsamo, H., Ebeling, H., Jussila, K., et al. (2009). Multi-informant reports of psychiatric symptoms among high-functioning adolescents with asperger syndrome or autism. Autism, 13(6), 583–598. doi:10.1177/1362361309335719.

    Article  PubMed  Google Scholar 

  • Izgiç, F., Akyüz, G., Doğan, O., & Kuğu, N. (2004). Social phobia among university students and its relation to self-esteem and body image. The Canadian Journal of Psychiatry/La Revue Canadienne de Psychiatrie, 49(9), 630–634.

    Google Scholar 

  • Jobe, L., & White, S. W. (2007). Loneliness, social relationships, and a broader autism phenotype in college students. Personality and Individual Differences, 42, 1479–1489. doi:10.1016/j.paid.2006.10.021.

    Article  Google Scholar 

  • Joseph, R. M., Ehrman, K., McNallly, R., & Keehn, B. (2008). Affective response to eye contact and face recognition ability in children with ASD. Journal of the International Neuropsychological Society, 14, 947–955. doi:10.10170S1355617708081344.

    Article  PubMed  Google Scholar 

  • Ketelaars, C., Horwitz, E., Sytema, S., Bos, J., Wiersma, D., Minderaa, R., et al. (2008). Brief report: Adults with mild autism spectrum disorders (ASD): Scores on the Autism Spectrum Quotient (AQ) and comorbid psychopathology. Journal of Autism and Developmental Disorders, 38, 176–180. doi:10.1007/s10803-007-0358-4.

    Article  PubMed  Google Scholar 

  • Kleinhans, N. M., Richards, T., Weaver, K., Johnson, L. C., Greenson, J., Dawson, G., et al. (2010). Association between amygdale response to emotional faces and social anxiety in autism spectrum disorders. Neuropsychologia, 48(12), 3665–3770. doi:10.1016/j.neuropsychologia.2010.07.022.

    Article  PubMed  Google Scholar 

  • Klin, A., McPartland, J., & Volkmar, F. R. (2005). Asperger syndrome. In F. R. Volkmar, R. Paul, A. Klin, & D. Cohen (Eds.), Handbook of autism and pervasive developmental disorders, Vol. 1: Diagnosis, development, neurobiology, and behavior (3rd ed.) (pp. 88–125). Hoboken, NJ: John Wiley & Sons.

    Google Scholar 

  • Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613. doi:10.1046/j.1525-1497-2001.016009606.x.

    Article  PubMed  Google Scholar 

  • Kunihira, Y., Senju, A., Dairoku, H., Wakabayashi, A., & Hasegawa, T. (2006). Autistic traits in non-autistic Japanese populations: Relationships with personality traits and cognitive ability. Journal of Autism and Developmental Disorders, 36(4), 553–566. doi:10.1007/s10803-006-0094-1.

    Article  PubMed  Google Scholar 

  • Kuusikko, S., Pollock-Wurman, R., Jussila, K., Carter, A. S., Mattila, M., Ebieling, H., et al. (2008). Social anxiety in high-functioning children and adolescents with autism and asperger syndrome. Journal of Autism and Developmental Disorders, 38, 1697–1709. doi:10.1007/s10803-008-0555-9.

    Article  PubMed  Google Scholar 

  • Meyer, J. A., Mundy, P. C., Van Hecke, A. V., & Durocher, J. S. (2006). Social attribution processes and comorbid psychiatric symptoms in children with asperger syndrome. Autism, 10, 383–402. doi:10.1177/1362361306064435.

    Article  PubMed  Google Scholar 

  • Muller, E., Schuler, A., & Yates, G. B. (2008). Social challenges and supports from the perspective of individuals with asperger syndrome and other autism spectrum disabilities. Autism, 12, 173–190. doi:10.1177/1362361307086664.

    Article  PubMed  Google Scholar 

  • Myles, B. (2003). Behavioral forms of stress management for individuals with asperger syndrome. Child and Adolescent Psychiatric Clinics of North America, 12(1), 123–141. doi:10.1016/S1056-4993(02)00048-2.

    Article  PubMed  Google Scholar 

  • Peters, L. (2000). Discriminant validity of the Social Phobia and Anxiety Inventory (SPAI), the Social Phobia Scale (SPS) and the Social Interaction Anxiety Scale (SIAS). Behaviour Research and Therapy, 38, 943–950. doi:10.1177/1362361307086664.

    Article  PubMed  Google Scholar 

  • Pine, D. S., Guyer, A. E., Goldwin, M., Towbin, K. A., & Leibenluft, E. (2008). Autism spectrum disorder scale scores in pediatric mood and anxiety disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 47(6), 652–661. doi:10.1097/CHI.0b013e31816bffa5.

    Article  PubMed  Google Scholar 

  • Piven, J., & Palmer, P. (1999). Psychiatric disorder and the broad autism phenotype: Evidence from a family study of multiple-incidence autism families. American Journal of Psychiatry, 156, 557–565.

    PubMed  Google Scholar 

  • Roberson-Nay, R., Strong, D. R., Nay, W. T., Beidel, D. C., & Turner, S. M. (2007). Development of an abbreviated Social Phobia and Anxiety Inventory (SPAI) using item response theory: The SPAI-23. Psychological Assessment, 19(1), 133–145. doi:10.1037/1040-3590.19.1.133.

    Article  PubMed  Google Scholar 

  • Rosbrook, A., & Whittingham, K. (2010). Autistic traits in the general population: What mediates the link with depressive and anxious symptomatology? Research in Autism Spectrum Disorders, 4, 415–424. doi:10.1016/j.rasd.2009.10.012.

    Article  Google Scholar 

  • Ruscio, A. M., Brown, T. A., Chiu, W. T., Sareen, J., Stein, M. B., & Kessler, R. C. (2008). Social fears and social phobia in the USA: Results from the National Comorbidity Survey Replication. Psychological Medicine, 38(1), 15–28. doi:10.1017/S0033291707001699.

    Article  PubMed  Google Scholar 

  • Schry, A., Roberson-Nay, R., & White, S. W. (2011). Screening social anxiety in college students: A comprehensive evaluation of the psychometric properties of the SPAI-23 (under review).

  • Schry, A. R., & White, S. W. (2010). March). Baltimore: Drinking as a coping tool for the management of social anxiety. A poster presentation at the annual meeting of the Anxiety Disorders Association of America. MD.

    Google Scholar 

  • Smalley, S., McCracken, J., & Tanguay, P. (1995). Autism, affective disorders, and social phobia. American Journal of Medical Genetics, 60(1), 19–26. doi:10.1002/ajmg.1320600105.

    Article  PubMed  Google Scholar 

  • Spitzer, R. L., Kroenke, K., & Williams, J. B. (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. Primary care evaluation of mental disorders. Patient Health Questionnaire. JAMA, 282, 1737–1744. doi:10.1001.jama.282.18.1737.

    Article  PubMed  Google Scholar 

  • Stewart, M. E., & Austin, E. J. (2009). The structure of the Autism-Spectrum Quotient (AQ): Evidence from a student sample in Scotland. Personality and Individual Differences, 37, 224–228. doi:10.1016/j.paid.2009.03.004.

    Article  Google Scholar 

  • Sukhodolsky, D. G., Scahill, L., Gadow, K. D., Arnold, L. E., Aman, M. G., McDougle, C. J., et al. (2008). Parent-rated anxiety symptoms in children with pervasive developmental disorders: Frequency and association with core autism symptoms and cognitive functioning. Journal of Abnormal Child Psychology, 36, 117–128. doi:10.1007/s10802-007-9165-9.

    Article  PubMed  Google Scholar 

  • Tabachnick, B. G., & Fidell, L. S. (2007). Using Multivariate Statistics (5th Ed ed.). Boston, MA: Pearson Education, Inc.

    Google Scholar 

  • Turner, S. M., Beidel, D. C., & Dancu, C. V. (1996). Social Phobia and Anxiety Inventory manual. North Tonawanda, NY: Multi-Health Systems.

    Google Scholar 

  • Turner, S. M., Beidel, D. C., Dancu, C. V., & Keys, D. J. (1986). Psychopathology of social phobia and comparison to avoidant personality disorder. Journal of Abnormal Psychology, 95, 389–394. doi:10.1037/0021-843X.95.4.389.

    Article  PubMed  Google Scholar 

  • Turner, S. M., Beidel, D. C., Dancu, C. V., & Stanley, M. A. (1989). An empirically derived inventory to measure social fears and anxiety: The Social Phobia and Anxiety Inventory. Psychological Assessment, 1, 35–40. doi:10.1037/1040-3590.1.1.35.

    Article  Google Scholar 

  • Wakabayashi, A., Baron-Cohen, S., & Wheelwright, S. (2006). Are autistic traits an independent personality dimension? A study of the Autism-Spectrum Quotient (AQ) and the NEO-PI-R. Personality and Individual Differences, 41, 873–883. doi:10.1016/j.paid.2006.04.003.

    Article  Google Scholar 

  • White, S. W., Albano, A., Johnson, C., Kasari, C., Ollendick, T., Klin, A., Oswald, D., & Scahill, L. (2010). Development of a cognitive-behavioral intervention program to treat anxiety and social deficits in teens with high-functioning autism. Clinical Child and Family Psychology Review, 13(1), 77–90. doi:10.1007/s10567-009-0062-3.

    Article  PubMed  Google Scholar 

  • White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009). Anxiety in children and adolescents with autism spectrum disorders. Clinical Psychology Review, 29(3), 216–229. doi:10.1016/j.cpr.2009.01.003.

    Article  PubMed  Google Scholar 

  • White, S. W., & Roberson-Nay, R. (2009). Anxiety, social deficits, and loneliness in youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 1006–1013. doi:10.1007/s10803-009-0713-8.

    Article  PubMed  Google Scholar 

  • White, S. W., & Schry, A. R. (2011). Social anxiety in adolescents on the autism spectrum. In C. A. Alfano & D. C. Beidel (Eds.), Social Anxiety Disorder in Adolescents and Young Adults: Translating Developmental Science into Practice (pp. 183–201). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • White, S. W., Schry, A. R., & Maddox, B. M. (2011). The assessment of anxiety in high-functioning adolescents with autism spectrum disorder (under review).

  • Williamson, S., Craig, J., & Slinger, R. (2008). Exploring the relationship between measures of self-esteem and psychological adjustment among adolescents with asperger syndrome. Autism, 12(4), 391–402. doi:10.1177/1362361308091652.

    Article  PubMed  Google Scholar 

  • Woodbury-Smith, M. R., Robinson, J., Wheelwright, S., & Baron-Cohen, S. (2005). Screening adults for asperger syndrome using the AQ: A diagnostic validity in clinical practice. Journal of Autism and Developmental Disorders, 35(3), 331–335. doi:10.1007/s10803-005-3300-7.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors acknowledge consultation from Angela Scarpa, PhD and Bevlee Watford, PhD. We are appreciative to the students who participated in this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Susan W. White.

Rights and permissions

Reprints and permissions

About this article

Cite this article

White, S.W., Bray, B.C. & Ollendick, T.H. Examining Shared and Unique Aspects of Social Anxiety Disorder and Autism Spectrum Disorder Using Factor Analysis. J Autism Dev Disord 42, 874–884 (2012). https://doi.org/10.1007/s10803-011-1325-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-011-1325-7

Keywords

Navigation