Validity of a self-reported screening test on co-occurring clinical problems in autism without intellectual disability: Evidence of factorial structure and network analysis of symptom comorbidity
Background: The high prevalence of co-occurring clinical problems in autism spectrum Conditions without Intellectual Disability (ASC-noID) highlights the need for screening tools that are both easy to administer and easy to understand. This study presents the final development and structural validit...
| Authors: | ; ; ; |
|---|---|
| Format: | Article |
| Publication date: | 2026 |
| Country: | España |
| Institution: | Universidad Autónoma de Madrid |
| Repository: | Biblos-e Archivo. Repositorio Institucional de la UAM |
| Language: | English |
| OAI Identifier: | oai:repositorio.uam.es:10486/750381 |
| Online Access: | https://hdl.handle.net/10486/750381 https://dx.doi.org/10.1016/j.reia.2026.202822 |
| Access Level: | Open access |
| Keyword: | Autism without intellectual disability Clinical co-occurring problems Self-report screening questionnaire Psychometric properties Structural validity Psicología |
| _version_ | 1878742741990506496 |
|---|---|
| author | Danés Henríquez, Marta |
| author2 | Martínez Molina, Agustín Sotillo Méndez, María Belinchón Carmona, Mercedes |
| author2_role | author author author |
| author_browse | Belinchón Carmona, Mercedes Danés Henríquez, Marta Martínez Molina, Agustín Sotillo Méndez, María |
| author_facet | Danés Henríquez, Marta Martínez Molina, Agustín Sotillo Méndez, María Belinchón Carmona, Mercedes |
| author_role | author |
| collection | Biblos-e Archivo. Repositorio Institucional de la UAM |
| description | Background: The high prevalence of co-occurring clinical problems in autism spectrum Conditions without Intellectual Disability (ASC-noID) highlights the need for screening tools that are both easy to administer and easy to understand. This study presents the final development and structural validity of APCA-sin DI, a Spanish self-report questionnaire designed to screen clinical problems that may require specialized attention. Method: A total of 227 young adults with ASC-noID completed an online preliminary version of APCA-sin DI consisting of: (a) 34 items covering 11 clinical categories, rated on four-point Likert scale ("Never to Always"), plus the options "I do not know" and "Prefer not to answer"; (b) three attention control items; and (c) a five-item life satisfaction scale. Descriptive statistics and factorial analysis were conducted to examine the psychometric properties of the instrument. Results: The initial factorial analysis yielded a six-factor model based on seven clinical categories (“Anxiety”; “OCD”; “Sensory disturbances”; “Agitation”; “Autolytic thoughts”; “Depression” and “Eating Disorders”). The final version of the tool (18 items, 5 factors and 5 categories) demonstrated adequate psychometric properties. Conclusions: The factors identified and the potential applications of the APCA-sin DI, for both clinical and research purposes, are discussed in relation to the existing literature |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_fb6ef2a02ca6d1baa15aab6b631c1923 |
| institution | Universidad Autónoma de Madrid |
| instname_str | Universidad Autónoma de Madrid |
| language | eng |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:repositorio.uam.es:10486/750381 |
| publishDate | 2026 |
| publishDateSort | 2026 |
| publisher | Elsevier |
| publisherStr | Elsevier |
| reponame_str | Biblos-e Archivo. Repositorio Institucional de la UAM |
| spelling | Validity of a self-reported screening test on co-occurring clinical problems in autism without intellectual disability: Evidence of factorial structure and network analysis of symptom comorbidity Danés Henríquez, Marta Martínez Molina, Agustín Sotillo Méndez, María Belinchón Carmona, Mercedes Autism without intellectual disability Clinical co-occurring problems Self-report screening questionnaire Psychometric properties Structural validity Psicología Background: The high prevalence of co-occurring clinical problems in autism spectrum Conditions without Intellectual Disability (ASC-noID) highlights the need for screening tools that are both easy to administer and easy to understand. This study presents the final development and structural validity of APCA-sin DI, a Spanish self-report questionnaire designed to screen clinical problems that may require specialized attention. Method: A total of 227 young adults with ASC-noID completed an online preliminary version of APCA-sin DI consisting of: (a) 34 items covering 11 clinical categories, rated on four-point Likert scale ("Never to Always"), plus the options "I do not know" and "Prefer not to answer"; (b) three attention control items; and (c) a five-item life satisfaction scale. Descriptive statistics and factorial analysis were conducted to examine the psychometric properties of the instrument. Results: The initial factorial analysis yielded a six-factor model based on seven clinical categories (“Anxiety”; “OCD”; “Sensory disturbances”; “Agitation”; “Autolytic thoughts”; “Depression” and “Eating Disorders”). The final version of the tool (18 items, 5 factors and 5 categories) demonstrated adequate psychometric properties. Conclusions: The factors identified and the potential applications of the APCA-sin DI, for both clinical and research purposes, are discussed in relation to the existing literature Elsevier https://hdl.handle.net/10486/750381 https://dx.doi.org/10.1016/j.reia.2026.202822 |
| spellingShingle | Validity of a self-reported screening test on co-occurring clinical problems in autism without intellectual disability: Evidence of factorial structure and network analysis of symptom comorbidity Danés Henríquez, Marta Autism without intellectual disability Clinical co-occurring problems Self-report screening questionnaire Psychometric properties Structural validity Psicología |
| title | Validity of a self-reported screening test on co-occurring clinical problems in autism without intellectual disability: Evidence of factorial structure and network analysis of symptom comorbidity |
| title_full | Validity of a self-reported screening test on co-occurring clinical problems in autism without intellectual disability: Evidence of factorial structure and network analysis of symptom comorbidity |
| title_fullStr | Validity of a self-reported screening test on co-occurring clinical problems in autism without intellectual disability: Evidence of factorial structure and network analysis of symptom comorbidity |
| title_full_unstemmed | Validity of a self-reported screening test on co-occurring clinical problems in autism without intellectual disability: Evidence of factorial structure and network analysis of symptom comorbidity |
| title_short | Validity of a self-reported screening test on co-occurring clinical problems in autism without intellectual disability: Evidence of factorial structure and network analysis of symptom comorbidity |
| title_sort | Validity of a self-reported screening test on co-occurring clinical problems in autism without intellectual disability: Evidence of factorial structure and network analysis of symptom comorbidity |
| topic | Autism without intellectual disability Clinical co-occurring problems Self-report screening questionnaire Psychometric properties Structural validity Psicología |
| topic_facet | Autism without intellectual disability Clinical co-occurring problems Self-report screening questionnaire Psychometric properties Structural validity Psicología |
| url | https://hdl.handle.net/10486/750381 https://dx.doi.org/10.1016/j.reia.2026.202822 |