Brief Report: Convergence and Discrepancy Between Self- and Informant-Reported Depressive Symptoms in Young Autistic Adults.
Hannah R Thomas, Aditi Sirsikar, Inge-Marie Eigsti
PMID 38231383WHAT IT FOUND
Autistic adults and their informants agreed on depression levels more closely than non-autistic adults did.
However, autistic participants reported fewer symptoms than their informants, while non-autistic participants reported more. This suggests informants may detect depression that autistic individuals underreport.
Key findings
01Self-reported and informant-reported depression symptoms were significantly correlated in both groups, with stronger convergence in the autistic group.
02In the autistic group, self-reported scores were significantly lower than informant-reported scores, whereas non-autistic participants reported higher scores than their informants.
03After controlling for age, race, gender, and informant identity, the discrepancy between self- and informant-report in the autistic group was no longer statistically significant.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The study did not include formal clinical diagnoses of depression, relying instead on screener scores. Self-report (BDI-II) and informant-report (ABCL) measures covered different timeframes (two weeks vs. six months), which may have influenced discrepancy findings. The sample consisted of speaking autistic adults with age-appropriate cognitive abilities, limiting generalizability to non-speaking individuals or those with intellectual disabilities. Groups differed in informant identity (parents vs. others) and demographic characteristics, though some were controlled for in analysis.
Declared interests
The authors have no conflicts of interest to report.
The easy way to misread this
Do not interpret the lack of significant discrepancy in the autistic group after controlling for covariates as evidence that self-report is equally accurate as informant report. The initial finding showed autistic adults reported fewer symptoms than informants, and the loss of significance after adjustment does not prove equivalence, only that demographic factors explain some of the variance.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →