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...

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Detalles Bibliográficos
Autores: Danés Henríquez, Marta, Martínez Molina, Agustín, Sotillo Méndez, María, Belinchón Carmona, Mercedes
Tipo de recurso: artículo
Fecha de publicación:2026
País:España
Institución:Universidad Autónoma de Madrid
Repositorio:Biblos-e Archivo. Repositorio Institucional de la UAM
Idioma:inglés
OAI Identifier:oai:repositorio.uam.es:10486/750381
Acceso en línea:https://hdl.handle.net/10486/750381
https://dx.doi.org/10.1016/j.reia.2026.202822
Access Level:acceso abierto
Palabra clave:Autism without intellectual disability
Clinical co-occurring problems
Self-report screening questionnaire
Psychometric properties
Structural validity
Psicología
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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 comorbidityDanés Henríquez, MartaMartínez Molina, AgustínSotillo Méndez, MaríaBelinchón Carmona, MercedesAutism without intellectual disabilityClinical co-occurring problemsSelf-report screening questionnairePsychometric propertiesStructural validityPsicologíaBackground: 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 literatureElsevierDepartamento de Psicología Social y MetodologíaDepartamento de Psicología BásicaFacultad de Psicología20262026-01-17research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10486/750381https://dx.doi.org/10.1016/j.reia.2026.202822reponame:Biblos-e Archivo. Repositorio Institucional de la UAMinstname:Universidad Autónoma de MadridInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:repositorio.uam.es:10486/7503812026-06-23T12:46:27Z
dc.title.none.fl_str_mv 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 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
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_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_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_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
dc.creator.none.fl_str_mv Danés Henríquez, Marta
Martínez Molina, Agustín
Sotillo Méndez, María
Belinchón Carmona, Mercedes
author Danés Henríquez, Marta
author_facet Danés Henríquez, Marta
Martínez Molina, Agustín
Sotillo Méndez, María
Belinchón Carmona, Mercedes
author_role author
author2 Martínez Molina, Agustín
Sotillo Méndez, María
Belinchón Carmona, Mercedes
author2_role author
author
author
dc.contributor.none.fl_str_mv Departamento de Psicología Social y Metodología
Departamento de Psicología Básica
Facultad de Psicología
dc.subject.none.fl_str_mv Autism without intellectual disability
Clinical co-occurring problems
Self-report screening questionnaire
Psychometric properties
Structural validity
Psicología
topic Autism without intellectual disability
Clinical co-occurring problems
Self-report screening questionnaire
Psychometric properties
Structural validity
Psicología
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
publishDate 2026
dc.date.none.fl_str_mv 2026
2026-01-17
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10486/750381
https://dx.doi.org/10.1016/j.reia.2026.202822
url https://hdl.handle.net/10486/750381
https://dx.doi.org/10.1016/j.reia.2026.202822
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Biblos-e Archivo. Repositorio Institucional de la UAM
instname:Universidad Autónoma de Madrid
instname_str Universidad Autónoma de Madrid
reponame_str Biblos-e Archivo. Repositorio Institucional de la UAM
collection Biblos-e Archivo. Repositorio Institucional de la UAM
repository.name.fl_str_mv
repository.mail.fl_str_mv
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