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September 14, 2026Autism ResearchOpen Access

Measurement‐Dependent Sex‐Based Differences in Autistic Traits: Comparing Self‐Report, Informant‐Report, and Clinician Observation in Adults With Autism Spectrum Disorder

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Authors

RIRio IshidaKYKazuhiko YamamuroNKNatsuko Kashida

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Overview

Comparative study reveals sex-based discrepancies across diagnostic modalities in autistic adults, indicating that clinician assessments may systematically underestimate autistic traits in females.

Key Points

  • To determine the degree of convergence and identify sex-based discrepancies among self-reported, informant-reported, and clinician-rated autistic traits in autistic and neurotypical adults.
  • Evaluated 219 adults with autism spectrum disorder and 130 typically developing individuals.
  • Assessed autistic traits using the Autism-Spectrum Quotient Japanese version (self-report), the Social Responsiveness Scale, Second Edition (informant-report), and the Autism Diagnostic Observation Schedule, Second Edition, Module 4 (clinician-rated).
  • Applied repeated-measures analyses to evaluate modality-by-sex interaction effects on trait intensity.
  • Self-report (AQ-J) and informant-report (SRS-2) scores were significantly elevated in participants with autism spectrum disorder compared to typically developing controls, showing minimal sex differences.
  • Clinician-rated ADOS-2 scores were significantly higher in males than in females within the autism group.
  • Repeated-measures analysis demonstrated a significant measure-by-sex interaction (p < 0.001, partial η² = 0.036), driven by significantly lower clinician-rated trait scores in autistic females despite equivalent survey scores.

Cite This Study

Ishida et al. (2026) studied this question.

synapsesocial.com/papers/6aa7b3df0926e14a848b3179https://doi.org/10.1002/aur.70369
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