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INTER-RATER AGREEMENT IN AUTISM SPECTRUM DISORDER FOR ANXIETY, DEPRESSION, AND BROAD INTERNALIZING SYMPTOMS: A META-ANALYSISDissertation • June 29th, 2020
Youth with Autism Spectrum Disorder (ASD) are at elevated risk for internalizing symptoms such as anxiety and depression (Bellini, 2004; Kim et al., 2000; Matson & Williams, 2014). These internalizing problems can affect self-esteem, social competence, academic performance, and physical health; thus, it is critical to accurately identify internalizing symptoms in order to provide appropriate intervention to those in need (Michael & Merrell, 1998). One of the most common ways to screen for internalizing symptoms is through use of rating scales completed by youth, parent, and/or teacher informants. However, inconsistent inter-rater agreement findings across studies of youth with ASD have rendered the literature difficult to summarize and in need of more systematic investigation. No prior meta-analysis has examined inter-rater or cross-informant ratings agreement concerning different internalizing constructs in youth with ASD specifically—despite its relevance to a multi-method and multi-
