The bias and precision of reporting the average age of human participants.

Most research papers in psychology study the behaviour of a sample of participants. To characterise this sample, authors report various characteristics, frequently including the mean age and the associated standard deviation. However, based on reports from authors who publish in Acta Psychologica and from respondents on X/Twitter, the present paper shows that some authors use rounded-down ages whereas others don't, which lead to an uncertainty of 0.5 year in the average age. The results furthermore show that the authors tend to report the average age with two decimals precision, irrespective of the uncertainty of this average. I recommend that publications should explicitly mention how the average age is determined and report its value using a number of decimals that reflects its uncertainty.

Validation and measurement invariance of the Compound PsyCap Scale (CPC-12): a short universal measure of psychological capital

Lorenz y sus colegas desarrollaron la Escala Compound PsyCap (CPC-12) para ampliar este enfoque de dominio específico; sin embargo, no se realizó ninguna verificación adicional de su idoneidad en diferentes muestras / entornos. El presente trabajo investigó las propiedades psicométricas de una adaptación italiana del CPC-12 con el objetivo de verificar su aplicabilidad en muestras donde la redacción de los ítems de las medidas existentes de PsyCap podría no ser adecuada (por ejemplo, estudiantes y desempleados). El estudio 1 (n = 450) examinó la estructura factorial de la escala. El estudio 2 (n = 255) avanzó en la validación anterior de la CPC-12 al probar su equivalencia de medición entre sexos a través de MCFA. Los resultados confirmaron una estructura factorial de un orden superior con cuatro factores de primer orden; se encontró que la escala era invariante en todos los sexos. Los hallazgos avanzaron la afirmación general de la CPC-12 de ser adecuada para su aplicación en múltiples contextos, incluidos el deporte, la educación, la orientación profesional, así como los entornos laborales típicos y atípicos.(AU)

The Compound PsyCap Scale (CPC-12) was developed by Lo-renz et al. (2016) to broaden the application of psychological capital, since usually tied to workplace settings; however, no further verification of its suitability across different samples was performed. The present work in-vestigated the psychometric properties of an Italian adaptation of the CPC-12 with the aim of verifying its applicability in samples where the item wording of the existing measures of PsyCap might not be suitable (e.g., students and unemployed people). Study 1 (n= 450) examined the factor structure of the scale. Study 2 (n= 255) advanced the previous CPC-12 validation by testing its measurement equivalence across gender through MCFA. Results confirmed a one higher-order factor structure with four first-order factors, the scale was found to be invariant across gender. The findings advanced the general claim of CPC-12 to be suitable for applica-tion in multiple contexts, including sport, education, vocational guidance, as well as typical and atypical work settings.(AU)

Análise bibliométrica das teses e dissertações em Psicologia defendidas no Brasil de 2001 a 2019 / Bibliometric analysis of theses and dissertations in Psychology presented in Brazil from 2001 to 2019

O estudo tem o objetivo de apresentar os dados bibliométrico das teses e dissertações defendidas entre 2001 a 2019 nos programas de pós-graduação em Psicologia brasileiros. Através de uma pesquisa bibliométrica permitiu constatar o número de estudos por Instituição de Ensino Superior, número de páginas, quantidade de estudos por ano e as temáticas mais pesquisadas pelos autores. A contribuição mais importante é sobre as palavras-chave mais utilizadas, sendo as cinco mais frequentes: Psicanálise, Psicologia, Família, Psicologia social e Saúde Mental. O artigo permite uma visão bem ampla do desenvolvimento da pós-graduação em Psicologia no período analisado.

The study aims to provide bibliometric data of the theses and dissertations presented between 2001 and 2019 in the Brazilian graduate programs in Psychology. Through a bibliometric analysis, it was possible to verify the number of studies by Higher Education Institutions, number of pages, number of studies per year and the themes most searched by the authors. The most important contribution is about the most used keywords, and the five most frequent are: Psychoanalysis, Psychology, Family, Social Psychology and Mental Health. The article allows a very broad view of the development of graduate studies in Psychology in the analyzed period.

Bayesian inference of population prevalence.

Within neuroscience, psychology, and neuroimaging, the most frequently used statistical approach is null hypothesis significance testing (NHST) of the population mean. An alternative approach is to perform NHST within individual participants and then infer, from the proportion of participants showing an effect, the prevalence of that effect in the population. We propose a novel Bayesian method to estimate such population prevalence that offers several advantages over population mean NHST. This method provides a population-level inference that is currently missing from study designs with small participant numbers, such as in traditional psychophysics and in precision imaging. Bayesian prevalence delivers a quantitative population estimate with associated uncertainty instead of reducing an experiment to a binary inference. Bayesian prevalence is widely applicable to a broad range of studies in neuroscience, psychology, and neuroimaging. Its emphasis on detecting effects within individual participants can also help address replicability issues in these fields.

Scientists use statistical tools to evaluate observations or measurements from carefully designed experiments. In psychology and neuroscience, these experiments involve studying a randomly selected group of people, looking for patterns in their behaviour or brain activity, to infer things about the population at large. The usual method for evaluating the results of these experiments is to carry out null hypothesis statistical testing (NHST) on the population mean ­ that is, the average effect in the population that the study participants were selected from. The test asks whether the observed results in the group studied differ from what might be expected if the average effect in the population was zero. However, in psychology and neuroscience studies, people's brain activity and performance on cognitive tasks can differ a lot. This means important effects in individuals can be lost in the overall population average. Ince et al. propose that this shortcoming of NHST can be overcome by shifting the statistical analysis away from the population mean, and instead focusing on effects in individual participants. This led them to create a new statistical approach named Bayesian prevalence. The method looks at effects within each individual in the study and asks how likely it would be to see the same result if the experiment was repeated with a new person chosen from the wider population at random. Using this approach, it is possible to quantify how typical or uncommon an observed effect is in the population, and the uncertainty around this estimate. This differs from NHST which only provides a binary 'yes or no' answer to the question, 'does this experiment provide sufficient evidence that the average effect in the population is not zero?' Another benefit of Bayesian prevalence is that it can be applied to studies with small numbers of participants which cannot be analysed using other statistical methods. Ince et al. show that the Bayesian prevalence can be applied to a range of psychology and neuroimaging experiments, from brain imaging to electrophysiology studies. Using this alternative statistical method could help address issues of replication in these fields where NHST results are sometimes not the same when studies are repeated.

¿Sabemos Cuántos Profesionales Especialistas En Psicología Clínica Trabajan En El Sistema Nacional De Salud Español? / Do We Know How Many Professional Specialists In Clinical Psychology Work In The Spanish National Health System?

En este artículo se revisan, analizan y discuten los datos existentes a partir de diferentes fuentes de datos desde 2003 sobre el número de profesionales especialistas en Psicología clínica que trabajan en el Sistema Nacional de Salud español. Los datos hay que tomarlos con mucha cautela por la diversidad de fuentes y metodología utilizada; pero se concluye que el número total estimado de Psicólogos Especialistas en Psicología clínica más los «PESTOS» que trabajan en el SNS puede estar en torno a 2600-2800, con una ratio por 100000 habitantes en torno al 5,58, con grandes diferencias entre Comunidades Autónomas. En los últimos 15 años, el incremento medio de la ratio de psicólogos por 100000 habitantes se sitúa en algo más de un psicólogo. Se recomienda realizar estudios detallados para saber no solo cuántos especialistas en Psicología clínica hay en cada Comunidad Autónoma, sino en qué tipo de niveles y en qué tipo de dispositivos se ubican. (AU)

This article reviews, analyzes, and discusses existing data since 2003 on the number of psychologists who are specialists in clinical psychology working in the Spanish National Health System (SNS) from different data sources. The data must be taken with great caution due to the diversity of sources and methodology used, but it is concluded that the total estimated number of Specialist Psychologists in Clinical Psychology plus «PESTOS» [specialist psychologists without an official qualification] who work in the SNS may be around 2,600-2800, with a ratio per 100,000 inhabitants around 5.58, with great differences between autonomous communities. In the last 15 years, the average increase in the ratio of psychologists per 100,000 inhabitants is slightly more than one psychologist. It is recommended to carry out detailed studies to find out not only how many specialists in clinical psychology there are in each autonomous community, but also at what levels and in what type of units they are located. (AU)

Examining models of psychologists' telepsychology use during the COVID-19 pandemic: A national cross-sectional study.

OBJECTIVE: The aim of this study is to apply the theory of reasoned action (TRA) and technology acceptance model (TAM) to psychologists' telepsychology use during the COVID-19 pandemic. METHODS: A sample of 2619 US-licensed psychologists completed a survey assessing telepsychology use and aspects of both models in May 2020. RESULTS: Cross-sectional TRA and TAM path models evidenced excellent fit in explaining psychologists' telepsychology use. The TRA indicated that psychologists' attitudes concerning telepsychology and subjective norms were associated with intentions to use telepsychology, which related to percentage of clinical work performed via telepsychology. The TAM showed that perceived usefulness of telepsychology and perceived ease of use were associated with attitudes toward telepsychology. Perceived usefulness was associated with psychologists' intention to use telepsychology, as was perceived ease of use. CONCLUSION: Efforts to facilitate telepsychology provision during the pandemic and broadly may benefit from trainings and campaigns to address attitudes toward telepsychology, subjective norms, and perceived ease of use.

Impact of the COVID-19 pandemic and lockdown restrictions on psychosocial and behavioural outcomes among Australian adults with type 2 diabetes: Findings from the PREDICT cohort study.

AIM: To examine psychosocial and behavioural impacts of the novel coronavirus disease 2019 (COVID-19) pandemic and lockdown restrictions among adults with type 2 diabetes. METHODS: Participants enrolled in the PRogrEssion of DIabetic ComplicaTions (PREDICT) cohort study in Melbourne, Australia (n = 489 with a baseline assessment pre-2020) were invited to complete a phone/online follow-up assessment in mid-2020 (i.e., amidst COVID-19 lockdown restrictions). Repeated assessments that were compared with pre-COVID-19 baseline levels included anxiety symptoms (7-item Generalised Anxiety Disorder scale [GAD-7]), depressive symptoms (8-item Patient Health Questionnaire [PHQ-8]), diabetes distress (Problem Areas in Diabetes scale [PAID]), physical activity/sedentary behaviour, alcohol consumption and diabetes self-management behaviours. Additional once-off measures at follow-up included COVID-19-specific worry, quality of life (QoL), and healthcare appointment changes (telehealth engagement and appointment cancellations/avoidance). RESULTS: Among 470 respondents (96%; aged 66 ± 9 years, 69% men), at least 'moderate' worry about COVID-19 infection was reported by 31%, and 29%-73% reported negative impacts on QoL dimensions (greatest for: leisure activities, feelings about the future, emotional well-being). Younger participants reported more negative impacts (p < 0.05). Overall, anxiety/depressive symptoms were similar at follow-up compared with pre-COVID-19, but diabetes distress reduced (p < 0.001). Worse trajectories of anxiety/depressive symptoms were observed among those who reported COVID-19-specific worry or negative QoL impacts (p < 0.05). Physical activity trended lower (~10%), but sitting time, alcohol consumption and glucose-monitoring frequency remained unchanged. 73% of participants used telehealth, but 43% cancelled a healthcare appointment and 39% avoided new appointments despite perceived need. CONCLUSIONS: COVID-19 lockdown restrictions negatively impacted QoL, some behavioural risk factors and healthcare utilisation in adults with type 2 diabetes. However, generalised anxiety and depressive symptoms remained relatively stable.

Psychosocial risk factors for postpartum depression in Chinese women: a meta-analysis.

BACKGROUND: Postpartum depression (PPD) has been identified as a recognized public health problem that may adversely affect mothers, infants, and family units. Recent studies have identified risk factors for PPD in Westerners; however, societal and cultural differences between China and the West could, potentially, lead to differences in risk factors for PPD. No comprehensive study has been conducted to collect all the evidence to provide estimates of psychological and social risk factors in China. Therefore, this study aimed to quantitatively assess all studies meeting the review's eligibility criteria and identify the psychological and social risk factors for PPD in Chinese women. METHODS: The following databases were used in the literature search from their inception until December 2020: PubMed, Embase, Foreign Medical Literature Retrieval Service (FMRS), China Science and Technology Journal Database (VIP), China National Knowledge Infrastructure (CNKI), and China Biology Medicine disc (CBM). The quality was assessed through Newcastle-Ottawa quality assessment scale. The I2statistic was used to quantify heterogeneity. We extracted data for meta-analysis and generated pooled-effect estimates from a fixed-effects model. Pooled estimates from a random-effects model were also generated if significant heterogeneity was present. Funnel plot asymmetry tests were used to check for publication bias. Statistical analysis was conducted using Review Manager version 5.3 software. RESULTS: From a total of 1175 identified studies, 51 were included in the analysis. Prenatal depression (OR 7.70; 95% CI 6.02-9.83) and prenatal anxiety (OR 7.07; 95% CI 4.12-12.13) were major risk factors for PPD. A poor economic foundation (OR 3.67; 95% CI 3.07-4.37) and a poor relationship between husband and wife (OR 3.56; 95% CI 2.95-4.28) were moderate risk factors. Minor risk factors included a poor relationship between mother-in-law and daughter-in-law (OR 2.89; 95% CI 2.12-3.95), a lack of social support (OR 2.57; 95% CI 2.32-2.85), unplanned pregnancy (OR 2.55; 95% CI 2.08-3.14), and poor living conditions (OR 2.44; 95% CI 1.92-3.10), mother-in-law as the caregiver (1.95; 95% CI 1.54-2.48) . CONCLUSIONS: This study demonstrated a number of psychological and social risk factors for PPD in Chinese women. The major and moderate risk factors are prenatal depression, prenatal anxiety, a poor economic foundation, and a poor relationship between husband and wife. These findings have potential implications for informing preventive efforts and modifying screening to target at-risk populations.

Are We Coping Well with COVID-19?: A Study on Its Psycho-Social Impact on Front-line Healthcare Workers.

BACKGROUND: Global pandemics have a profound psycho-social impact on health systems and their impact on healthcare workers is under-reported. METHODS: We performed a cross-sectional survey with 13 Likert-scale responses and some additional polar questions pertaining to dressing habits and learning in a university hospital in the midwest United States. Descriptive and analytical statistics were performed. RESULTS: The 370 respondents (66.1% response rate, age 38.5±11.6 years; 64.9% female), included 102 supervising providers [96 (25.9%) physicians, 6 (1.6%) mid-level], 64 (17.3%) residents/fellows, 73 (19.7% nurses, 45 (12.2%) respiratory therapists, 31 (8.4%) therapy services and others: 12 (3.2%) case-managers, 4 (1.1%) dietitians, 39 (10.5%) unclassified]. Overall, 200 (54.1%) had increased anxiety, 115 (31.1%) felt overwhelmed, 159 (42.9%) had fear of death, and 281 (75.9%) changed dressing habits. Females were more anxious (70.7% vs. 56%, X2 (1, N=292)=5.953, p=0.015), overwhelmed (45.6% vs. 27.3%, X2 (1, N=273)=8.67, p=0.003) and suffered sleep disturbances (52% vs. 39%, X2 (1, N=312)=4.91, p=0.027). Administration was supportive; 243 (84.1%, N=289), 276 (74.5%) knew another co-worker with COVID-19, and only 93 (25.1%) felt healthcare employment was less favorable. Residents and fellows reported a negative impact on their training despite feeling supported by their program. CONCLUSION: Despite belief of a supportive administration, over half of healthcare workers and learners reported increased anxiety, and nearly a third felt overwhelmed during this current pandemic.

UK national study of barriers to renal transplantation in children.

AIMS: To investigate access to paediatric renal transplantation and examine potential barriers within the process. METHODS: Cross-sectional, multicentre, observational study where paediatric nephrology centres in the UK were requested to provide data on transplantation plans for all children (<18 years) with end-stage kidney disease (ESKD). RESULTS: 308 children with ESKD were included in this study from 12 out of 13 UK paediatric nephrology centres. 139 (45%) were being prepared for living donor transplantation and 82 (27%) were listed for deceased donor transplantation. The most common cited factors delaying transplantation from occurring in children were disease factors (36%), donor availability (27%) and size of the child (20%). Psychosocial factors were listed as a barrier in 19% of children. CONCLUSIONS: In this study we have documented the main barriers to renal transplantation in children. Some identified factors may be modifiable through local or national intervention, including donor availability and patient psychosocial factors.

The neglected 95% revisited: Is American psychology becoming less American?

The field of psychology prides itself on being a data-driven science. In 2008, however, Arnett brought to light a major weakness in the evidence on which models, measures, and theories in psychology rest. He demonstrated that the most prominent journals in six subdisciplines of psychology focused almost exclusively (over 70% of samples and authors) on a cultural context, the United States, shared by only 5% of the world's population. How can psychologists trust that these models and results generalize to all humans, if the evidence comes from a small and unrepresentative portion of the global population? Arnett's analysis, cited over 1,300 times since its publication, appears to have galvanized researchers to think more globally. Social scientists from the United States have increasingly sought ways to collaborate with colleagues abroad. Ten years later, an analysis of the same 6 journals for the period of 2014 to 2018 indicates that the authors and samples are now on average a little over 60% American based. The change is mainly due to an increase in authorship and samples from other English-speaking and Western European countries. Thus, it might be said that 11% of the world's population is now represented in these top psychology journals, but that 89% of the world's population continues to be neglected. Majority world authors and samples (4-5%) are still sorely lacking from the evidence base. Psychology still has a long way to go to become a science truly representative of human beings. Several specific recommendations are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Sexual Satisfaction Among Infertile Couples: Demographics and Psychosocial Health Factors.

The purpose of the current study was to explore sexual satisfaction among infertile couples in Jordan and its associations with psychosocial and sociodemographic factors. Using a descriptive correlational design, 248 infertile couples from outpatient clinics were recruited and filled out a questionnaire on sexual satisfaction, in addition to perceived social support, depressive symptoms, psychological stress, coping skills, optimism, life satisfaction, and sociodemographics. Sexual satisfaction was significantly and positively correlated with perceived social support, optimism, life satisfaction, and coping. Stronger association was observed between sexual satisfaction and optimism. No difference was found in sexual satisfaction in relation to participants' gender, age, working status, or education. This study highlights the importance of building mental health nurses' competence to provide education and counseling on sexuality to improve the quality of life of infertile couples and optimize their sexual wellness. The most recent guidelines for psychosocial care for infertile couples are discussed. [Journal of Psychosocial Nursing and Mental Health Services, 58(9), 40-47.].

Heterogeneity in direct replications in psychology and its association with effect size.

We examined the evidence for heterogeneity (of effect sizes) when only minor changes to sample population and settings were made between studies and explored the association between heterogeneity and average effect size in a sample of 68 meta-analyses from 13 preregistered multilab direct replication projects in social and cognitive psychology. Among the many examined effects, examples include the Stroop effect, the "verbal overshadowing" effect, and various priming effects such as "anchoring" effects. We found limited heterogeneity; 48/68 (71%) meta-analyses had nonsignificant heterogeneity, and most (49/68; 72%) were most likely to have zero to small heterogeneity. Power to detect small heterogeneity (as defined by Higgins, Thompson, Deeks, & Altman, 2003) was low for all projects (mean 43%), but good to excellent for medium and large heterogeneity. Our findings thus show little evidence of widespread heterogeneity in direct replication studies in social and cognitive psychology, suggesting that minor changes in sample population and settings are unlikely to affect research outcomes in these fields of psychology. We also found strong correlations between observed average effect sizes (standardized mean differences and log odds ratios) and heterogeneity in our sample. Our results suggest that heterogeneity and moderation of effects is unlikely for a 0 average true effect size, but increasingly likely for larger average true effect size. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Racial Inequality in Psychological Research: Trends of the Past and Recommendations for the Future.

Race plays an important role in how people think, develop, and behave. In the current article, we queried more than 26,000 empirical articles published between 1974 and 2018 in top-tier cognitive, developmental, and social psychology journals to document how often psychological research acknowledges this reality and to examine whether people who edit, write, and participate in the research are systematically connected. We note several findings. First, across the past five decades, psychological publications that highlight race have been rare, and although they have increased in developmental and social psychology, they have remained virtually nonexistent in cognitive psychology. Second, most publications have been edited by White editors, under which there have been significantly fewer publications that highlight race. Third, many of the publications that highlight race have been written by White authors who employed significantly fewer participants of color. In many cases, we document variation as a function of area and decade. We argue that systemic inequality exists within psychological research and that systemic changes are needed to ensure that psychological research benefits from diversity in editing, writing, and participation. To this end, and in the spirit of the field's recent emphasis on metascience, we offer recommendations for journals and authors.

Sustaining factors, rewards, and challenges for psychologists providing clinical care in psycho-oncology.

OBJECTIVE: Many who choose to work in oncology manage an ongoing tension-the work is rewarding, yet simultaneously challenging. Given the need for psychosocial professionals to provide treatment for the increasing number of cancer survivors in our aging society, it is important to consider what helps and hinders professionals in their work. Therefore, this study sought to understand the work experiences of psychologists working in psycho-oncology, specifically clarifying the rewards and challenges they experience as a result of their occupation. METHODS: Twenty psychologists with oncology work experience in the United States completed semi-structured interviews; data were analyzed using the Consensual Qualitative Research method. RESULTS: In this paper, findings are presented for two of the domains that emerged from the data. In the domain of Sustaining Factors and Rewards, six themes were identified: (a) making a difference, (b) personal impact of the work on psychologists' lives and personal enrichment, (c) sense of purpose and fit with the work, (d) important relationships, (e) unique aspects of psycho-oncology, and (f) benefits derived from the workplace. In the domain of Challenges, five themes were identified: (a) job-related challenges, (b) emotional intensity, (c) financial challenges, (d) ambiguity in professional roles and psycho-oncology, and (e) ethical dilemmas. CONCLUSION: Psychologists employed in psycho-oncology found great meaning and purpose in their jobs, but also struggled with challenges related to the work and their workplaces. These findings can lead to better training, supervision, retention initiatives, and administrative policies to support productive employees.

Association of Psychosocial Symptoms, Blood Pressure, and Menopausal Status in African-American Women.

African-American women have disproportionate rates of hypertension that can be further complicated as they transition through menopause. Stress, coupled with depression and hypertension in perimenopausal African-American women has not been fully explored. This study examines the associations of stress, depression, and social support on systolic blood pressure (SBP) among a sample of 184 perimenopausal African-American women. We used descriptive statistics, Pearson's correlation, and logistic regression to analyze data stratified by menopausal status (perimenopausal or menopausal) and SBP status (<130 mmHg vs. >130 mmHg). Women classified as menopausal reported higher levels of stress and depressive symptoms, and lower levels of social support. Age, body mass index (BMI), health insurance, and perceived health status were significant predictors of SBP in menopausal women. Stress, depression, and social support did not play a role in SBP. It is necessary that future research focus on reducing cardiovascular risk include addressing menopausal health.

Psychological factors and maternal-fetal attachment in relation to epidural choice.

INTRODUCTION: A woman's first childbirth is an event of great importance to her life, involving her transition to parenthood. Many studies have analyzed the roles of depression, anxiety and fear of childbirth linked to childbirth expectations and the consequent choice of an epidural to avoid pain. Few studies have investigated the predictor role of maternal-fetal attachment on the choice of epidural. OBJECTIVE: Explore, in a sample of low-risk pregnant nulliparous women, differences regarding the preference, or not, of epidural for vaginal childbirth. DESIGN AND SETTING: 87 nulliparous women, aged 24 to 44 years of age, were recruited in the maternity ward of a public hospital of the metropolitan area of Tuscany (Italy) during the 3rd trimester of gestation. Participants were asked to complete the Pregnancy Related Anxiety Questionnaire-R, Wijma Delivery Expectancy Questionnaire, Centrality of Events Scale, and Prenatal Attachment Inventory. FINDINGS: Multivariate analyses of variance showed that women who chose delivery without epidural reported lower levels of fear of childbirth and anxiety, and higher levels of centrality of pregnancy and prenatal attachment to unborn child, than women who chose epidural. KEY CONCLUSIONS: Our data highlight the importance that medical staff focus on the maternal bond, to help future mothers have the best possible childbirth experience.

Nonclinical Factors in Autism Diagnosis: Results From a National Health Care Provider Survey.

OBJECTIVE: The prevalence of autism spectrum disorder (ASD) has increased 10-fold in the past 40 years, and disparities have been noted by race/ethnicity and socioeconomic status, prompting concern about diagnostic accuracy. Provider perceptions of ASD diagnostic accuracy are not known. We conducted a survey of providers who diagnose ASD assessing how nonclinical factors might affect ASD diagnostic rates. METHODS: The mixed-mode survey was sent to the members of the Society of Developmental and Behavioral Pediatrics with clinical interest in ASD (n = 400). Respondents used a Likert-type scale to address how often they and their colleagues overdiagnosed or underdiagnosed ASD. They were also asked how families grouped by race/ethnicity, education, socioeconomic status, and urbanicity perceived an ASD diagnosis. RESULTS: Sixty-three percent of providers completed the survey. Eight point seven percent of providers self-reported that they overdiagnose ASD at least sometimes. However, 58% of providers reported that local colleagues overdiagnose ASD at least sometimes. Seven point eight percent of providers self-reported underdiagnosing ASD at least sometimes and cited parents not wanting a diagnosis as one of the most common reasons they may underdiagnose. Providers reported that non-white and rural families were more likely to think that ASD diagnosis was "a bad thing" than "a good thing" than white and urban and suburban families, respectively. CONCLUSION: Providers report moderate rates of ASD misdiagnosis and perceive differences in diagnostic preferences according to family characteristics. The study results may help explain the trends and disparities in ASD diagnosis.