Assessment & Research

Psychometric properties of the Mandarin version of the Childhood Autism Spectrum Test (CAST): an exploratory study.

Sun et al. (2014) · Journal of autism and developmental disorders 2014
★ The Verdict

The Mandarin CAST keeps the same two-factor setup as the English one, so you can screen Chinese kids the same way.

✓ Read this if BCBAs who screen Mandarin-speaking children in schools or clinics.
✗ Skip if Practitioners working only with English or Spanish speakers.

01Research in Context

01

What this study did

The team asked if the Mandarin CAST keeps the same two-part structure as the English version. They gave the parent form to a large group of Chinese-speaking children. The kids were from regular schools and clinics.

They used math checks to see if the items still split into social-communication problems and rigid-repetitive behaviors.

02

What they found

The numbers lined up with the English CAST. Two clear factors showed up again: one for social-communication gaps and one for inflexible, stereotyped actions.

That means the Mandarin CAST can be scored the same way Western teams do it.

03

How this fits with other research

Sun et al. (2013) had already shown that Mandarin CAST scores stay steady across two to four months. The new study adds that the factor shape is stable too.

Williams et al. (2005) found the same two factors in UK kids. The Chinese data now match that picture, so the tool travels well.

Fitzpatrick et al. (2017) later repeated the job in Spanish and also got two factors. Together these papers say the CAST keeps its shape in very different languages.

Sun et al. (2014) compared the CAST head-to-head with the older CABS screen in the same year. CAST caught far more autism cases, so it looks like the better pick.

04

Why it matters

If you serve Mandarin-speaking families, you can use the CAST with confidence. Score social-communication and rigid behavior parts separately to guide next steps. The same cut-offs used in English work here, saving you translation guesswork.

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→ Action — try this Monday

Pull the Mandarin CAST for any new Chinese-speaking referral and score the two factors separately.

02At a glance

Intervention
not applicable
Design
other
Sample size
787
Population
autism spectrum disorder, neurotypical
Finding
positive

03Original abstract

Limited studies have investigated the latent autistic traits in the mainland Chinese population for autism spectrum conditions (ASC). This study explored the psychometric properties of a Mandarin Chinese version of the CAST in a sample consisting of 737 children in mainstream schools and 50 autistic cases. A combination of categorical data factor analysis and item response theory suggested a good-fit model of a two-factor solution for 28 items on the Mandarin CAST including social and communication, and inflexible/stereotyped language and behaviours (Goodness-of-fit indices: RMSEA = 0.029, CFI = 0.957, TLI = 0.950, SRMR = 0.064). The correlation between the two factors was moderate (GFC = 0.425). This study provided evidence for the CAST as a multidimensional measure for ASC screening in a Chinese population and also showed that the symptom manifestation of ASC in Chinese children shares similarity with western populations.

Journal of autism and developmental disorders, 2014 · doi:10.1007/s10803-013-2024-3