Assessment & Research

Quantitative assessment of autistic symptomatology in preschoolers.

Pine et al. (2006) · Autism : the international journal of research and practice 2006
★ The Verdict

The 15-minute SRS gives reliable autistic-trait scores in preschoolers and can track treatment response.

✓ Read this if BCBAs who assess or treat children with autism under age six.
✗ Skip if Clinicians working only with school-age youth or adults.

01Research in Context

01

What this study did

Pine et al. (2006) tested the 15-minute Social Responsiveness Scale on preschoolers. They wanted to know if the short parent form gives stable, trustworthy scores for kids under six.

The team gave the SRS twice to a group of children with autism and to typically developing peers. They checked if scores stayed the same and if they lined up with other autism measures.

02

What they found

The SRS showed good reliability and its scores moved in step with other autism tools. Autistic-trait scores dropped slightly over time, even before treatment started.

This means the scale can track small changes, making it useful for watching progress during early intervention.

03

How this fits with other research

Constantino et al. (2003) first showed the SRS matches the long ADI-R in older kids. Pine et al. (2006) extends that work down to preschool, proving the same 15-minute form still works at age three.

Scahill et al. (2015) later pooled many studies and listed the SRS as one of only five tools ready for clinical trials. Their review treats the 2006 preschool data as key evidence.

Lubomirska et al. (2022) built a new preschool screener called SoROS. Both papers agree brief parent reports can flag autism early, but the SRS is already trial-ready while SoROS is still new.

04

Why it matters

You can give the SRS in the waiting room before therapy starts. It takes parents 15 minutes and gives you a number you can trust. Re-score every three months to see if your treatment is moving the needle. No extra clinic time, no long interview, just a quick snapshot that holds up in research and in court reports.

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→ Action — try this Monday

Hand the SRS parent form to the next new preschool family and schedule a re-score in 90 days.

02At a glance

Intervention
not applicable
Design
pre post no control
Sample size
73
Population
autism spectrum disorder, neurotypical
Finding
positive
Magnitude
medium

03Original abstract

Given a growing emphasis on early intervention for children with autism, valid quantitative tools for measuring treatment response are needed. The Social Responsiveness Scale (SRS) is a brief (15-20 minute) quantitative measure of autistic traits in 4-to 18-year-olds, for which a version for 3-year-olds was recently developed. We obtained serial SRS measurements on 73 preschool children with (n = 51) and without (n = 22) autism spectrum conditions. Inter-rater reliability (mothers and teachers) and test-retest reliability were of the order of 0.75 (Pearson's r). There was substantial agreement between SRS scores and (1) the Vineland Adaptive Behavior Composite (Pearson's r = -0.86) and (2) scores for social impairment on the Autism Diagnostic Interview-Revised (r = 0.63). Overall, quantitative autistic trait scores tended to improve over time in preschoolers, irrespective of treatment conditions. We conclude that it is possible to obtain reliable quantitative measurements of autistic social impairment in preschoolers, suitable for assessing treatment response.

Autism : the international journal of research and practice, 2006 · doi:10.1177/1362361306064434