Assessment & Research

The Autism-Spectrum Quotient (AQ)--adolescent version.

Baron-Cohen et al. (2006) · Journal of autism and developmental disorders 2006
★ The Verdict

The teen AQ spots autistic traits fast—90% of autistic adolescents score 30+ versus none of the controls.

✓ Read this if BCBAs who assess teens in clinics, schools, or inpatient units.
✗ Skip if Practitioners working only with adults under 25 or with toddlers.

01Research in Context

01

What this study did

The team gave the 50-item Autism-Spectrum Quotient to three groups of teens.

One group had Asperger’s or high-functioning autism. One group had classic autism. The third group had no diagnosis.

They counted how many teens in each group scored 30 or higher, the usual cut-off for clinical concern.

02

What they found

Nine out of ten autistic teens scored 30 or above. Zero control teens hit that mark.

The test cleanly split the groups, making it a quick red-flag tool for clinicians.

03

How this fits with other research

Andrews et al. (2024) later used the same teen AQ on a psych inpatient unit. Over half of those teens also scored high, even without an autism diagnosis. This extends the 2006 work beyond autism clinics to general psychiatry.

Lancioni et al. (2009) gave the adult AQ to college students. Higher scores predicted better block-design scores, a classic autism cognitive pattern. This conceptually repeats the link between AQ scores and autism traits.

Clark et al. (2013) found that adults with higher AQ scores struggled more with flavour identification when drink colour tricked the eyes. Again, the AQ captured sensory differences tied to autism.

Together, these studies show the AQ tracks autism traits across ages and settings, not just for diagnosis but for everyday performance.

04

Why it matters

You now have a 10-minute paper screener that flags autistic traits in teens. Use it during intake to decide if a full evaluation is worth the wait list. Pair it with brief cognitive or sensory checks to build a richer picture before you write your behaviour plan.

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→ Action — try this Monday

Print the teen AQ, give it to your next 14-year-old client, and use a score of 30+ as your prompt to schedule a full ADOS.

02At a glance

Intervention
not applicable
Design
case control
Sample size
181
Population
autism spectrum disorder
Finding
positive
Magnitude
large

03Original abstract

The Autism Spectrum Quotient (AQ) quantifies autistic traits in adults. This paper adapted the AQ for children (age 9.8-15.4 years). Three groups of participants were assessed: Group 1: n=52 adolescents with Asperger Syndrome (AS) or high-functioning autism (HFA); Group 2: n=79 adolescents with classic autism; and Group 3, n=50 controls. The adolescents with AS/HFA did not differ significantly from the adolescents with autism but both clinical groups scored higher than controls. Approximately 90% of the adolescents with AS/HFA and autism scored 30+, vs. none of the controls. Among the controls, boys scored higher than girls. The AQ can rapidly quantify where an adolescent is situated on the continuum from autism to normality.

Journal of autism and developmental disorders, 2006 · doi:10.1007/s10803-006-0073-6