Assessment & Research

Using Carey Temperament Scales to assess behavioral style in children with autism spectrum disorders.

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

Carey Temperament Scales give steady parent ratings that flag autism-typical temperament extremes.

✓ Read this if BCBAs who want a fast parent questionnaire for preschool or early-elementary kids with autism.
✗ Skip if Clinicians already using deep dive tools like ADOS or those serving only teens.

01Research in Context

01

What this study did

Lecavalier et al. (2006) asked parents to fill out the Carey Temperament Scales for their kids with autism. The team then checked if the scores were steady across time and if kids with autism scored differently from typical kids.

02

What they found

The Carey scales gave steady scores when parents repeated them. Children with autism earned more extreme ratings on several temperament traits than their typical peers.

03

How this fits with other research

Narzisi et al. (2013) also used a parent checklist, the CBCL 1½-5, and found it spotted toddlers who later got an autism label with better than 90% accuracy. Their study looked at broad behavior, while L et al. focused on fine-grained temperament traits.

Rodgers et al. (2016) built a brand-new anxiety scale for autism and showed strong reliability, just like L et al. did for temperament. Both papers argue that autism needs tools made for autism, not borrowed from general child psychology.

Parks (1983) warned that early autism scales had shaky validity even when they looked reliable. Lecavalier et al. (2006) answer that worry by showing the Carey scales can separate autism from typical groups, adding fresh validity evidence.

04

Why it matters

You now have a free, quick parent form that gives reliable temperament data. Use it during intake to capture mood, adaptability, and activity level. Pair the results with direct observation to plan smoother transitions, sensory breaks, or social stories that fit the child’s style.

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→ Action — try this Monday

Hand the 30-item Carey form to the next new parent and add the temperament profile to the behavior plan.

02At a glance

Intervention
not applicable
Design
case series
Sample size
110
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Many researchers have suggested that temperament information could be useful for understanding the behavioral variability within the autism spectrum. The purpose of this brief report is to examine temperament profiles of 110 children with ASD (ages 3-8 years, 61 with Autistic Disorder, 42 with PDD-NOS; and 7 with Asperger Disorder) via a commonly used parent report measure of child temperament. Internal consistency of temperament dimensions, test-retest reliability, descriptions of means and standard deviations are examined, relative to previously published norms. Internal consistency of the dimensions and test-retest reliability were comparable to published norms; however, children with autism were rated as presenting with more extreme scores than typically-developing children on several dimensions. Limitations and implications for future work are discussed.

Journal of autism and developmental disorders, 2006 · doi:10.1007/s10803-006-0110-5