Psychometric evaluation of the Comprehensive Autistic Trait Inventory in autistic and non-autistic adults

Michael C. W. English; Rebecca Poulsen; Murray T. Maybery; David McAlpine; Paul F. Sowman; Elizabeth Pellicano

doi:10.1177/13623613251347740

Évaluation psychométrique du Comprehensive Autistic Trait Inventory chez des adultes autistes et non autistes

Titre original en anglais : Psychometric evaluation of the Comprehensive Autistic Trait Inventory in autistic and non-autistic adults

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English, M. C. W., Poulsen, R., Maybery, M. T., McAlpine, D., Sowman, P. F., & Pellicano, E. (2025). Psychometric evaluation of the Comprehensive Autistic Trait Inventory in autistic and non-autistic adults. Autism, 29(12), 2955-2974. https://doi.org/10.1177/13623613251347740

Date de publication: 16/07/2025 Ajout dans AutiHub: 05/07/2026 Type: Article Langue de l’article: Anglais

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Projet Chercheur·euses autistes

Auteurs

Auteur·ices des publications

6

Auteur·ices de la publication identifié·es comme autistes

1 / 6 (16,7 %)

Résumé

Les mesures des traits autistiques ne sont utiles — pour le dépistage prédiagnostique, l'exploration des différences individuelles et l'acquisition d'une compréhension personnelle — que si elles évaluent efficacement et avec précision l'autisme tel qu'il est actuellement conceptualisé, tout en maintenant une validité psychométrique dans différents groupes démographiques. Nous avons recruté 1322 adultes autistes et 1279 adultes non autistes qui variaient selon leur statut d'autisme (non autiste, autiste diagnostiqué, autiste s'auto-identifiant) et leur genre (hommes cisgenres, femmes cisgenres, personnes de genre divers) afin d'évaluer les propriétés psychométriques du Comprehensive Autistic Trait Inventory, une mesure récemment développée des traits autistiques qui examine six domaines de traits au moyen de 42 énoncés d'autoévaluation. L'ajustement factoriel des six sous-échelles était approprié, de même que la fiabilité de l'échelle totale et des sous-échelles. Il est important de noter que l'invariance de mesure a été démontrée sur la base du statut d'autisme et du genre, ce qui indique que les scores au Comprehensive Autistic Trait Inventory des membres de ces groupes peuvent être directement comparés. Les traits autistiques étaient très similaires entre les adultes autistes diagnostiqués et ceux s'auto-identifiant comme autistes, tandis que les participants de genre divers présentaient davantage de traits autistiques que leurs homologues cisgenres. Un seuil de discrimination de l'échelle totale calculé à 147,5 a été proposé, correspondant à une sensibilité et une spécificité de 77,20 et 87,41, respectivement. Notre analyse indique que le Comprehensive Autistic Trait Inventory est une mesure pratique des traits autistiques chez les participants non autistes et autistes, utile pour les chercheurs et les cliniciens ainsi que pour l'affirmation de l'auto-identité. Résumé grand public Le Comprehensive Autistic Trait Inventory (CATI) est un questionnaire gratuit conçu pour mesurer les traits autistiques chez les adultes autistes et non autistes. Le CATI comprend 42 items portant sur six domaines : les interactions sociales, la communication, le camouflage social, les comportements d'autorégulation, la flexibilité cognitive et la sensibilité sensorielle. Ici, nous avons cherché à déterminer si le CATI peut mesurer avec précision les traits autistiques chez les personnes autistes (à la fois diagnostiquées et s'auto-identifiant comme autistes) et non autistes, ainsi que chez des personnes de différents genres. Nous voulions également explorer dans quelle mesure les scores de traits différaient entre ces groupes d'individus. Notre étude a recruté plus de 2600 participants, dont 1322 adultes autistes et 1279 adultes non autistes. Nos résultats suggèrent que le CATI fonctionne comme il a été conçu pour fonctionner. C'est un outil fiable et précis pour mesurer les traits autistiques, qui peut distinguer les personnes autistes des personnes non autistes et qui semble approprié pour les personnes de différents genres. Il est à noter que nous avons constaté que les personnes qui s'auto-identifient comme autistes ont des scores de traits similaires à ceux des personnes ayant un diagnostic clinique d'autisme et que les personnes de genre divers ont obtenu des scores plus élevés de traits autistiques que les personnes cisgenres. Nos données suggèrent que le CATI est un outil utile pour mesurer les traits autistiques chez les personnes autistes et non autistes et pour comprendre la manière dont les personnes autistes diffèrent les unes des autres. Il devrait être utile aux chercheurs et aux cliniciens et favoriser une compréhension publique de l'autisme.

Measures of autistic traits are only useful - for pre-diagnostic screening, exploring individual differences, and gaining personal insight - if they efficiently and accurately assess autism as currently conceptualised while maintaining psychometric validity across different demographic groups. We recruited 1322 autistic and 1279 non-autistic adults who varied in autism status (non-autistic, diagnosed autistic, self-identifying autistic) and gender (cisgender men, cisgender women, gender diverse) to assess the psychometric properties of the Comprehensive Autistic Trait Inventory, a recently developed measure of autistic traits that examines six trait domains using 42 self-report statements. Factor fit for the six subscales was appropriate, as was total-scale and subscale reliability. Importantly, measurement invariance was demonstrated based on both autism status and gender, indicating that Comprehensive Autistic Trait Inventory scores of these group members can be directly compared. Autistic traits were highly similar between diagnosed and self-identifying autistic adults, while gender-diverse participants showed more autistic traits than their cisgender counterparts. A total-scale discrimination threshold of 147.5 calculated was suggested which corresponded to sensitivity and specificity of 77.20 and 87.41, respectively. Our analysis indicates that the Comprehensive Autistic Trait Inventory is a practical measure of autistic traits in non-autistic and autistic participants that is useful for researchers and clinicians and for affirming self-identity.Lay abstractThe Comprehensive Autistic Trait Inventory (CATI) is a free questionnaire designed to measure autistic traits in both autistic and non-autistic adults. The CATI includes 42 items focusing on six areas: Social Interactions, Communication, Social Camouflage, Self-Regulating Behaviours, Cognitive Flexibility, and Sensory Sensitivity. Here, we set out to determine whether the CATI can accurately measure autistic traits in both autistic (both diagnosed and self-identifying) and non-autistic people, as well as people of different genders. We also wanted to explore the extent to which trait scores differed between these groups of individuals. Our study recruited over 2600 participants, including 1322 autistic and 1279 non-autistic adults. Our findings suggest that the CATI works the way it was designed to. It is a reliable and accurate tool for measuring autistic traits, can distinguish between autistic and non-autistic people, and appears appropriate for people of different genders. Notably, we found that people who self-identify as autistic have similar trait scores to those with a clinical diagnosis of autism and that gender-diverse people scored higher on autistic traits compared to cisgender people. Our data suggest that the CATI is a useful tool for measuring autistic traits in autistic and non-autistic people and for understanding the way that autistic people vary from one another. It should be helpful for researchers and clinicians, and support a public understanding of autism.

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Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:30.

Références citées

116

Nombre total de références citées intégrées pour cette publication.

Références citées avec un·e auteur·ice identifié·e comme autiste

16 / 116 (13,8 %)

Occurrences d’auteur·ices cité·es identifié·es comme autistes

32 / 470 (6,8 %)

Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 32 / 178 (18,0 %). Auteurices cité·es distinct·es identifié·es comme autistes : 23 / 409 (5,6 %).

Occurrences citées rattachées à la base AutiHub

178 / 470 (37,9 %)

Auteurices cité·es distinct·es rattaché·es : 125 / 409 (30,6 %)

Occurrences rattachées, non identifiées comme autistes

146 / 178 (82,0 %)

Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 146 / 470 (31,1 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 102 / 125 (81,6 %).

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