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The Autism-Spectrum Quotient (AQ): Evidence from Asperger Syndrome/High-Functioning Autism, Males and Females, Scientists and Mathematicians
Abstract
Currently there are no brief, self-administered instruments for measuring the degree to which an adult with normal intelligence has the traits associated with the autistic spectrum. In this paper, we report on a new instrument to assess this: the Autism-Spectrum Quotient (AQ). Individuals score in the range 0-50. Four groups of subjects were assessed: Group 1: 58 adults with Asperger syndrome (AS) or high-functioning autism (HFA); Group 2: 174 randomly selected controls. Group 3: 840 students in Cambridge University; and Group 4: 16 winners of the UK Mathematics Olympiad. The adults with AS/HFA had a mean AQ score of 35.8 (SD = 6.5), significantly higher than Group 2 controls (M = 16.4, SD = 6.3). 80% of the adults with AS/HFA scored 32+, versus 2% of controls. Among the controls, men scored slightly but significantly higher than women. No women scored extremely highly (AQ score 34+) whereas 4% of men did so. Twice as many men (40%) as women (21%) scored at intermediate levels (AQ score 20+). Among the AS/HFA group, male and female scores did not differ significantly. The students in Cambridge University did not differ from the randomly selected control group, but scientists (including mathematicians) scored significantly higher than both humanities and social sciences students, confirming an earlier study that autistic conditions are associated with scientific skills. Within the sciences, mathematicians scored highest. This was replicated in Group 4, the Mathematics Olympiad…
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“An additional 57 NTs were studied as part of a replication of our key behavioural result (25 male, 32 female; mean age: 27.1, age range: 19–50) and additionally completed the Autism Spectrum Quotient (AQ) questionnaire; a 50-item self-report measure of autistic traits 32,55.”
From Adults with autism overestimate the volatility of the sensory environment (2017) · cites this paper as [32]
In the citing paper
“The most widely used measure for adults with ASC is the Adolescent/Adult Sensory Profile (AASP), a 60-item self-report measure that finds differences in sensory processing in more than 90% of adults with ASC [17,19].”
From The Sensory Perception Quotient (SPQ): development and validation of a new sensory questionnaire for adults with and without autism (2014) · cites this paper as [17]
In the citing paper
“While the RAADS-R is usually considered better at picking up female autism traits than traditional screening measures such as the Autism Quotient43”
From Beyond bendy joints: number of variant connective tissue features predicts neurodivergent characteristics in hypermobile individuals with anxiety (2026) · cites this paper as [43]
In the citing paper
“Autism characteristics were assessed using the Autism Spectrum Quotient-Short (AQ-Short) (Hoekstra et al., 2011), which is an abridged 28-item version of the original 50-item AQ (Baron-Cohen et al., 2001), a continuous self-report measure of autism spectrum traits in adults.”
From A mixed methods study of autistic adults' mental health therapy experiences (2023) · cites this paper as Baron-Cohen et al., 2001
In the citing paper
“as the AQ was not designed to be diagnostic but rather a dimensional measure of ASD traits.”
From Modeling the cognitive mechanisms linking autism symptoms and anxiety in adults. (2016) · cites this paper as Baron-Cohen et al., 2001
In the citing paper
“It has reasonable construct and face validity and good test-retest and interrater reliability [27] and is a useful screening instrument in clinical practice [64].”
In the citing paper
“Because there is an association, at a group level, between mathematical and scientific occupations and autism [80”
From Aphantasia and hyperphantasia: exploring imagery vividness extremes (2024) · cites this paper as [80]
In the citing paper
“The AQ has good internal consistency (α = .82; Austin, 2005) and good test–retest reliability (r = .70; Baron-Cohen, Wheelwright, Skinner, et al., 2001).”
From ‘Theory of Mind’ is not Theory of Emotion: a cautionary note on the reading the Mind in the Eyes test (2016) · cites this paper as Baron-Cohen, Wheelwright, Skinner, et al., 2001
In the citing paper
“Both these tests assess day-today behaviour, and can be seen as an index of autistic symptomatology.”
From Executive processes in Asperger syndrome: Patterns of performance in a multiple case series (2006) · cites this paper as Baron-Cohen, Wheelwright, Skinner, Martin, & Clubley, 2001
In the citing paper
“whereas ASD patient samples typically display peak scores of 35.8±6.5”
From An oxytocin-induced facilitation of neural and emotional responses to social touch correlates inversely with autism traits (2014) · cites this paper as Baron-Cohen et al, 2001
In the citing paper
“To control for potential confounding effects from personality traits or mood states, subjects completed Chinese versions of validated psychometric questionnaires before treatment, including the Positive and Negative Affect Schedule (Watson et al., 1988), Autism Spectrum Quotient (Baron-Cohen et al., 2001), Empathy Quotient (Baron-Cohen and Wheelwright, 2004), and NEO 5-factor inventory (Costa and”
From Oxytocin facilitates approach behavior to positive social stimuli via decreasing anterior insula activity (2018) · cites this paper as Baron-Cohen et al., 2001
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Revisiting the Strange Stories: Revealing Mentalizing Impairments in Autism
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Self-citationASD in Females: Are We Overstating the Gender Difference in Diagnosis?
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Atypical neural self-representation in autism
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Eye-movements reveal attention to social information in autism spectrum disorder
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“, ‘‘Becomes upset in a situation with lots of things going on’’) or the Autism Spectrum Quotient (AQ) [27] (e.”
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“To assess dimensional symptom severity across ASD core domains, we used several parent-report instruments with relative emphasis on social-communication [24, 25], repetitive and restricted behaviours [26, 27], sensory processing anomalies [28, 29], and overall autism symptom severity [30, 31] (see Additional file 1).”
Self-citationAlexithymia, not autism, is associated with impaired interoception
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Metadata
- Authors
- Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., & Clubley, E.
- Affiliations
- University of Cambridge (GB)
- ORCID
- Wheelwright, Sally
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2001-02
- Volume
- 31
- Issue
- 1
- Pages
- 5-17
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- OpenAlex
- W2100254283
- Cited by
- 6,450
- References
- 34
- Citations by year
- 2026: 411 · 2025: 486 · 2024: 492 · 2023: 490 · 2022: 448 · 2021: 491 · 2020: 460 · 2019: 419 · 2018: 417 · 2017: 353 · 2016: 306 · 2015: 304 · 2014: 282 · 2013: 266 · 2012: 190
- FWCI
- 7.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Medical Research Council
- Institute of Materials Research and Engineering
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Life Sciences › Neuroscience › Developmental Neuroscience › Williams Syndrome Research
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- Autism Spectrum Quotient, autism spectrum disorder, Asperger syndrome, high-functioning autism, self-report questionnaire, autistic traits, sex differences, autism screening, test-retest reliability, inter-rater reliability
- MeSH terms
- Adult, Autistic Disorder, Diagnosis, Differential, England, Female, Humans, Intelligence, Male, Personality Assessment, Personality Inventory, Psychometrics, Students, Reproducibility of Results, Asperger Syndrome
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