CARS-2Autism Spectrumpaid

Childhood Autism Rating Scale, Second Edition

Clinician rating of autism severity, with a high-functioning variant.

Overview

The CARS-2 is a clinician-rated scale that distinguishes children with autism from those with other developmental delays and rates symptom severity. It includes Standard and High-Functioning forms plus a Questionnaire for Parents or Caregivers.

Use cases

Screening, severity tracking, and outcome measurement in autism intervention trials.

Assessment intelligence

Score range
15 – 60
Direction
Higher = worse
Scoring method
Sum
Time to score
~20 min
Subscales
  • CARS2-ST Total
    15-60
Cutoff thresholds & interpretation
SeverityThresholdInterpretation
Non-autistic<30Symptoms not in the autistic range
Mild-moderate30-36.5Mild to moderate symptoms of autism
Severe≥37Severe symptoms of autism

Companion CARS2-HF used for high-functioning individuals.

Editorial notes

Internal consistency alpha ~0.93; strong concordance with ADOS-2 and ADI-R classifications.

Available languages

Validation studies (2)

  • CARS-2 in differentiating ASD from other developmental delays
    Schopler E, Van Bourgondien M. · Journal of Developmental Disorders · 2010
    DOI: 10.1037/t06330-000
  • High-functioning variant of the CARS-2: validation
    Mayes SD. · Research in Autism Spectrum Disorders · 2011
    DOI: 10.1016/j.rasd.2011.04.001

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