Introduction
The temperament of a child has a substantial influence on outcomes later in life, such as adult personality, behavior problems, scholastic and occupational achievement, health, and relationships [
1]. For example, high frustration and fear/inhibition, as well as low effortful control in late childhood and early adolescence are related to internalizing problems, while high frustration and low effortful control are related to externalizing problems [
2]. More specifically, anger and/or frustration in childhood has been shown to predict antisocial behaviors, behavioral inhibition has been found to foreshadow anxiety disorders, low positive emotionality increases the risk for depression, whereas activity level is predictive of attention-deficit/hyperactivity disorder (ADHD) and antisocial behavior. Effortful control reduces the risk for all of these disorders [
3]. Within a class of disorders, temperament has also been found to be predictive of differential symptomatology. For example, ADHD inattention symptoms in school-aged children are more specifically related to low effortful control, whereas ADHD hyperactive-impulsive symptoms show a greater association with lack of inhibition [
4]. A difficult temperament in toddlers (i.e., a combination of high reactivity and low attention, low adaptability, and low inhibition) is related to autism spectrum disorder (ASD) with disruptive behavior in school-aged children, but not to ASD without disruptive behavior [
5]. In response to these findings, various temperament-based interventions were introduced in recent years, from parent- and teacher-guidance [
6], behavioral skills training [
7], to computer exercises aiming to foster self-regulation (e.g., [
8]) or decrease behavioral inhibition (e.g., [
9]).
An effective integration of child temperament into clinical research, assessments, and treatment approaches is contingent on the availability of reliable and valid measures that can capture the key components of temperament without placing too high a burden on the time of researchers, professionals, and participants. In line with these desiderata and based on the integrative approach of Zentner and Bates [
10], Zentner and Wang [
11] developed the
Integrative Child Temperament Inventory (ICTI), which is available in English and German [
12]. The term “integrative” denotes the fact that this measure assesses well-studied child temperament characteristics that are represented across various models of temperament, rather than assessing temperament according to a particular conceptualization of temperament. For an overview of the ICTI dimensions see Table
1. The
Integrative Child Temperament Screener (ICTS) was recently added as a short form of the ICTI for the measurement of traits that are of particular clinical significance. Indeed, the ICTS has been shown to discriminate between children referred for psychiatric treatment and general population children [
13,
14].
Table 1
Summary and capsule definitions of temperament dimensions included in the ICTI
Behavioral inhibition | Inhibition of behavior in response to novel unfamiliar people and situations | Harm avoidance, shyness |
Frustration | Aggressive or irritated behavior in response to painful and/or frustrating input | Difficultness, distress to limitations, anger proneness |
Activity level | Frequency, speed and vigor of gross motor movement and locomotion; intolerance toward enforced idleness | Briskness, energy |
Attention/persistence | Capacity for attentional focusing and control as basis for voluntary behavior including persistence | Effortful control, distractibility, novelty seeking |
Sensory sensitivity | Ability to react to sensory stimuli (e.g., visual, auditory or tactile) of low stimulative value; sensitivity to sensory discomfort | Threshold, sensory defensiveness |
A certain limitation of both the ICTI and the ICTS is that they can only be used for children up to 8 years of age. Yet, the assessment of temperament in late childhood and early adolescence is at least as important for a number of reasons. First, the prevalence of conduct and behavioral disorders is highest in the early school years (age 6–11 years), while emotional problems (depression/anxiety) are often observed shortly before and during adolescence (age 12–17 years) [
15]. Temperament has been found to play a role in several of these disorders. For example, during adolescence, anorexia nervosa in females is associated with higher inhibition and persistence [
16], whereas drug and substance use, as well as delinquent behavior, is linked to negative mood, low persistence, and low adaptability [
17,
18]. There is also evidence suggesting that difficult temperament traits of boys measured at age 10 to 12 predict aggression and affiliations with delinquent peers at age 14 and drug use at age 16 [
19]. Furthermore, it has been found that problematic Internet use (PIU) is related to low effortful control, high anger/frustration, and high shyness in children and adolescents [
20].
Clearly, none of these associations are deterministic. Thus, it has been found that the context can buffer the negative effects of these temperament risk-factors. Such corrective effects include family involvement and regularity [
21,
22], positive parenting styles that match a child’s given temperamental disposition [
23], as well as interventions promoting the child’s self-regulatory skills [
6‐
9]. Therefore, assessing temperament in late childhood may help to identify at-risk children and choose appropriate preventions or interventions.
Assessing Key Components Of Temperament in Late Childhood and Early Adolescence
In light of the evidence reviewed above, it would be desirable to extend the range of application of the ICTI to late childhood and early adolescence. However, due to children’s rate of development and maturation, the relevance and structure of temperament dimensions cannot be assumed to be the same in early and in late childhood. Indeed, Mervielde and De Pauw [
24] found that evidence for the distinctness of certain temperament traits changes between the preschool and the school periods. Therefore, in adapting the ICTI for later childhood, it was important to determine whether the traits assessed by the ICTI (frustration, behavioral inhibition, activity level, attention/persistence, and sensory sensitivity) should also be included in the new instrument, or whether certain dimensions should be added or replaced. On one hand, keeping the type and number of dimensions constant across both instruments has obvious advantages, as it facilitates direct comparisons between results produced by both instruments. This can be particularly important when examining the stability of temperament in longitudinal research or when comparing temperament-to-behavior problem associations in early vs late childhood. On the other hand, adhering to the design of a measure can also compromise its validity and usefulness, if certain temperament dimensions become less distinct or relevant due to developmental processes, or dimensions change in character as children move into late childhood. In devising the new instrument, we attempted to strike a balance between these two types of considerations.
Our reading of the literature suggested that the dimensions assessed in the ICTI remain relevant as children move into later childhood, but that changes to item-content and wording had to be envisaged to make the instrument age-appropriate. One dimension that was not included in the ICTI is positive emotionality. This was because it is often conceptualized as a higher-order factor, whereas the most important component of this factor in early childhood period is activity level. However, Putnam [
25] proposed a differentiation of positive emotionality in approach-based positive emotionality (extraversion, surgency, sensation seeking) and non-approach-based positive emotionality (agreeableness, affiliation). Because the former does at least partly overlap with activity level and behavioral inhibition (reversed), we decided to include the non-approach-based affiliation-dimension in the new instrument, rather than both, for reasons of parsimony. Affiliation or sociability, which is characterized by the need for warm and close interpersonal relationships [
26], is often part of other questionnaires for this age-group and a potential precursor of agreeableness [
27]. Low affiliation in children can predict psychopathology, as it is linked to antisocial behaviors, poor relationship quality and internalizing problems [
25].
The Current Research
In light of the above review and considerations, the aim of the current research was the development and validation of a version of the ICTI that could be used to measure temperament from late childhood to early adolescence. In analogy to the ICTI, we named this adaptation the Integrative Late Childhood Temperament Inventory (ILCTI). To this end, we collected temperament ratings of 8- to 14-year-old children from their German- or English-speaking parents. The internal structure of the questionnaire was investigated with a confirmatory factor analysis. Different forms of reliability were examined including internal consistencies and test–retest reliability. As indicators of convergent validity, we included other temperament and personality scales: the EAS, the SATI, the HSC-Scale, the BFI-KJ. Scales’ relationships to performance at school, and to externalizing and internalizing symptoms (SDQ), served as indicators of criterion validity.
Methods
Participants and Procedure
324 German- and 201 English-speaking parents (N = 525; Mage = 41.51 years, SDage = 7.50) took part in an online survey aimed at collecting ratings of their children’s temperament. Most of the raters were mothers (66%), a lesser proportion fathers (31%), and the remaining 3% were other relatives (e.g., older sister, grandfather, stepmother). Although the intended target age group was 9 to 13 years of age, parents rated children between 8 and 14 years of age (M = 10.74, SD = 1.67), including 265 boys (51%), 258 girls (49%) and two non-binary children. Separate sample characteristics for German- and English-speaking participants are displayed in Supplementary Table 1. The two samples demonstrated no significant differences in relation to sociodemographic variables. Ratings of personality traits, school performance, and emotional and behavior problems of the child were obtained for 372 children. A subsample of 83 parents took part in a test–retest session that took place 14 to 27 days (M = 18.39, SD = 3.58) after their initial participation. Participants were recruited via crowdsourcing platforms Prolific and Clickworker and were paid for their participation (65%), whereas the other part (35%) was recruited in schools, sports clubs, via the mail distributer and the summer program for children of the University, and in online forums or Facebook groups for parents.
The ethics committee of the department approved the study and all participants provided informed consent before taking part.
Discussion
The results of this study demonstrate that the ILCTI provides a brief, reliable and valid tool for the assessment of temperament in 8- to 14-year-old children. As such, it offers an important extension of the ICTI, which assesses the same temperament dimensions except of affiliation in 2- to 8-year-old children. Notably, the ILCTI’s internal structure was well supported by CFA, reliability indicators including internal consistencies and test–retest reliability were in the range of those reported for the ICTI and ICTS [
11‐
13]. There were no substantial differences in the means of the dimensions between boys and girls or between English- and German-speaking parents. Convergent and discriminant validity (with other temperament and personality scales) as well criterion validity with the SDQ problem scales and school performance were supported for all six ILCTI dimensions. Importantly, the pattern between the ILCTI scales and the SDQ symptom scales was in line with expectations and previous research [
2,
13]. One exception was the comparatively small association between behavioral inhibition and SDQ emotional problems, in contrast to moderate to substantial relations reported in the literature [
13], but consistent with studies in late childhood and early adolescence populations, which also found relatively small associations between behavioral inhibition or shyness and emotional symptoms [
40,
41]. The addition of the dimension affiliation proved important in light of its substantial relationships with prosocial behavior and peer problems (reversed), which is consistent with the literature on the importance of affiliation for social and school contexts in older children and adolescents [
25]. Overall, the magnitude of the associations between temperament traits and externalizing or internalizing symptoms are comparable to those found for the ICTS [
13,
14].
Implications and Use
The ILCTI has advantages for both research and applied settings. First, since it assesses temperament dimensions related to emotional and behavior problems and school failure, it can be helpful in identifying children at risk for these problems. As the ILCTI’s parent instrument, the ICTI, showed good screening accuracy for behavioral problems in terms of sensitivity and specificity [
13,
14], there is reason to expect that the ILCTI could be useful as screening tool as well, enriching currently available tools for identifying children at risk in the preadolescent period. This is particularly important given that several disorders (e.g., depression, anxiety) have their onset shortly after in adolescence [
15]. Prevention programs for depression in school-aged children are already available [
42] and the ILCTI might be helpful in identifying children in need of such prevention. Regarding poor school performance, our findings are in line with those of previous studies, which found that regulative aspects of temperament (e.g., attention, persistence, self-discipline) are often better predictors of school performance than IQ [
43]. Because school failure is not only an undesirable outcome in itself but has also been found to be a risk factor for other negative outcomes, such as child and adolescent delinquency [
44], identifying these temperament risk factors could be helpful in the context of delinquency prevention.
Second, the ILCTI is a short measure that can be completed in less than 5 min. As such, it can easily be included in larger-scale studies that need to assess temperament as a secondary or control variable. Third, in longitudinal studies it is desirable to assess constructs with commensurate scales throughout the study period. The combined use of the ICTI and ILCTI makes it possible to assess equivalent temperament characteristics from ages 2 to 14 years. Fourth, in children that have been referred for treatment, information on temperament may be useful in selecting an effective treatment method. For example, patients with high levels of traits related to neuroticism and low levels of traits related to agreeableness have been found to respond better to antidepressant medication than to cognitive-behavioral therapy [
45]. Although evidence for this type of personalized treatment in children is scarce, one study found that girls at risk of depression with high sensory processing sensitivity responded better to a school-based prevention program than those with low sensory processing sensitivity [
46]. Finally, there is now an increasing number of temperament-based interventions that allow temperament-related problems to be matched with temperament-related treatment approaches [
6‐
9], including those that aim to improve children’s self-regulation, which have been found to reduce substance abuse and school failure [
47].
Strengths and Limitations
The results of the present study should be interpreted within certain limitations. First, the collected data was cross-sectional, precluding strong conclusions about the predictive and causal role of the ILCTI temperament dimensions in affecting school performance and behavior problems. Second, the 24-item version of the ILCTI was not administered as a stand-alone questionnaire. However, since there were no correlated residuals in the data, the probability of item order-effects is relatively low. Third, although comparatively ample evidence for the questionnaire’s convergent, discriminant, and criterion validity was obtained in the current study, the validation of any measure is a continuous process that will require different types of independent studies to produce definite results. For example, because parents rated both the child’s temperament and his or her symptoms, the two measures are not strictly independent. One way to address this limitation in future work is to examine the temperament of children that have been referred for psychiatric treatment and/or to include ratings by teachers and the children themselves. Indeed, children from about age nine can provide valid self-ratings on personality and temperament questionnaires [
48‐
50]. We take this as an impetus for deriving and examining a self-report version of the ILCTI in future research. Despite these limitatios, the ILCTI fills a gap in measures of child temperament by providing a brief, reliable, and valid instrument for the assessment of temperament during the late childhood to early adolescent period.
Summary
Temperament has been found to play a role in several of psychological disorders emerging between late childhood and early adolescence. However, few comprehensive and time-efficient temperament measures exist for this age period. To close this gap, the aim of the current study was to develop a measure capable of assessing six basic dimensions of temperament during this developmental stage. As a point of departure, we used the Integrative Child Temperament Inventory (ICTI) and adapted it for the late childhood and early adolescent period. Rather than reflecting a particular model of temperament, the ICTI provides an integrative measure of temperament components that are found across different child temperament models. The current late childhood version—called Integrative Late Child Temperament Inventory (ILCTI)—was examined on the basis of temperament ratings of 8- to 14-year-old children in large samples of German- or English-speaking parents. Results indicated that, despite comprising 24 items only, the questionnaire showed good psychometric properties: factorial validity, as evidenced by satisfactory CFA model fit, good internal consistency, and good test–retest reliability. Furthermore, we found evidence for the ILCTI’s convergent validity, criterion validity, and clinical utility, with several dimensions showing significant associations with emotional and behavior problems as well as poor school performance. In research settings, the ILCTI meets the demand for a brief yet comprehensive measure of temperament for the late childhood and puberty periods. In applied settings, the ILCTI may be helpful in identifying children at risk, thereby facilitating the application of existing prevention and intervention programs that focus on child temperament and related dispositions. Taken together, the new scale contributes to fill a gap in current measurement tools for identifying behavioral and emotional risk factors in the period stretching from late childhood to early adolescence.
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.