Now, thanks to several important global and UK-wide campaigns, the lens is truly focused on mental health, including important areas such as child behaviour and temperament. We spoke with Dr Zentner about the ICTI and the growing need for assessment and intervention.
The ICTI was initially published in a time where the need for testing children’s behaviour/temperament was just on the rise. Would you say this need has continued to grow? What are the factors that have led to this demand?
The demand is linked to a growing body of research showing that certain temperament traits place young children at risk for the development of behaviour disorders later in life. For example, children high on behavioural inhibition have up to seven times the risk of developing social anxiety disorder (SAD) as that of controls, making behavioural inhibition a principal predictor of SAD (Clauss & Blackford, 2012). Poor impulse in preschool, in turn, has been found to predict adult antisocial disorders just as strongly as low intelligence and low social class origins, which are known to be extremely difficult to improve through intervention (Moffitt et al., 2011). This pattern of results calls for temperament measures that can be used easily. The ICTI is relatively brief (30 items) and can be used from age 2. As such it fills important gap in current assessment tools for identifying behavioural and emotional risk factors in childhood.
The ICTI also has applications in both research and applied contexts. It allows researchers to collect basic information on temperament where this would have been difficult until now, notably in situations when time with participants is very limited, when numerous other constructs must be assessed, or when temperament needs to be included as a secondary or control variable. In applied settings, the measure lends itself to a quick assessment of a child’s temperament in the context of screening for behavioural or emotional risk, such as in primary paediatric care, thus providing a diagnostic tool to match recent developments in temperament-focused interventions.