Tests & Questionnaires
TEMPS-A
Temperament Evaluation of Memphis, Pisa, Paris and San Diego: Autoquestionnaire version. A validated self-report scale for identifying affective temperament patterns.
Answer each item based on how you have been for most of your life, meaning the past several decades, not how you currently feel or how you have felt in the last few months.
Do not answer based on your current mood or recent episodes.
Common questions about the TEMPS-A
The Temperament Evaluation of Memphis, Pisa, Paris, and San Diego, autoquestionnaire version (TEMPS-A) is a validated 50-item self-report scale that identifies four affective temperament patterns: dysthymic, cyclothymic, hyperthymic, and irritable. It measures how a person has functioned across most of life, not how they feel right now.
The original instrument was developed by Hagop Akiskal, MD, and colleagues at the University of California San Diego in the 1990s and has been translated and validated across many populations. The version used here was prepared by Nassir Ghaemi, MD, and is publicly available at psychiatryletter.com/temps-scale/.
Each item is answered True or False based on lifelong patterns. Items mapped to each temperament are summed, and the score is reported as the percentage of items endorsed within that scale. A score of 50% or more suggests the temperament pattern is present; 75% or more suggests it is prominent.
No. Temperament is a stable, lifelong baseline, not a psychiatric diagnosis. A high score on any TEMPS-A scale describes the texture of a person's emotional life; it does not establish bipolar disorder, depression, or any other clinical condition. Discuss results with a clinician as part of a full evaluation.
Temperament shapes how mood episodes look when they occur and how a person responds to treatment, especially antidepressants and mood stabilizers. Identifying a cyclothymic or hyperthymic temperament can change the differential diagnosis for what looks like depression, and can change medication choice. The page on mood temperament at /resources/temperament/ explains the clinical reasoning.
The TEMPS-A scale was originally developed and validated by Hagop Akiskal, MD, and colleagues at the University of California San Diego. The electronic adaptation used here was prepared by Nassir Ghaemi, MD, and is publicly available at psychiatryletter.com/temps-scale/. This adaptation is provided for informational and educational purposes only and does not constitute clinical diagnosis or treatment recommendations. Discuss results with a qualified mental health clinician.
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