Outcome Measure

Spence Children’s Anxiety Scale – Parent

What it measures?

  • The SCAS-P measures anxiety symptoms in children in the general population through parent report. The measure spans six subscales: panic attack and agoraphobia, separation anxiety, physical injury fears, social phobia, obsessive compulsive, and generalized anxiety (Nauta et al., 2004).
  • The SCAS-P assists with the identification of elevated anxiety symptoms requiring further assessment in conjunction with clinical interviews. Additionally, it can be used to measure efficacy of treatment (Nauta et al., 2004).

Who is it for?

The SCAS-P is intended to be completed by the parent of a child aged 7-13 years old.

Instrument Quality

  • The SCAS-P is widely used globally to assess anxiety symptoms in children with both clinical and research applications. It has been translated and validated for use across several countries with strong psychometric properties (Arendt et al., 2014; Li et al., 2016; Orgilés et al., 2016; Orgilés et al., 2019; Ramme, 2008)

Structure

  • 38 items
  • 1 additional open-ended question asking “Is there anything else that your child is really afraid of?”
  • 4-point Likert scale
  • Respondents indicate how frequently (0 = "Never"; 3 = "Always") their child has experienced anxiety symptoms across different situations

Scoring instructions

  • Sum all item responses to derive a full-scale score
  • Sum the relevant subscale-specific items to derive subscale scores
Subscale Item number

Obsessive compulsive

13,17,24,35,36,37

Separation anxiety

5,8,11,14,15,38

Generalized anxiety

1,3,4,18,20,22

Full-scale (SCAS-P)

1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38

Panic attack and agoraphobia

12,19,25,27,28,30,32,33,34

Physical injury fears

2,16,21,23,29

Social phobia

6,7,9,10,26,31

Score Interpretation

What higher scores mean?
  • Higher scores on the SCAS-P indicate increased number and severity of anxiety symptoms.
How to assess symptom severity & change?
Description Score Range  
Below normative mean 0  
Normative mean 1.1  
1 SD above normative mean 2.8  
2 SD above normative mean 4.5  
Maximum 18  
Severity ranges

* The developers recommend the use of T-Scores and conversion to percentile ranks based on the age and gender of the child (Nauta et al., 2004). A percentile of 50 represents typical anxiety symptoms in an individual, with scores more than 1 SD (or >94th percentile) indicated clinically significant anxiety symptoms. * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/

Reliable change and clinically significant improvement

* The developers recommend the use of T-Scores and conversion to percentile ranks based on the age and gender of the child (Nauta et al., 2004). A percentile of 50 represents typical anxiety symptoms in an individual, with scores more than 1 SD (or >94th percentile) indicated clinically significant anxiety symptoms. * Wampold et al (2001) conducted a meta analysis of psychotherapy outcome studies and noted that the average improvement was reflected in an effect size (ES) of .80. Because a change of 1 SD corresponds to an ES of 1.0, and .80 is considered to be a large ES, Wise (2004) concludes that a change of 1 SD is a defensible indicator of clinically significant change.

Mean
Sample Mean Comments
Clinical 3 Clinical scores were derived from a sample of 484 (264 males, 220 females; mean age 10.2 (2.5) years) anxiety-disorder children recruited from Australian (83%) and Dutch (17%) universities (Nauta et al., 2004).
Normative 1.1 * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/
Standard Deviation
Sample Mean Comments
Clinical 3.1 Clinical scores were derived from a sample of 484 (264 males, 220 females; mean age 10.2 (2.5) years) anxiety-disorder children recruited from Australian (83%) and Dutch (17%) universities (Nauta et al., 2004).
Normative 1.7 * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/
Reliability
Value Comments
0.6 Test-retest reliability (Pearson correlation coefficients) over 2 weeks was high in a Danish community and clinical sample of children (n = 1240; Arendt et al., 2014).
Description Score Range  
Below normative mean 0  
Normative mean 2.6  
1 SD above normative mean 5.4  
2 SD above normative mean 8.2  
Maximum 18  
Severity ranges

* The developers recommend the use of T-Scores and conversion to percentile ranks based on the age and gender of the child (Nauta et al., 2004). A percentile of 50 represents typical anxiety symptoms in an individual, with scores more than 1 SD (or >94th percentile) indicated clinically significant anxiety symptoms. * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/

Reliable change and clinically significant improvement

* The developers recommend the use of T-Scores and conversion to percentile ranks based on the age and gender of the child (Nauta et al., 2004). A percentile of 50 represents typical anxiety symptoms in an individual, with scores more than 1 SD (or >94th percentile) indicated clinically significant anxiety symptoms. * Wampold et al (2001) conducted a meta analysis of psychotherapy outcome studies and noted that the average improvement was reflected in an effect size (ES) of .80. Because a change of 1 SD corresponds to an ES of 1.0, and .80 is considered to be a large ES, Wise (2004) concludes that a change of 1 SD is a defensible indicator of clinically significant change.

Mean
Sample Mean Comments
Clinical 6.9 Clinical scores were derived from a sample of 484 (264 males, 220 females; mean age 10.2 (2.5) years) anxiety-disorder children recruited from Australian (83%) and Dutch (17%) universities (Nauta et al., 2004).
Normative 2.6 * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/
Standard Deviation
Sample Mean Comments
Clinical 4.1 Clinical scores were derived from a sample of 484 (264 males, 220 females; mean age 10.2 (2.5) years) anxiety-disorder children recruited from Australian (83%) and Dutch (17%) universities (Nauta et al., 2004).
Normative 2.8 * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/
Reliability
Value Comments
0.87 Test-retest reliability (Pearson correlation coefficients) over 2 weeks was high in a Danish community and clinical sample of children (n = 1240; Arendt et al., 2014).
Description Score Range  
Below normative mean 0  
Normative mean 2.7  
1 SD above normative mean 4.7  
2 SD above normative mean 6.7  
Maximum 18  
Severity ranges

* The developers recommend the use of T-Scores and conversion to percentile ranks based on the age and gender of the child (Nauta et al., 2004). A percentile of 50 represents typical anxiety symptoms in an individual, with scores more than 1 SD (or >94th percentile) indicated clinically significant anxiety symptoms. * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/

Reliable change and clinically significant improvement

* The developers recommend the use of T-Scores and conversion to percentile ranks based on the age and gender of the child (Nauta et al., 2004). A percentile of 50 represents typical anxiety symptoms in an individual, with scores more than 1 SD (or >94th percentile) indicated clinically significant anxiety symptoms. * Wampold et al (2001) conducted a meta analysis of psychotherapy outcome studies and noted that the average improvement was reflected in an effect size (ES) of .80. Because a change of 1 SD corresponds to an ES of 1.0, and .80 is considered to be a large ES, Wise (2004) concludes that a change of 1 SD is a defensible indicator of clinically significant change.

Mean
Sample Mean Comments
Clinical 6.6 Clinical scores were derived from a sample of 484 (264 males, 220 females; mean age 10.2 (2.5) years) anxiety-disorder children recruited from Australian (83%) and Dutch (17%) universities (Nauta et al., 2004).
Normative 2.7 * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/
Standard Deviation
Sample Mean Comments
Clinical 3.1 Clinical scores were derived from a sample of 484 (264 males, 220 females; mean age 10.2 (2.5) years) anxiety-disorder children recruited from Australian (83%) and Dutch (17%) universities (Nauta et al., 2004).
Normative 2 * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/
Reliability
Value Comments
0.83 Test-retest reliability (Pearson correlation coefficients) over 2 weeks was high in a Danish community and clinical sample of children (n = 1240; Arendt et al., 2014).
Description Score Range  
Below normative mean 0  
Normative mean 14.2  
1 SD above normative mean 23.9  
2 SD above normative mean 33.6  
Maximum 114  
Severity ranges

* The developers recommend the use of T-Scores and conversion to percentile ranks based on the age and gender of the child (Nauta et al., 2004). A percentile of 50 represents typical anxiety symptoms in an individual, with scores more than 1 SD (or >94th percentile) indicated clinically significant anxiety symptoms. * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/

Reliable change and clinically significant improvement

* The developers recommend the use of T-Scores and conversion to percentile ranks based on the age and gender of the child (Nauta et al., 2004). A percentile of 50 represents typical anxiety symptoms in an individual, with scores more than 1 SD (or >94th percentile) indicated clinically significant anxiety symptoms. * Wampold et al (2001) conducted a meta analysis of psychotherapy outcome studies and noted that the average improvement was reflected in an effect size (ES) of .80. Because a change of 1 SD corresponds to an ES of 1.0, and .80 is considered to be a large ES, Wise (2004) concludes that a change of 1 SD is a defensible indicator of clinically significant change.

Mean
Sample Mean Comments
Clinical 31.8 Clinical scores were derived from a sample of 484 (264 males, 220 females; mean age 10.2 (2.5) years) anxiety-disorder children recruited from Australian (83%) and Dutch (17%) universities (Nauta et al., 2004).
Normative 14.2 * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/
Standard Deviation
Sample Mean Comments
Clinical 14.1 Clinical scores were derived from a sample of 484 (264 males, 220 females; mean age 10.2 (2.5) years) anxiety-disorder children recruited from Australian (83%) and Dutch (17%) universities (Nauta et al., 2004).
Normative 9.7 * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/
Reliability
Value Comments
0.88 Test-retest reliability (Pearson correlation coefficients) over 2 weeks was high in a Danish community and clinical sample of children (n = 1240; Arendt et al., 2014).
Description Score Range  
Below normative mean 0  
Normative mean 1  
1 SD above normative mean 2.6  
2 SD above normative mean 4.2  
Maximum 27  
Severity ranges

* The developers recommend the use of T-Scores and conversion to percentile ranks based on the age and gender of the child (Nauta et al., 2004). A percentile of 50 represents typical anxiety symptoms in an individual, with scores more than 1 SD (or >94th percentile) indicated clinically significant anxiety symptoms. * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/

Reliable change and clinically significant improvement

* The developers recommend the use of T-Scores and conversion to percentile ranks based on the age and gender of the child (Nauta et al., 2004). A percentile of 50 represents typical anxiety symptoms in an individual, with scores more than 1 SD (or >94th percentile) indicated clinically significant anxiety symptoms. * Wampold et al (2001) conducted a meta analysis of psychotherapy outcome studies and noted that the average improvement was reflected in an effect size (ES) of .80. Because a change of 1 SD corresponds to an ES of 1.0, and .80 is considered to be a large ES, Wise (2004) concludes that a change of 1 SD is a defensible indicator of clinically significant change.

Mean
Sample Mean Comments
Clinical 3.6 Clinical scores were derived from a sample of 484 (264 males, 220 females; mean age 10.2 (2.5) years) anxiety-disorder children recruited from Australian (83%) and Dutch (17%) universities (Nauta et al., 2004).
Normative 1 * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/
Standard Deviation
Sample Mean Comments
Clinical 3.9 Clinical scores were derived from a sample of 484 (264 males, 220 females; mean age 10.2 (2.5) years) anxiety-disorder children recruited from Australian (83%) and Dutch (17%) universities (Nauta et al., 2004).
Normative 1.6 * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/
Reliability
Value Comments
0.74 Test-retest reliability (Pearson correlation coefficients) over 2 weeks was high in a Danish community and clinical sample of children (n = 1240; Arendt et al., 2014).
Description Score Range  
Below normative mean 0  
Normative mean 2.6  
1 SD above normative mean 4.9  
2 SD above normative mean 7.2  
Maximum 15  
Severity ranges

* The developers recommend the use of T-Scores and conversion to percentile ranks based on the age and gender of the child (Nauta et al., 2004). A percentile of 50 represents typical anxiety symptoms in an individual, with scores more than 1 SD (or >94th percentile) indicated clinically significant anxiety symptoms. * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/

Reliable change and clinically significant improvement

* The developers recommend the use of T-Scores and conversion to percentile ranks based on the age and gender of the child (Nauta et al., 2004). A percentile of 50 represents typical anxiety symptoms in an individual, with scores more than 1 SD (or >94th percentile) indicated clinically significant anxiety symptoms. * Wampold et al (2001) conducted a meta analysis of psychotherapy outcome studies and noted that the average improvement was reflected in an effect size (ES) of .80. Because a change of 1 SD corresponds to an ES of 1.0, and .80 is considered to be a large ES, Wise (2004) concludes that a change of 1 SD is a defensible indicator of clinically significant change.

Mean
Sample Mean Comments
Clinical 4.1 Clinical scores were derived from a sample of 484 (264 males, 220 females; mean age 10.2 (2.5) years) anxiety-disorder children recruited from Australian (83%) and Dutch (17%) universities (Nauta et al., 2004).
Normative 2.6 * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/
Standard Deviation
Sample Mean Comments
Clinical 2.8 Clinical scores were derived from a sample of 484 (264 males, 220 females; mean age 10.2 (2.5) years) anxiety-disorder children recruited from Australian (83%) and Dutch (17%) universities (Nauta et al., 2004).
Normative 2.3 * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/
Reliability
Value Comments
0.82 Test-retest reliability (Pearson correlation coefficients) over 2 weeks was high in a Danish community and clinical sample of children (n = 1240; Arendt et al., 2014).
Description Score Range  
Below normative mean 0  
Normative mean 4.2  
1 SD above normative mean 7  
2 SD above normative mean 9.8  
Maximum 18  
Severity ranges

* The developers recommend the use of T-Scores and conversion to percentile ranks based on the age and gender of the child (Nauta et al., 2004). A percentile of 50 represents typical anxiety symptoms in an individual, with scores more than 1 SD (or >94th percentile) indicated clinically significant anxiety symptoms. * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/

Reliable change and clinically significant improvement

* The developers recommend the use of T-Scores and conversion to percentile ranks based on the age and gender of the child (Nauta et al., 2004). A percentile of 50 represents typical anxiety symptoms in an individual, with scores more than 1 SD (or >94th percentile) indicated clinically significant anxiety symptoms. * Wampold et al (2001) conducted a meta analysis of psychotherapy outcome studies and noted that the average improvement was reflected in an effect size (ES) of .80. Because a change of 1 SD corresponds to an ES of 1.0, and .80 is considered to be a large ES, Wise (2004) concludes that a change of 1 SD is a defensible indicator of clinically significant change.

Mean
Sample Mean Comments
Clinical 7.7 Clinical scores were derived from a sample of 484 (264 males, 220 females; mean age 10.2 (2.5) years) anxiety-disorder children recruited from Australian (83%) and Dutch (17%) universities (Nauta et al., 2004).
Normative 4.2 * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/
Standard Deviation
Sample Mean Comments
Clinical 3.8 Clinical scores were derived from a sample of 484 (264 males, 220 females; mean age 10.2 (2.5) years) anxiety-disorder children recruited from Australian (83%) and Dutch (17%) universities (Nauta et al., 2004).
Normative 2.8 * Normative scores were derived from a sample of 261 (125 males, 136 females; mean age 11.5 (2.0) years) healthy children recruited from Australian (55%) and Dutch (45%) universities (Nauta et al., 2004). * Normative scores by gender and age are also available from a sample of 1857 healthy children recruited from community samples in Australia and the Netherlands (n = 221), United States (n = 477), and the United Kingdom (n = 1069; Brow-Jacobsen et al, 2011; Cresswell et al., n.d.; Nauta et al., 2004; Whiteside et al, 2012). Please access here: https://www.scaswebsite.com/portfolio/scas-parent-t-scores/
Reliability
Value Comments
0.8 Test-retest reliability (Pearson correlation coefficients) over 2 weeks was high in a Danish community and clinical sample of children (n = 1240; Arendt et al., 2014).

Instrument developers

  • Nauta, M. H., Scholing, A., Rapee, R. M., Abbott, M., Spence, S. H., & Waters, A. (2004). A parent-report measure of children’s anxiety: psychometric properties and comparison with child-report in a clinic and normal sample. Behaviour research and therapy, 42(7), 813-839.

Refrences

* Nauta, M. H., Scholing, A., Rapee, R. M., Abbott, M., Spence, S. H., & Waters, A. (2004). A parent-report measure of children’s anxiety: psychometric properties and comparison with child-report in a clinic and normal sample. Behaviour research and therapy, 42(7), 813-839. * Li, J. B., Delvecchio, E., Di Riso, D., Nie, Y. G., & Lis, A. (2016). The parent-version of the Spence Children’s Anxiety Scale (SCAS-P) in Chinese and Italian community samples: Validation and cross-cultural comparison. Child Psychiatry & Human Development, 47, 369-383. * Orgiles, M., Fernández-Martínez, I., Guillen-Riquelme, A., Espada, J. P., & Essau, C. A. (2016). A systematic review of the factor structure and reliability of the Spence Children's Anxiety Scale. Journal of Affective Disorders, 190, 333-340. * Orgilés, M., Rodríguez-Menchón, M., Fernández-Martínez, I., Morales, A., & Espada, J. P. (2019). Validation of the parent report version of the Spence Children’s Anxiety Scale (SCAS-P) for Spanish children. Clinical child psychology and psychiatry, 24(4), 776-790. * Ramme, R. (2008). Spence Children’s Anxiety Scale: An overview of psychometric findings. Retrieved January, 29, 2019.

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ASDChildren

AQ-Child

Autism Spectrum Disorder in Children

The AQ-Child aims to assess traits of Autism Spectrum Disorder (ASD) in children with average intell...

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ASDAdolescents

AQ-Adolescent

Autism Spectrum Disorder in Adolescents

The AQ-Adol aims to assess traits of Autism Spectrum Disorder (ASD) in adolescents with average inte...

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Bipolar Disorder

MDQ

Mood Disorder Questionnaire

The Mood Disorder Questionnaire (MDQ) was developed as a screening measure for bipolar disorder, us...

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Drug dependence

DUDIT

Drug Use Disorders Identification Test

The Drug Use Disorders Identification Test (DUDIT) is an 11-item self-report assessment measure whi...

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TraumaComplex trauma

ITQ

International Trauma Questionnaire

The ITQ is a self-report measure designed to assess the presence and functional impairment of postt...

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Trauma

IES-R

Impact of Event Scale-Revised

The Impact of Event Scale-Revised (IES-R) is a tool designed to gauge the presence and severity of s...

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Trauma

ACE-Q

The Adverse Childhood Experiences Questionnaire

The Adverse Childhood Experiences Questionnaire (ACE-Q) is a widely used tool for assessing childho...

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Depression

MDRS-22

Male Depression Risk Scale

The Male Depression Risk Scale (MDRS) measures the risk of depression in men by assessing externali...

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TraumaDissociation

DES-II

Dissociative Experiences Scale-II

The DES-II is the most commonly used measure of dissociation. It measures various types of dissocia...

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ADHDWellbeingChildren

PSC-17

Pediatric Symptom Checklist-17

The PSC-17 is a screening tool designed to assess a child’s overall psychosocial functioning and i...

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Trauma

PCL-5

PTSD Checklist for DSM-5

The 20 symptoms of Post-Traumatic Stress Disorder, as outlined in the Diagnostic & Statistical Manua...

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Fatigue

FAS

Fatigue Assessment Scale

The FAS full-scale assesses symptoms of physical and mental fatigue.

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ASD

AQ

Autism Spectrum Quotient

The AQ aims to assess traits of Autism Spectrum Disorder (ASD) in adults and adolescents with averag...

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PanicAnxiety

PDSS-SR

Panic Disorder Severity Scale – Self-Report

The severity of Panic Disorder symptoms during the past week. Specifically, the instrument assesses...

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AnxietyChildren

SCAS-P

Spence Children’s Anxiety Scale – Parent

The SCAS-P measures anxiety symptoms in children in the general population through parent report. T...

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Pain coping

PSEQ

Pain Self-Efficacy Questionnaire

The beliefs held by people experiencing chronic pain that they can carry out certain activities even...

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Depression

PHQ-9

Patient Health Questionnaire 9-Item

Symptoms of Depression over the previous 2 weeks.

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Insomnia

RIS

Regensburg Insomnia Scale

Psychological symptoms of insomnia assessing cognitive, emotional and behavioural aspects. The RIS m...

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WorryAnxiety

PSWQ

Penn State Worry Questionnaire

The PSWQ assesses pervasive and uncontrollable worry.

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Pain coping

TSK-13

Tampa Scale of Kinesiophobia 13-Item

Kinesiophobia, defined as “an excessive, irrational, and debilitating fear of physical movement an...

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Anxiety

GAD-7

Generalised Anxiety 7-Item

The symptoms of Generalized Anxiety Disorder, as outlined in the Diagnostic and Statistical Manual ...

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Eating disorders

CIA

Clinical Impairment Assessment Questionnaire

The severity of psychosocial impairment due to eating disorder pathology.

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Alcohol dependenceDrug use

AUDIT

Alcohol Use Disorder Identification Test

The AUDIT identifies risky or harmful alcohol consumption, as well as alcohol dependence or abuse. ...

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OCDHoarding

OCI-R

Obsessive-Compulsive Inventory – Revised

Symptom severity of Obsessive-Compulsive Disorder (OCD).The OCI-R contains 6 factors representing th...

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Body ImageBDD

AAI

Appearance Anxiety Inventory

Cognitive and behavioural symptoms of body image anxiety and body dysmorphic disorder (BDD). In part...

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Distress

K10

Kessler Psychological Distress Scale

Non-specific psychological distress in the past 2 weeks.

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Wellbeing

SWLS

The Satisfaction With Life Scale

The Satisfaction With Life Scale (SWLS) examines the extent to which a person is satisfied with thei...

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DepressionAnxietyStress

DASS-21

Depression Anxiety Stress Scales – 21-Item

Three self-report subscales assess the emotional states of depression, anxiety and stress.

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WellbeingRisk

CORE-OM

Clinical Outcomes in Routine Evaluation

The CORE-OM aims to capture the ‘core’ of client distress and provide a global index of distres...

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BPD

BSL-23

Borderline Symptom List

The BSL-23 assesses 23 feelings and experiences that are typically reported by patients with Border...

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ADHD

ASRS

Adult ADHD Self-Report Scale

The ASRS aims to examine Attention Deficit Hyperactivity Disorder (ADHD) symptoms in adults consiste...

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