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Scared anxiety questionnaires, Study Guides, Projects, Research of Psychology

Indira Gandhi UniversityPsychology

Screen for child anxiety related disorders

Typology: Study Guides, Projects, Research

2018/2019

Uploaded on 08/27/2019

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PRIMARY CARE PRINCIPLES FOR CHILD MENTAL HEALTH 41
Screen for Child Anxiety Related Disorders
(SCARED) Traumatic Stress Disorder Scale
Name ..................................................................................................................................................... Today’s Date ..................................
Directions:
Below is a list of sentences that describe how people feel. Read each and decide if it is “Not True or Hardly Ever
True,” “Somewhat True or Sometimes True” or “Very True or Often True” for you. Then for each sentence,
choose the answer that seems to describe you for the last 3 months.
0 1 2
Not True Somewhat Very True
or Hardly True or or Often
Ever True Sometimes True True
I have scary dreams about a very bad thing that ❍ ❍ ❍
once happened to me.
I try not to think about a very bad thing that ❍ ❍ ❍
once happened to me.
I get scared when I think back on a very bad thing ❍ ❍ ❍
that once happened to me.
I keep thinking about a very bad thing that once ❍ ❍ ❍
happened to me, even when I don’t want to think about it.
Score .............................
pf3
pf4
pf5

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Download Scared anxiety questionnaires and more Study Guides, Projects, Research Psychology in PDF only on Docsity!

Screen for Child Anxiety Related Disorders

(SCARED) Traumatic Stress Disorder Scale

Name ..................................................................................................................................................... Today’s Date ..................................

Directions:

Below is a list of sentences that describe how people feel. Read each and decide if it is “Not True or Hardly Ever True,” “Somewhat True or Sometimes True” or “Very True or Often True” for you. Then for each sentence, choose the answer that seems to describe you for the last 3 months. 0 1 2 Not True Somewhat Very True or Hardly True or or Often Ever True Sometimes True True I have scary dreams about a very bad thing that ❍ ❍ ❍ once happened to me. I try not to think about a very bad thing that ❍ ❍ ❍ once happened to me. I get scared when I think back on a very bad thing ❍ ❍ ❍ that once happened to me. I keep thinking about a very bad thing that once ❍ ❍ ❍ happened to me, even when I don’t want to think about it.

Score .............................

Screen for Child Anxiety

Related Disorders (SCARED)

Child Version - Page 1 of 2 (To be filled out by the CHILD) Name ..................................................................................................................................................... Today’s Date ..................................

Directions:

Below is a list of sentences that describe how people feel. Read each phrase and decide if it is “Not True or Hardly Ever True” or “Somewhat True or Sometimes True” or “Very True or Often True” for you. Then for each sentence, fill in one circle that corresponds to the response that seems to describe you for the last 3 months. 0 1 2 Not True Somewhat Very True or Hardly True or or Often Ever True Sometimes True True

  1. When I feel frightened, it is hard for me to breathe ❍ ❍ ❍
  2. I get headaches when I am at school ❍ ❍ ❍
  3. I don’t like to be with people I don’t know well ❍ ❍ ❍
  4. I get scared if I sleep away from home ❍ ❍ ❍
  5. I worry about other people liking me ❍ ❍ ❍
  6. When I get frightened, I feel like passing out ❍ ❍ ❍
  7. I am nervous ❍ ❍ ❍
  8. I follow my mother or father wherever they go ❍ ❍ ❍
  9. People tell me that I look nervous ❍ ❍ ❍
  10. I feel nervous with people I don’t know well ❍ ❍ ❍
  11. I get stomachaches at school ❍ ❍ ❍
  12. When I get frightened, I feel like I am going crazy ❍ ❍ ❍
  13. I worry about sleeping alone ❍ ❍ ❍
  14. I worry about being as good as other kids ❍ ❍ ❍
  15. When I get frightened, I feel like things are not real ❍ ❍ ❍
  16. I have nightmares about something bad happening to my parents
  17. I worry about going to school ❍ ❍ ❍
  18. When I get frightened, my heart beats fast ❍ ❍ ❍
  19. I get shaky ❍ ❍ ❍
  20. I have nightmares about something bad happening to me
  21. I worry about things working out for me ❍ ❍ ❍
  22. When I get frightened, I sweat a lot ❍ ❍ ❍

Screen for Child Anxiety

Related Disorders (SCARED)

Parent Version - Page 1 of 2 (To be filled out by the PARENT) Name ..................................................................................................................................................... Today’s Date ..................................

Directions:

Below is a list of statements that describe how people feel. Read each statement carefully and decide if it is “Not True or Hardly Ever True” or “Somewhat True or Sometimes True” or “Very True or Often True” for your child. Then for each statement, fill in one circle that corresponds to the response that seems to describe your child for the last 3 months. Please respond to all statements as well as you can, even if some do not seem to concern your child. 0 1 2 Not True Somewhat Very True or Hardly True or or Often Ever True Sometimes True True

  1. When my child feels frightened, it is hard for him/her to breathe
  2. My child gets headaches when he/she is at school ❍ ❍ ❍
  3. My child doesn’t like to be with people he/she doesn’t know well
  4. My child gets scared if he/she sleeps away from home ❍ ❍ ❍
  5. My child worries about other people liking him/her ❍ ❍ ❍
  6. When my child gets frightened, he/she feels like passing out
  7. My child is nervous ❍ ❍ ❍
  8. My child follows me wherever I go ❍ ❍ ❍
  9. People tell me that my child looks nervous ❍ ❍ ❍
  10. My child feels nervous with people he/she doesn’t know well
  11. My child gets stomachaches at school ❍ ❍ ❍
  12. When my child gets frightened, he/she feels like he/she is going crazy
  13. My child worries about sleeping alone ❍ ❍ ❍
  14. My child worries about being as good as other kids ❍ ❍ ❍
  15. When he/she gets frightened, he/she feels like things are not real
  16. My child has nightmares about something bad happening to his/her parents
  17. My child worries about going to school ❍ ❍ ❍
  18. When my child gets frightened, his/her heart beats fast ❍ ❍ ❍
  19. He/she gets shaky ❍ ❍ ❍
  20. My child has nightmares about something bad happening to him/her

Screen for Child Anxiety

Related Disorders (SCARED)

Parent Version - Page 2 of 2 (To be filled out by the PARENT) 0 1 2 Not True Somewhat Very True or Hardly True or or Often Ever True Sometimes True True

  1. My child worries about things working out for him/her ❍ ❍ ❍
  2. When my child gets frightened, he/she sweats a lot ❍ ❍ ❍
  3. My child is a worrier ❍ ❍ ❍
  4. My child gets really frightened for no reason at all ❍ ❍ ❍
  5. My child is afraid to be alone in the house ❍ ❍ ❍
  6. It is hard for my child to talk with people he/she doesn’t know well
  7. When my child gets frightened, he/she feels like he/she is choking
  8. People tell me that my child worries too much ❍ ❍ ❍
  9. My child doesn’t like to be away from his/her family ❍ ❍ ❍
  10. My child is afraid of having anxiety (or panic) attacks ❍ ❍ ❍
  11. My child worries that something bad might happen to his/her parents
  12. My child feels shy with people he/she doesn’t know well
  13. My child worries about what is going to happen in the future
  14. When my child gets frightened, he/she feels like throwing up
  15. My child worries about how well he/she does things ❍ ❍ ❍
  16. My child is scared to go to school ❍ ❍ ❍
  17. My child worries about things that have already happened
  18. When my child gets frightened, he/she feels dizzy ❍ ❍ ❍
  19. My child feels nervous when he/she is with other children or adults and he/she has to do something while they watch him/her (for example: read aloud, speak, play a game, play a sport)
  20. My child feels nervous when he/she is going to parties, dances, or any place where there will be ❍ ❍ ❍ people that he/she doesn’t know well
  21. My child is shy ❍ ❍ ❍ Developed by Boris Birmaher, MD, Suneeta Khetarpal, MD, Marlane Cully, MEd, David Brent, MD, and Sandra McKenzie, PhD. Western Psychiatric Institute and Clinic, University of Pgh. (10/95). Email: birmaherb@msx.upmc.edu