Revised Children’s Anxiety and Depression Scale (RCADS)

TF-CBT Cohort 14

The Revised Children’s Anxiety and Depression Scale (RCADS)* is a youth self-report measure of anxiety and depression symptoms (i.e., social phobia, panic disorder, major depression, separation anxiety, generalized anxiety, and obsessive compulsive symptoms) for children or adolescents in 3rd – 12th grades. 

Descriptive Statistics:  Pre- and post-treatment assessment measure means, standard deviations, and standard errors for each subscale of the RCADS are listed in the table below, as well as the range of possible T-scores for each subscale.

RCADS Subscales: Descriptive Statistics

Repeated Measures:  Repeated measures analyses (paired samples t-tests) were conducted to examine pre-post group mean differences on RCADS subscales and Total scores.  Analyses showed statistically significant improvement in all RCADS domains.

RCADS Subscales: Paired Sample T-tests

RCADS Subscales: Pre-post Treatment Mean Scores

*** p < .001

RCADS Total Severity Scores: Pre-post Treatment Mean Scores

*** p < .001

Individual Clinically-Significant Change:  At pre-treatment, 37 and 46 clients, respectively, had pre-treatment Total Anxiety and Total Anxiety and Depression scores at or above the clinical cut-off score of 70. Of note, 15 and 21 clients, respectively, were missing post-treatment data for the Total Anxiety and Total Anxiety and Depression scales.  Analysis of the clients with post-treatment data showed that the RCADS Total Anxiety and Total Anxiety and Depression scores for 16 of 22 (73%) and 18 of 25 (72%) of these clients, respectively, decreased to non-clinically significant levels at post-treatment.

For RCADS subscales, there were 21, 46, 45, 45, 29, and 25 clients, respectively, with pre-treatment RCADS Social Phobia, Panic Disorder, Major Depression, Separation Anxiety, Generalized Anxiety, and Obsessive Compulsive scores at or above the clinical cut-off score of 70. Of note, 8, 22, 22, 22, 14, and 13 clients, respectively, were missing post-treatment data for the RCADS Social Phobia, Panic Disorder, Major Depression, Separation Anxiety, Generalized Anxiety, and Obsessive Compulsive scales. Analysis of the clients with post-treatment data revealed that there were 11 of 13 (85%), 16 of 24 (67%), 17 of 23 (74%), 17 of 23 (74%), 12 of 15 (80%), and 8 of 12 (67%), respectively, with RCADS Social Phobia, Panic Disorder, Major Depression, Separation Anxiety, Generalized Anxiety, and Obsessive Compulsive scores that decreased to non-clinically significant levels at post-treatment.

* Spence, S. H. (1997). Structure of anxiety symptoms among children: A confirmatory factor-analytic study. Journal of Abnormal Psychology, 106, 280-297.; Chorpita, B. F., Yim, L. M., Moffitt, C. E., Umemoto L. A., & Francis, S. E. (2000). Assessment of symptoms of DSM-IV anxiety and depression in children: A Revised Child Anxiety and Depression Scale. Behaviour Research and Therapy, 38, 835-855. http://www.childfirst.ucla.edu/Resources.html

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