Screen for Childhood Anxiety Related Disorders

Please read each phrase and choose the response that best describes the identified youth FOR THE LAST THREE WEEKS. Your response options are as follows: 0= Not True or Hardly Ever True; 1= Somewhat True or Sometimes True; 2= Very True or Often True
Patient First Name, Last Initial
Your First Name, Last Initial
Relation to Patient
0= Not True or Hardly Ever True; 1= Somewhat True or Sometimes True; 2= Very True or Often True
1. When my child feels frightened, it is hard for him/her to breathe.
Not True or Hardly Ever True
Very True or Often True
Clear selection
2. My child get headaches when he/she is at school.
Not True or Hardly Ever True
Very True or Often True
Clear selection
3. My child doesn't like to be with people he/she doesn't know well.
Not True or Hardly Ever True
Very True or Often True
Clear selection
4. My child gets scared if he/she sleeps away from home.
Not True or Hardly Ever True
Very True or Often True
Clear selection
5. My child worries about other people liking him/her.
Not True or Hardly Ever True
Very True or Often True
Clear selection
6. When my child gets frightened, he/she feels like passing out.
Not True or Hardly Ever True
Very True or Often True
Clear selection
7. My child is nervous.
Not True or Hardly Ever True
Very True or Often True
Clear selection
8. My child follows me wherever I go.
Not True or Hardly Ever True
Very True or Often True
Clear selection
9. People tell me that my child looks nervous.
Not True or Hardly Ever True
Very True or Often True
Clear selection
10. My child feels nervous with people he/she I doesn't know well.
Not True or Hardly Ever True
Very True or Often True
Clear selection
0= Not True or Hardly Ever True; 1= Somewhat True or Sometimes True; 2= Very True or Often True
11. My child gets stomachaches at school.
Not True or Hardly Ever True
Very True or Often True
Clear selection
12. When my child gets frightened, he/she feels like he/she is going crazy.
Not True or Hardly Ever True
Very True or Often True
Clear selection
13. My child worries about sleeping alone.
Not True or Hardly Ever True
Very True or Often True
Clear selection
14. My child worries about being as good as other kids.
Not True or Hardly Ever True
Very True or Often True
Clear selection
15. When he/she gets frightened, he/she feel like things are not real.
Not True or Hardly Ever True
Very True or Often True
Clear selection
16. My child has nightmares about something bad happening to his/her parents.
Not True or Hardly Ever True
Very True or Often True
Clear selection
17. My child worries about going to school.
Not True or Hardly Ever True
Very True or Often True
Clear selection
18. When my child gets frightened, his/her heart beats fast.
Not True or Hardly Ever True
Very True or Often True
Clear selection
19. He/she gets shaky.
Not True or Hardly Ever True
Very True or Often True
Clear selection
20. My child has nightmares about something bad happening to him/her.
Not True or Hardly Ever True
Very True or Often True
Clear selection
0= Not True or Hardly Ever True; 1= Somewhat True or Sometimes True; 2= Very True or Often True
21. My child worries about things working out for him/her.
Not True or Hardly Ever True
Very True or Often True
Clear selection
22. When my child gets frightened, he/she sweats a lot.
Not True or Hardly Ever True
Very True or Often True
Clear selection
23. My child is a worrier.
Not True or Hardly Ever True
Very True or Often True
Clear selection
24. My child gets really frightened for no reason at all.
Not True or Hardly Ever True
Very True or Often True
Clear selection
25. My child is afraid to be alone in the house.
Not True or Hardly Ever True
Very True or Often True
Clear selection
26. It is hard for my child to talk with people he/she doesn't know well.
Not True or Hardly Ever True
Very True or Often True
Clear selection
27. When my child gets frightened, he/she feel like he/she is choking.
Not True or Hardly Ever True
Very True or Often True
Clear selection
28. People tell me that my child worries too much.
Not True or Hardly Ever True
Very True or Often True
Clear selection
29. My child doesn't like to be away from his/her family.
Not True or Hardly Ever True
Very True or Often True
Clear selection
30. My child is afraid of having anxiety (or panic) attacks.
Not True or Hardly Ever True
Very True or Often True
Clear selection
0= Not True or Hardly Ever True; 1= Somewhat True or Sometimes True; 2= Very True or Often True
31. My child worries that something bad might happen to his/her parents.
Not True or Hardly Ever True
Very True or Often True
Clear selection
32. My child feels shy with people he/she doesn't know well.
Not True or Hardly Ever True
Very True or Often True
Clear selection
33. My child worries about what is going to happen in the future.
Not True or Hardly Ever True
Very True or Often True
Clear selection
34. When my child gets frightened, he/she feels like throwing up.
Not True or Hardly Ever True
Very True or Often True
Clear selection
35. My child worries about how well he/she does things.
Not True or Hardly Ever True
Very True or Often True
Clear selection
36. My child is scared to go to school.
Not True or Hardly Ever True
Very True or Often True
Clear selection
37. My child worries about things that have already happened.
Not True or Hardly Ever True
Very True or Often True
Clear selection
38. When my child gets frightened, he/she feels dizzy.
Not True or Hardly Ever True
Very True or Often True
Clear selection
39. 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.)
Not True or Hardly Ever True
Very True or Often True
Clear selection
40. My child feels nervous when he/she is going to parties, dances, or any place were there will be people that he/she doesn't know well.
Not True or Hardly Ever True
Very True or Often True
Clear selection
0= Not True or Hardly Ever True; 1= Somewhat True or Sometimes True; 2= Very True or Often True
41. My child is shy.
Not True or Hardly Ever True
Very True or Often True
Clear selection
Reference:
Developed by Boris Birmaher, M.D., Suneeta Khetarpal, M.D., Marlane Cully, M.Ed., David Brent, M.D., and Sandra McKenzie, Ph.D., Western Psychiatric Institute and Clinic, University of Pittsburgh

Key references:
Birmaher, B., Brent, D. A., Chiappetta, L., Bridge, J., Monga, S., & Baugher, M. (1999). Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): A replication study. Journal of the American Academy of Child and Adolescent Psychiatry, 38(10), 1230–6.

http://www.midss.org/content/screen-child-anxiety-related-disorders-scared
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