Revised Child Anxiety and Depression Scale - Child Version
The Revised Child Anxiety and Depression Scale (RCADS-C) is a robust, 47-item self-report questionnaire designed to measure symptoms of anxiety and…
Questions
47
Duration
15 min
Original title
Revised Child Anxiety and Depression Scale - Child Version
Adaptation
Revised Child Anxiety and Depression Scale - Child Version
Authors
Chorpita, B. F., Yim, L., Moffitt, C., Umemoto, L. A., & Francis, S. E.
Created
2000
The Revised Child Anxiety and Depression Scale (RCADS-C) is a robust, 47-item self-report questionnaire designed to measure symptoms of anxiety and depression in children and adolescents. Developed to align closely with DSM criteria, it provides clinicians with a detailed profile of a youth’s internalizing symptoms. Rather than relying solely on a broad anxiety score, it captures nuance across multiple distinct clinical domains, making it highly valuable for cognitive case formulation.
Clinicians use the RCADS-C to clarify symptom presentations, particularly when distinguishing between generalized anxiety, social phobia, or mood-related difficulties. Because it measures frequency on a standardized scale, it is also an excellent tool for anxiety self-monitoring to track therapeutic progress over time. Routine administration gives young patients a clear, structured way to express distress that might otherwise be difficult to articulate during sessions.
Example result
Fictitious result, computed from a sample set of answers.
Overall score
69/ 141
The RCADS is a 47-item self-report questionnaire that assesses symptoms of six common anxiety and depressive disorders in children and adolescents aged 8 to 18 years, in accordance with DSM criteria. It measures separation anxiety, social phobia, generalized anxiety disorder (GAD), panic disorder, obsessive-compulsive disorder (OCD), and major depression.
69
0141
Scoring
Sum per subscale, total score from 0 to 141, each item is scored on a 4-point scale (from 0 to 3).
Official interpretation by sex and grade level (UCLA)
Sex
Grade level
Total Score (anxiety + depression)69 / 141borderline clinical
The colored areas for each scale are expressed in raw scores: for the selected sex and grade level, the amber zone begins at the first raw score that reaches a T-score of 65 in the official UCLA conversion tables (borderline clinical range according to the authors, approximately the top 7% of non-referred youth) and the pink zone at the first raw score that reaches a T-score of 70 (clinical threshold, approximately the top 2%). The T-score (mean 50, standard deviation 10 in the normative reference group of the same sex and grade) is only used to derive these ranges — table lookup is direct, never interpolated. Source specified on 2026-08-21: the "T-Score Conversion Tables" URL (rcads.ucla.edu) contains only Appendices A/B (subscales); the TOTALS tables (Appendices C/D) come from the RCADS User's Guide (childfirst.ucla.edu, listed in sources[]). Values verified cell by cell against both documents (audit 146).
The RCADS-C measures the self-reported frequency of internalizing symptoms, breaking down broad distress into specific clinical domains aligned with core diagnostic categories.
Separation anxiety: Fears of being away from caregivers or being alone.
Social phobia: Anxieties related to performance, peer judgment, and social interactions.
Obsessive-compulsive symptoms: Intrusive thoughts and rigid automatic behaviors designed to neutralize distress.
Panic symptoms: Sudden, unexpected surges of intense somatic fear and distress, sometimes overlapping with agoraphobia.
Generalized anxiety: Pervasive, excessive worry about various areas of life, including performance.
Major depression: Low mood, loss of energy, anhedonia, and feelings of worthlessness.
This child version is intended for youth aged 8 to 18, providing a direct perspective on their internal emotional experience.
When and why to use it
The RCADS-C is highly useful across multiple phases of clinical care, offering a structured way to capture and monitor youth distress.
Baseline assessment: To map out a young person's symptom profile during the initial intake, guiding subsequent formulation.
Differential support: To distinguish between overlapping internalizing struggles, such as separating social phobia from generalized worry.
Monitoring change: To evaluate whether targeted interventions are effectively altering maintaining processes over time.
Structuring psychoeducation: To help the youth and their family explore problems by building a shared vocabulary around what they are feeling.
Using a standardized measure like the RCADS-C provides concrete, quantifiable data that enriches the clinical impression. It helps children practice catching their thoughts and articulating feelings, ensuring that less obvious symptoms, such as subtle compulsions or somatic panic features, are not overlooked.
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