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…

Revised Child Anxiety and Depression Scale - Child Version
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
06675141
Total Anxiety56 / 111borderline clinical
05462111
Separation Anxiety2 / 21within the normal range
0111321
Social Phobia21 / 27clinical threshold reached
0171927
Obsessive-Compulsive Disorder12 / 18borderline clinical
0111318
Panic Disorder16 / 27clinical threshold reached
0121427
Generalized Anxiety5 / 18within the normal range
0121418
Major Depression13 / 30within the normal range
0151730
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).
RCADS (2023)View the study· T 65/70 : Chorpita et al. (2021)View the study

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What the test measures

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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The questions

  1. Please check the box that shows how often each of these things happens to you. There are no right or wrong answers.
    1. I worry about different things.
    Evaluates the general tendency to experience non-specific apprehension.
    • Never
    • Sometimes
    • Often
    • Always
  2. 2. I feel sad or empty.
    Probes the core depressive symptom of low mood and emotional void.
    • Never
    • Sometimes
    • Often
    • Always
  3. 3. When I have a problem, I get a funny feeling in my stomach.
    Assesses somatic manifestations of distress localized in the gastrointestinal system.
    • Never
    • Sometimes
    • Often
    • Always
  4. 4. I worry when I think I have done something badly.
    Explores performance-related anxiety and the fear of inadequacy.
    • Never
    • Sometimes
    • Often
    • Always
  5. 5. I am scared to be home alone.
    Measures distress related to a lack of proximity to attachment figures.
    • Never
    • Sometimes
    • Often
    • Always
  6. 6. Nothing is fun for me anymore.
    Assesses anhedonia and the loss of interest in previously enjoyed activities.
    • Never
    • Sometimes
    • Often
    • Always
  7. 7. I feel scared when I have to take a test.
    Probes specific performance anxiety triggered by academic evaluation.
    • Never
    • Sometimes
    • Often
    • Always
  8. 8. I worry when I think someone is angry with me.
    Evaluates interpersonal anxiety driven by the perceived disapproval of others.
    • Never
    • Sometimes
    • Often
    • Always
  9. 9. I worry about being far away.
    Directly probes core separation anxiety and the fear of detachment from primary caregivers.
    • Never
    • Sometimes
    • Often
    • Always
  10. 10. I am bothered by bad or silly thoughts or pictures in my mind.
    Assesses the presence of distressing intrusive thoughts or visual obsessions.
    • Never
    • Sometimes
    • Often
    • Always
  11. 11. I have trouble sleeping.
    Checks for sleep onset or maintenance difficulties associated with emotional distress.
    • Never
    • Sometimes
    • Often
    • Always
  12. 12. I worry about doing my schoolwork badly.
    Measures anticipatory anxiety regarding academic performance and failure.
    • Never
    • Sometimes
    • Often
    • Always
  13. 13. I worry that something awful will happen to someone in my family.
    Explores generalized apprehension regarding the safety and well-being of loved ones.
    • Never
    • Sometimes
    • Often
    • Always
  14. 14. I suddenly feel like I can't breathe for no reason.
    Probes for respiratory symptoms of panic occurring out of the blue.
    • Never
    • Sometimes
    • Often
    • Always
  15. 15. I have problems with my appetite.
    Assesses vegetative signs of depression through changes in eating habits.
    • Never
    • Sometimes
    • Often
    • Always
  16. 16. I have to keep checking that I've done things right (like checking if an appliance is off or a door is locked).
    Measures the presence of compulsive checking behaviors driven by doubt.
    • Never
    • Sometimes
    • Often
    • Always
  17. 17. I feel scared if I have to sleep alone.
    Evaluates separation distress manifesting around bedtime and solitary sleep.
    • Never
    • Sometimes
    • Often
    • Always
  18. 18. I have a hard time going to school in the morning because I feel nervous or scared.
    Assesses school refusal tendencies rooted in anxiety or fear.
    • Never
    • Sometimes
    • Often
    • Always
  19. 19. I have no energy for things.
    Probes the physical and mental fatigue characteristic of depressive episodes.
    • Never
    • Sometimes
    • Often
    • Always
  20. 20. I worry about looking silly.
    Evaluates social anxiety related to public perception and embarrassment.
    • Never
    • Sometimes
    • Often
    • Always
  21. 21. I am very tired.
    Checks for persistent lethargy and subjective feelings of exhaustion.
    • Never
    • Sometimes
    • Often
    • Always
  22. 22. I worry that bad things will happen to me.
    Explores generalized vulnerability and anticipatory fear of personal misfortune.
    • Never
    • Sometimes
    • Often
    • Always
  23. 23. I feel like I can't get bad or silly thoughts out of my head.
    Assesses the persistence and uncontrollable nature of obsessive thoughts.
    • Never
    • Sometimes
    • Often
    • Always
  24. 24. When I have a problem, my heart beats very fast.
    Measures cardiovascular somatic reactivity in response to stressful situations.
    • Never
    • Sometimes
    • Often
    • Always
  25. 25. I can't think clearly.
    Probes cognitive symptoms such as diminished concentration and mental fogginess.
    • Never
    • Sometimes
    • Often
    • Always
  26. 26. I suddenly start to shake or tremble for no reason.
    Assesses unprovoked somatic panic symptoms involving involuntary motor tremors.
    • Never
    • Sometimes
    • Often
    • Always
  27. 27. I worry that something bad will happen to me.
    Evaluates generalized anticipatory anxiety about negative future events.
    • Never
    • Sometimes
    • Often
    • Always
  28. 28. When I have a problem, I tremble or shake.
    Measures physical signs of sympathetic nervous system arousal during stress.
    • Never
    • Sometimes
    • Often
    • Always
  29. 29. I feel like I am worthless.
    Probes core depressive cognitions concerning self-esteem and personal value.
    • Never
    • Sometimes
    • Often
    • Always
  30. 30. I worry about making mistakes.
    Assesses perfectionistic concerns and the fear of committing errors.
    • Never
    • Sometimes
    • Often
    • Always
  31. 31. I have to think of special thoughts (like numbers or words) to stop bad things from happening.
    Evaluates the use of mental compulsions or magical thinking to neutralize perceived threats.
    • Never
    • Sometimes
    • Often
    • Always
  32. 32. I worry about what other people think of me.
    Probes social evaluation anxiety and hypersensitivity to peer judgment.
    • Never
    • Sometimes
    • Often
    • Always
  33. 33. I'm afraid of being in crowded places (like shopping malls, movie theaters, buses, or crowded schoolyards).
    Assesses agoraphobic fears associated with situations where escape might be difficult.
    • Never
    • Sometimes
    • Often
    • Always
  34. 34. I suddenly feel very scared for no reason.
    Measures the occurrence of spontaneous, un-cued panic attacks.
    • Never
    • Sometimes
    • Often
    • Always
  35. 35. I worry about what will happen.
    Explores broad anticipatory anxiety focused on the uncertain future.
    • Never
    • Sometimes
    • Often
    • Always
  36. 36. I suddenly feel dizzy or faint for no reason.
    Probes unprovoked vestibular symptoms characteristic of panic episodes.
    • Never
    • Sometimes
    • Often
    • Always
  37. 37. I think about death.
    Checks for morbid rumination or depressive thoughts concerning mortality.
    • Never
    • Sometimes
    • Often
    • Always
  38. 38. I am scared if I have to speak in front of the class.
    Evaluates specific social phobia triggered by public speaking scenarios.
    • Never
    • Sometimes
    • Often
    • Always
  39. 39. My heart suddenly starts to beat too fast for no reason.
    Assesses spontaneous cardiovascular symptoms associated with panic disorder.
    • Never
    • Sometimes
    • Often
    • Always
  40. 40. I feel like I don't want to move.
    Probes psychomotor retardation and severe motivational deficits.
    • Never
    • Sometimes
    • Often
    • Always
  41. 41. I worry about suddenly feeling scared when there's nothing to be afraid of.
    Measures anticipatory anxiety specifically about having future panic attacks.
    • Never
    • Sometimes
    • Often
    • Always
  42. 42. I have to do some things over and over again (like wash my hands, clean, or put things in a certain order).
    Evaluates the presence of overt behavioral compulsions and ritualistic actions.
    • Never
    • Sometimes
    • Often
    • Always
  43. 43. I feel scared of looking silly in front of people.
    Probes social anxiety driven by the fear of public humiliation.
    • Never
    • Sometimes
    • Often
    • Always
  44. 44. I have to do some things in a special way to stop bad things from happening.
    Assesses rigid rules and action-based magical thinking meant to ward off harm.
    • Never
    • Sometimes
    • Often
    • Always
  45. 45. I worry when I go to bed at night.
    Measures nocturnal anxiety and distress experienced during the transition to sleep.
    • Never
    • Sometimes
    • Often
    • Always
  46. 46. I would be scared if I had to spend the night away from home.
    Evaluates separation anxiety triggered by prolonged physical distance from the home base.
    • Never
    • Sometimes
    • Often
    • Always
  47. 47. I feel restless.
    Checks for psychomotor agitation and subjective feelings of nervous tension.
    • Never
    • Sometimes
    • Often
    • Always
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