Form Structure: Screen for Child Anxiety Related Emotional Disorders (SCARED)
This form structure is an organized set of data definitions for a copyrighted form
Title:
Screen for Child Anxiety Related Emotional Disorders (SCARED)
Short Name:
SCARED
Description:
The Screen for Child Anxiety Related Emotional Disorders (SCARED) is a child and parent self-report measure used to screen for anxiety disorders and symptoms related to school phobias. The measure has 41 items and 5 factors that parallel the DSM-IV classifications of anxiety disorders. The test is appropriate for ages 8-18 and is completed by parent or child in approximately 10 minutes via paper and pencil. Results can be interpreted by trained clinicians and psychiatrists. 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),12306. http://www.cebc4cw.org/assessment-tool/screen-for-childhood-anxiety-related-emotional-disorders-scared/
Disease:
Traumatic Brain Injury
General (For all diseases)
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Clinical Assessment
Version:
1.0
Date Created:
2016-10-13
Owner:
Number of Data Elements:
62
eForms:
N
Logically grouped data elements with defined frequency at which they repeat.
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | GUID | Global Unique ID which uniquely identifies a subject | GUID | Required | CDE |
| 2 | Subject identifier number | An identification number assigned to the participant/subject within a given protocol or a study. | SubjectIDNum | Optional | CDE |
| 3 | Age in years | Value for participant's subject age recorded in years. | AgeYrs | Recommended | CDE |
| 4 | Vital status | Status of participant/subject as alive or dead | VitStatus | Optional | CDE |
| 5 | Visit date | Actual interview or visit date | VisitDate | Recommended | CDE |
| 6 | Site name | The name of the site for the study | SiteName | Recommended | CDE |
| 7 | Days since baseline | The number of days since baseline | DaysSinceBaseline | Optional | CDE |
| 8 | Case control indicator | Indicator of whether subject is in the case or control arm of the study. | CaseContrlInd | Optional | CDE |
| 9 | General notes text | General notes | GeneralNotesTxt | Optional | CDE |
Additional Element Groups
Listed below are your additional element groups.
Form Administration (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Language form administration ISO code | Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration | LangCRFAdministratISOCode | Recommended | CDE |
| 2 | Language form administration ISO code other text | The free-text field related to 'Language used for CRF/instrument/scale/etc. administration ISO code' specifying other text. | LangCRFAdministratISOCodeOTH | Recommended | CDE |
| 3 | Context type | The context to which the questions were answered | ContextType | Recommended | CDE |
| 4 | Context type other text | The free-text related to ContextType specifying other text | ContextTypeOTH | Recommended | CDE |
| 5 | Data source | Source of the data provided on the case report form | DataSource | Recommended | CDE |
| 6 | Data source other text | The free-text field related to Data source specifying other text. Source of the data provided on the case report form | DataSourceOTH | Recommended | CDE |
Screen for Child Anxiety Related Emotional Disorders (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Screen for Child Anxiety Related Disorders (SCARED) - Frightened difficulty breathe scale | Scale indicating difficulty with breathing when frightened, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDFrDifBrScl | Recommended | CDE |
| 2 | Screen for Child Anxiety Related Disorders (SCARED) - Headache school scale | Scale indicating if individual has headaches at school, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDHdacheSchlScl | Recommended | CDE |
| 3 | Screen for Child Anxiety Related Disorders (SCARED) - Dislike stranger scale | Scale indicating if individual dislikes being around people they don't know, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDDslkeStrScl | Recommended | CDE |
| 4 | Screen for Child Anxiety Related Disorders (SCARED) - Scared away home scale | Scale indicating if individual experiences fear when away from home, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDScAwyHmeScl | Recommended | CDE |
| 5 | Screen for Child Anxiety Related Disorders (SCARED) - Likability worry scale | Scale indicating if the individual worries about not being liked, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDLkWrryScl | Recommended | CDE |
| 6 | Screen for Child Anxiety Related Disorders (SCARED) - Frightened passing out scale | Scale indicating if the individual passes out when frightened, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDFrPssOutScl | Recommended | CDE |
| 7 | Screen for Child Anxiety Related Disorders (SCARED) - Nervousness scale | Scale indicating if the individual is nervous, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDNrvsScl | Recommended | CDE |
| 8 | Screen for Child Anxiety Related Disorders (SCARED) - Follow parents scale | Scale indicating if the individual follows his or her parents, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDFlPrntScl | Recommended | CDE |
| 9 | Screen for Child Anxiety Related Disorders (SCARED) - Nervous appearance scale | Scale indicating if the individual appears nervous, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDNrvsApprncScl | Recommended | CDE |
| 10 | Screen for Child Anxiety Related Disorders (SCARED) - Nervous around new people scale | Scale indicating if the individual gets nervous around new people, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDNrvsArNwPplScl | Recommended | CDE |
| 11 | Screen for Child Anxiety Related Disorders (SCARED) - Stomachaches school present scale | Scale indicating if the individual gets stomachaches at school, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDStmchSchlPrsScl | Recommended | CDE |
| 12 | Screen for Child Anxiety Related Disorders (SCARED) - Fright crazy scale | Scale indicating if the individual feels crazy when frightened, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDFrghtCrzScl | Recommended | CDE |
| 13 | Screen for Child Anxiety Related Disorders (SCARED) - Sleep alone worry scale | Scale indicating if an individual worries when sleeping alone, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDSlpAlnWrryScl | Recommended | CDE |
| 14 | Screen for Child Anxiety Related Disorders (SCARED) - Other kids comparison worry scale | Scale indicating if an individual worries about being as good as other kids, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDOthKdCmprsnScl | Recommended | CDE |
| 15 | Screen for Child Anxiety Related Disorders (SCARED) - Frighten unreal scale | Scale indicating if an individual feels like things are unreal when frightened, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDFrghtUnrlScl | Recommended | CDE |
| 16 | Screen for Child Anxiety Related Disorders (SCARED) - Nightmare parent scale | Scale indicating if an individual has nightmares about something bad happening to his/her parents, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDNghtmrPrntsScl | Recommended | CDE |
| 17 | Screen for Child Anxiety Related Disorders (SCARED) - School worry scale | Scale indicating if an individual worries when going to school, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDSchlWrryScl | Recommended | CDE |
| 18 | Screen for Child Anxiety Related Disorders (SCARED) - Fast heart beat scale | Scale indicating if an individual has a faster heart beat when frightened, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDFstHrtBtScl | Recommended | CDE |
| 19 | Screen for Child Anxiety Related Disorders (SCARED) - Shaky scale | Scale indicating if an individual gets shaky, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDShkyScl | Recommended | CDE |
| 20 | Screen for Child Anxiety Related Disorders (SCARED) - Nightmare scale | Scale indicating if an individual has nightmares about something bad happening to them, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDNghtmreScl | Recommended | CDE |
| 21 | Screen for Child Anxiety Related Disorders (SCARED) - Optimism scale | Scale indicating if an individual worries about things working out positively, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDOptScl | Recommended | CDE |
| 22 | Screen for Child Anxiety Related Disorders (SCARED) - Perspiration scale | Scale indicating if an individual perspires (sweats) when frightened, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDPrspScl | Recommended | CDE |
| 23 | Screen for Child Anxiety Related Disorders (SCARED) - Worrier scale | Scale indicating if an individual is a worrier, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDWrrierScl | Recommended | CDE |
| 24 | Screen for Child Anxiety Related Disorders (SCARED) - Frightened without reason scale | Scale indicating if an individual gets frightened without reason, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDFrghtWthoutRsnScl | Recommended | CDE |
| 25 | Screen for Child Anxiety Related Disorders (SCARED) - Alone home fear scale | Scale indicating if an individual is afraid to be alone at home, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDAlHmFrScl | Recommended | CDE |
| 26 | Screen for Child Anxiety Related Disorders (SCARED) - Difficulty talk stranger scale | Scale indicating if an individual has difficulty talking to people they don't know well, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDDiffTalkStrScl | Recommended | CDE |
| 27 | Screen for Child Anxiety Related Disorders (SCARED) - Choke fear scale | Scale indicating if an individual feels like they are choking when they are frightened, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDChkFrScl | Recommended | CDE |
| 28 | Screen for Child Anxiety Related Disorders (SCARED) - People worry scale | Scale indicating if an individual is perceived by others as worrying too much, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDPplWrryScl | Recommended | CDE |
| 29 | Screen for Child Anxiety Related Disorders (SCARED) - Family dependence scale | Scale indicating if an individual is unable to be away from his/her family, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDFmDepScl | Recommended | CDE |
| 30 | Screen for Child Anxiety Related Disorders (SCARED) - Anxiety attack scale | Scale indicating if an individual is afraid of anxiety attacks, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDAnxAttckScl | Recommended | CDE |
| 31 | Screen for Child Anxiety Related Disorders (SCARED) - Parental anxiety scale | Scale indicating if an individual worries about something happening to their parents, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDPrnAnxScl | Recommended | CDE |
| 32 | Screen for Child Anxiety Related Disorders (SCARED)- Shy people scale | Scale indicating if an individual is shy around people they are unfamiliar with, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDShPplScl | Recommended | CDE |
| 33 | Screen for Child Anxiety Related Disorders (SCARED) - Future anxiety scale | Scale indicating if an individual worries about what will happen in the future, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDFtAnxScl | Recommended | CDE |
| 34 | Screen for Child Anxiety Related Disorders (SCARED) - Vomit scale | Scale indicating if an individual vomits when they are frightened, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDVmtScl | Recommended | CDE |
| 35 | Screen for Child Anxiety Related Disorders (SCARED) - Ability worry scale | Scale indicating if an individual worries about their abilities, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDAbWrryScl | Recommended | CDE |
| 36 | Screen for Child Anxiety Related Disorders (SCARED) - Scared school scale | Scale indicating if an individual is scared about going to school, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDScrdSchlScl | Recommended | CDE |
| 37 | Screen for Child Anxiety Related Disorders (SCARED) - Worried about past scale | Scale indicating if an individual is worried about things that have happened in the past, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDWrriedPstScl | Recommended | CDE |
| 38 | Screen for Child Anxiety Related Disorders (SCARED) - Dizzy frightened scale | Scale indicating if an individual is prone to dizziness when frightened, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDDzzWhFrghtScl | Recommended | CDE |
| 39 | Screen for Child Anxiety Related Disorders (SCARED) - Nervous observation scale | Scale indicating if an individual is nervous when being observed, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDNrvsWhObsScl | Recommended | CDE |
| 40 | Screen for Child Anxiety Related Disorders (SCARED) - Nervous during social event scale | Scale indicating if an individual is nervous when attending social events with individuals they are not familiar with, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDNrvsSocEvScl | Recommended | CDE |
| 41 | Screen for Child Anxiety Related Disorders (SCARED) - Shyness scale | Scale indicating if an individual who is shy, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDShynssScl | Recommended | CDE |
SCARED Scoring (Appears Up To 1 Time)
| # | Title | Short Description | Variable Name | Required? | Type |
|---|---|---|---|---|---|
| 1 | Screen for Child Anxiety Related Disorders (SCARED) - Panic disorder significant somatic symptom score | The score related to the questions related to panic disorder or somatic symptoms as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDPaDisSomSymScore | Recommended | CDE |
| 2 | Screen for Child Anxiety Related Disorders (SCARED) - General anxiety disorder score | The score related to the questions related to general anxiety disorder as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDGenAnxDisScore | Recommended | CDE |
| 3 | Screen for Child Anxiety Related Disorders (SCARED) - Separation anxiety score | The score related to the questions related to separation anxiety as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDSepAnxScore | Recommended | CDE |
| 4 | Screen for Child Anxiety Related Disorders (SCARED) - Social anxiety disorder score | The score related to the questions related to social anxiety disorder as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDSocAnxDisScore | Recommended | CDE |
| 5 | Screen for Child Anxiety Related Disorders (SCARED) - Significant school avoidance score | The score related to the questions related to significant school avoidance as part of the Screen for Child Anxiety Related Disorders (SCARED) scale. | SCAREDSignSchoAvoidScore | Recommended | CDE |
| 6 | Screen for Child Anxiety Related Disorders (SCARED) - Total score | Total score, as part of the Screen for Child Anxiety Related Disorders (SCARED) scale | SCAREDTotalScore | Recommended | CDE |
Keywords
