This form structure is an organized set of data definitions for a copyrighted form

 General Details

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),1230–6. http://www.cebc4cw.org/assessment-tool/screen-for-childhood-anxiety-related-emotional-disorders-scared/
Disease:
General (For all diseases) , Traumatic Brain Injury
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

 Documentation


 Groups & Attached Data Elements

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

 Change History

 Administrative Change History