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Radez, Jerica, Waite, Polly, Chorpita, Bruce, Creswell, Cathy, Orchard, Faith 
ORCID: https://orcid.org/0000-0002-5324-5007, Percy, Ray, Spence, Susan H. and Reardon, Tessa
(2021)
Using the 11-item version of the RCADS to identify anxiety and depressive disorders in adolescents.
Research on Child and Adolescent Psychopathology, 49 (9).
pp. 1241-1257.
ISSN 2730-7166
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Abstract
The purpose of this study was to identify items from the Revised Children’s Anxiety and Depression Scale – RCADS-C/P that provided a brief, reliable and valid screen for anxiety and/or depressive disorders in adolescents. In addition, we examined whether adding items assessing suicidal ideation (Moods and Feelings Questionnaire – MFQ- C/P) and symptom impact and duration (items adapted from the Strengths and Difficulties Questionnaire – SDQ) improved the identification of adolescents with anxiety and/or depressive disorders. We compared two samples of adolescents and their parents – a community sample, recruited through secondary schools in England (n = 214) and a clinic-referred sample, who met diagnostic criteria for anxiety and/or depressive disorder and were recruited through a university-based research clinic (n = 246). Participants completed the RCADS-C/P with additional symptom impact and duration items, and the MFQ-C/P. Using ROC curve analyses, we identified a set of 11 RCADS-C/P items (6 addressing anxiety and 5 depression symptoms) for adolescent- and parent-report. This set of 11 symptom items achieved sensitivity/specificity values >.75, which were comparable to corresponding values for the RCADS-47-C/P. Combining adolescent and parent-report improved the identification of anxiety/depression in adolescents compared to using adolescent-report alone. Finally, adding two symptom impact items further improved the sensitivity/specificity of the 11 symptom items, whereas adding suicidal ideation items did not. The 11 RCADS items accurately discriminated between the community and clinic-referred sample with anxiety and/or depressive disorders and have the potential to quickly and accurately identify adolescents with these disorders in community settings.
| Item Type: | Article |
|---|---|
| Additional Information: | Funding Information: JR was funded by the University of Reading through an Anniversary PhD Scholarship. PW is supported by an NIHR Post-Doctoral Fellowship (PDF-2016–09-092). CC and TR were supported by an NIHR Research Professorship to CC (RP_2014-04–018). The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. |
| Uncontrolled Keywords: | adolescents,anxiety,depression,questionnaire development,screening,psychiatry and mental health,developmental and educational psychology,medicine(all),sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700/2738 |
| Faculty \ School: | Faculty of Social Sciences > School of Psychology |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 22 Aug 2024 08:31 |
| Last Modified: | 25 Sep 2024 18:03 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/96295 |
| DOI: | 10.1007/s10802-021-00817-w |
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