Depression RarinG Scate, Reviseo (CDR wasrent ravcnoloucaL semnces RARINIGETRtGH BGORIGE 72091 Wise dolevard oat cee aces WPS. ever Sonat D 's Name - icity Date of interview _ ae: Gender: OM amine . Interviewee: Clchid C]Motner Cl Father C1 otner (speci) rary ca res rere er errs CORS-R Raw Summary Score CORS-R Scare Interpretation of the CDRS-R T-Score W_|FScore Range Interpretation 139 or lower | Sears his ow are extromely ara Seo information rom others, as such uncom nly ow Scores maybe associated with pana deal 10-54 ‘A depressive disardor is untalyto be conizmedin further evaluation. in a comprehensive dagnostic evaluation. Further evaluation shouldbe 55-64 | Ts posible rat a depresive disorder might be conti ured I any of he flowing condos are applicable | + Moderate to severe ratings were made in any symptom areas | + The ating for Suicisl ization is 3 or above one course (ie, mae than one year) s de 2. Dieu Having Fun, ne 5-78 ‘A depressive disorders thay t be conimed na comprehensive diagnostic evalaton Further evaluation should be pureed 75-84 ‘A depressive dsorderis very ily tobe contimad Further evaluation should be pursed. A depress immediately sore ed narvene an Comparison of Symptom Ratings from All Sources Rating Source Evaluated Symptom Area Chita Parent Impaired Schoolwork 1 Difficulty Having Fun 1 Social Withdrawal 1 Sleep Disturbance 1 Appetite Disturbance 1 Excessive Fatigue 1 Physical Complaints 1 1 1 1 1 1 1 1 Best Description of Child 4S 60ry 67 67 1 1 3 1 1 1 1 Inability Excessive Guilt Low Selt-Esteem Depressed Feelings Morbid Ideation Suicidal Ideation Excessive Weeping Ratings of Observed Nonverbal Behavior Depressed Facial Affect 1 Listiess Speech 1 Hypoactivity Bee ene nen Bilan a/Z een Taree at anne za| 1 1 1 1 1 567 5 567 ly significant aitfeuties = No apparent diticutes = Clinically significant diicutiesinstruccons: Rate each symptom area for this child by writing only one number in the box. Write WR ("Not Rated”) in the box if there is insufficient information to derive a rating. 1. IMPAIRED SCHOOLWORK > 4, SLEEP DISTURBANCE > erformance is consistent with ability No dificult or occasional difcuty thats situationally explainable ‘vecrease in school performance andior ability to concentrate Frequently has mild ticity with sleep [ions Major interference with performance in mast subjects . as dificulty with slep nearly every night i ‘Supplemental information (not scared) Indicate when sleep olsturbance occurs (check al applicable ites): Comment a — Upon frst going to bed — Inthe mide ofthe night — Early in the morning 7 2 2 4 3 Ss No motivation ta perform Comment 2. DIFFICULTY HAVING FUN = Interest and activites realistically appropriate for age personality, and social environment. No appreciable fi change from usual behavior during atleast the past 2 weeks. Any feelings of Boredom are seen as transient 2 S-APPETITE DISTURBANCE ——————» Describes some activites as enjoyable that are realistically No problems or changes in eating patern 1 available several times @ week but not ona dally basis 3 2 ies hires Mer cesaaeeaT ‘Mild but notable change from usual eating habits 3 |s easly bored. Complains of “nothing to do” as. - Avoids eating andor isnot hungry most ofthe time OR describes charactristicof daily experience. Participates in structured remot renea i tentd andlipocesericioon ile 5 activities witha “going through the motions” attude. 5 May express interest primarily in activities that are ‘Supplemental information (not scored) jalsticalf sintatabis ona alc Wash bats. = ‘applicable, indicate type of appetite disturbance: 4 N9 initiative to become involved in any activities. — Inoreased appetite Describes himseltherselt as primarily passive. Watches Decreased appetite others play or watches TV but shows lite interest, Requires coaxing and/or pushing ta get involved in activity. Shows ro enthusiasm ar real intrest. Has dificulty naming activites. Comment common 6. EXCESSIVE FATIGUE > —_____________—Woumusual comptaint of Yaing trea” during he day 7 2 ‘3. SOCIAL WITHDRAWAL Complaints of fatigue seem somewhat excessive and = Enjoys tendhins with peer at school and at home J arenotrelatedo boredom orineaased act eels 2 Does not actively seek out friendships but waits instead 2 Daily complaints of feeling tired 5 for others to ite aelationship,Gecasionly eects 3 = opportunist ply without having adascnbale terrae. _-—«Camplais of elng ied masta the day. May Frequently avid oases oppotuntias fo desl interaction gg _—_-Ylurtay tke long naps without eling reese y with others and/or sets up situations where rejection is inevitable. ie ee = Doesnt current relat to ote chien. Sates hat helshe $ | commen has no end” or actively rejects new o forme ends Comment ‘Adis al numbers in above boxes here: {Subtotal 1)11, DEPRESSED FEELINGS > 17. PHYSICAL COMPLAINTS > (ccasional complaints that donot appear to be excessive z Occasional felings of unhappiness that quick disappear Complaints appear miley excessive 3 Describes sustained periods of unhappiness coral bai of schoe Sal ioe Thss ts ‘hat appear excessive for avets described ‘occasional interfere with hisiher ality to funtion, = Preoccupied with aches and pans. ‘These regulaiy nterere with pla acts. Feels unhappy most ofthe time without a major precipitating cause Fels unhappy al ofthe time: characterized by a sense of psychic pain eg.“ can't stand it) 7 2 s 6 iz comment Comment U 12, MORBIO IDEATION 8. IRRITABILITY > No marbi hiking reportea Rarely iitabe ‘Strongly dnies morbid thoughts 2 Easily ritable. Periods of etabilty accu Discusses morbid thoughts that 3 saveral times a week, but do nt lst long telat oa ral event but seem excessive : Frequent iitable. Extendes periods of irtabity cur Describes preoccupation wih morbid thoughts severaltimes Several ies a week and ae dificult to break out of 2 wen. Tase mori thoghs extend Beyond external ely, °° Constant experience of irtabity. Nothing changes tis mood Preoccupied on a dally basis with death thames or =. ‘morbid thoughts that are elaborate, extensive, or bizare Comme Comment 9. EXCESSIVE GUILT ——————_______> Does not express any undue feling of guilt Reported gui appears aporopriat to precipitating event Exaggerates guit andor shame out of proportion tothe event described Feels qulty over tings not under hier contra. These felngs intertere with everyday functioning Severe delusions of guit 18, SUICIDAL IDEATION ————» [—_] Understands the word sulcge, but oes + not apply the term to himselierselt ‘Sharp cena of suicidal thoughts 2 Has thoughts about suicide, or of hurting himsothersel (i heshe oes nt understand the concep of suicide). usually when angry 2 Has recurrent thoughts ofsucie 5 6 Has made suicide attempt within the last month os actvaly suicidal Noosune Comment Comment : 110, LOW SELF-ESTEEM >» 14, EXCESSIVE WEEPING ————————> Desc iment nay tts 7 Des ne tat omit 2 Roane normal rae g ermarheche tach les aft sti somata bt esr Describes himselt/herselt in predominantly negative . ac Kn crying, more frequently than poors inns or ges bn ans ure eed cre ron an ps, ecasinaly wit car pcon---9 Farsi in droga ta © cresrtas tecyng agit alias awe, Reans hat aa csan ear er by --s2 | Sateen at nun sen 3 (chy vega nares. Pes eet eos | 4 Cries meaty every day. Comment pass oe ‘Aad ll embers in above boxes here: (Subtotal 2),CONTINUE if this interview was conducted with the child. For the three remaining symptom areas, rate the child based on his or her nonverbal characteristics during the interview. 18, DEPRESSED FACIAL AFFECT > Facial expression an¢ voice animated during the interview. No sign of depressed affect. [Mi suppression at atlect, Some loss of spontaneity. (Overall ass of spontaneity. Looks unnappy during parts of the interview (eg. sullen face, lowered eyes, lack of animation in ac)-Is capable of smiling, noweve, and does not avid eye contact when discussing nonthreatening areas. Moderate resvction of affect throughout most ofthe interview Has longer and frequent periods of looking istneiy unnapay. Nothing seems to enliven him/her, ‘Severe rstition of affect. Looks distinctly 620 and withdrawn, Minimal verbal interaction ‘throughout the interviow, ris or may appear tatu comment 16, LISTLESS SPEECH > (Quality of speech seems siuationally Ssenstive without any nateworty deviations 1 Slowed tempo, manctone, or overly sft speech Slowed tempo with many pauses were helshe appears ta drift. Hesitation include sighing, Voice ‘quale ae distnety monotonic and unanimated, and comey a sense of distress and psychic discomfort Extreme sense of psychic distress exhibited in voice o y a profound sense of holowness or emptiness. Has ditfcuty conducting te interview. eee lE Comment ‘Ada al numbers in above bores her: 17, HYPOACTIVITY > Bodily movements are animate. (Note tat a hyperactive, agitated ‘hi isnot distinguished nae from what would be seen as normal rondstracting benavir; hyperactivity should be noted) Bodily movements appear somewhat restricted andor slowed Definite restriction in bodily movements and an overall sense of motor retardation Severe sense of motor retardation wih cattonic-ike qualities Comment (Subtota 3) Sum al the 9 Saal Sea Fst, wite the Raw Summary Score in the space labeled “CORS-A Raw ‘Summary Score” onthe summary page (age 1) ofthis Administration Boks Locate tn Summary Score onthe midline of the "Scoring thermometer" on the same page. The Fscore that corresponds tothe Summary Score can be found rect below ton he bottom line, Copy the score to te space labeled “CORS-R T-Scor" (The percentile that corresponds to the Summary Scare can be found cirety above i, on the tp line of the scoring thermometer) subtotals fo calculate the Raw Summary Score: ‘Sov Faw Summary Soave Next, if you suspect any fabrication denial, or similar vay problems, | see chapter 3 of the CORS-A Manual for interpretive considerations Otherwise, in the middle ofthe summary page, late the T-score range in ‘which the chie's score fl, Place a cheek mark inthe colin to te et of the appropriate T-score range to indicate the interpretive statement applicable to this child's Fscore. Finally, proceed tothe botiom potion ofthe same pape and summarize te interview ratings for al informants,