Child Depression and Anxiety | RCADS 25

Revised Children’s Anxiety and Depression Scale (RCADS-25)

Recommended frequency: Every 2 weeks

View Sample (Child) (https://www.greenspacehealth.com/sample/RCADS-25C?locale=auto)

View Sample (Parent) (https://www.greenspacehealth.com/sample/RCADS-25P?locale=auto)

Summary
The Revised Children’s Anxiety and Depression Scale-25 (RCADS-25) is a 25-item scale that measures levels of
anxiety (e.g. “I worry when I think I have done poorly at something”) and low mood (e.g. “I feel sad or empty”). The
scale has two subscales (Total Anxiety and Total Depression) and an overall score. Both the anxiety and depression
subscales have strong relation to anxiety and depression diagnostic groups. All items assess the frequency of
symptoms and are rated on a 4-point Likert scale.

The child self-report scale can be used by children and adolescents between the ages of 8 to 18. A parent (or caregiver)
version is also available to rate a child or adolescent's level of anxiety and depressive symptoms based on personal
observations (e.g., “Nothing is much fun for my child anymore.”).

Greenspace has recently introduced a modified gender-inclusive version of the RCADs-25 to our assessment
library. This modified version addresses the “Are you a boy or girl” prompt in the original measure. We have now
included the following gender-inclusive options such as Non-Binary, Transgender, Gender Fluid, Two-Sprit,
Agender in addition to the standard Girl or Boy selections.

Please note that the gender-inclusive version of the RCADs-25 is a non-standard use of the measure and is set
as the default version on the Greenspace platform. If you would like to revert back to the original RCADs-25
measure, please contact support@greenspacehealth.com (mailto:support@greenspacehealth.com).

Psychometric Properties
The subscales of the RCADS-25 have acceptable reliability in clinic (Total Anxiety α = .96, Total Depression α = .80)
and school-based (Total Anxiety α = .94, Total Depression α = .79) samples. Other studies have found the Total
Anxiety subscale to have good to excellent internal consistency (αs = .87-.95) and acceptable to good test-retest
reliability (rs =
.78-.86). The RCADS-25 (Parent) subscales and total score demonstrate good to excellent test-retest reliability in
school (rs = .83-.85) and clinical (rs = .84-.90) samples and possesses good convergent and divergent validity in
both samples.

Sources:

1. https://www.childfirst.ucla.edu/wp-content/uploads/sites/163/2018/03/RCADSUsersGuide20150701.pdf
(https://www.childfirst.ucla.edu/wp-content/uploads/sites/163/2018/03/RCADSUsersGuide20150701.pdf)

2. (https://www.childfirst.ucla.edu/wp-
 content/uploads/sites/163/2018/03/RCADSUsersGuide20150701.pdf)https://www.ncbi.nlm.nih.gov/pubmed/22329531
(https://www.ncbi.nlm.nih.gov/pubmed/22329531)

3. https://www.ncbi.nlm.nih.gov/pubmed/26834091 (https://www.ncbi.nlm.nih.gov/pubmed/26834091)

4. https://www.sciencedirect.com/science/article/pii/S0887618513002132
(https://www.sciencedirect.com/science/article/pii/S0887618513002132)

The Scale
For the following questions, please select the response that shows how often each of the following things happen
to you. There are no right or wrong answers.

Scoring
The total score of the RCADS-25 is calculated by assigning 0-3 to the response categories of “never”, “sometimes”,
“often”, “always”, respectively. The sum of all 25 items is tallied and represents the severity of general anxiety and
depressive symptoms.

The Total Anxiety subscale is the sum of items 2, 3, 6, 7, 9, 11, 12, 14, 17, 18, 20, 22, 23, and 25.

The Total Depression subscale is the sum of items 1, 4, 8, 10, 13, 15, 16, 19, 21, and 24.

Total scores are converted to T-scores using specific equations that have been developed through research; and
account for the gender and grade of each child. In all instances, a higher score reflects a greater degree of symptom
severity. Converted scores on the total scale and both sub-scales are divided into scoring ranges, where: (a) scores
below
65 represent low severity, (b) scores between 65-70 represent medium severity and are on the borderline clinical
threshold, and (c) scores above 70 represent high severity and are above the clinical threshold.

Scoring for the RCADS-25-P is identical to the RCADS-25.

Copyright Information
1998 Bruce F. Chorpita and Susan H. Spence – For terms of use, see User’s Guide at
https://www.childfirst.ucla.edu/resources/ (https://www.childfirst.ucla.edu/resources/)

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Last updated on June 13, 2023
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