Adult Self Report (ASR)
The ASR is a 126-item self-report questionnaire for adults (ages 18–59) assessing aspects of adaptive functioning and problems. The questionnaire provides scores for the following syndrome scales: anxious/depressed, withdrawn, somatic complaints, thought problems, attention problems, aggressive behavior, rule-breaking behavior, and intrusive behavior. The questionnaire provides scores for the following DSM-oriented scales: depressive problems, anxiety problems, somatic problems, avoidant personality problems, attention deficit/ hyperactivity problems (inattention and hyperactivity/impulsivity subscales), and antisocial personality problems. Additionally, the questionnaire asks about use of the following substances: tobacco, alcohol, and drugs. Items are rated on a 3-point scale: 0-Not True, 1-Somewhat or Sometimes True, 2-Very True or Often True.
Note: The ASR is given to adult participants ages 18-59 years old.
References: Achenbach, T. M., & Rescorla, L. A. (2003). Manual for the ASEBA adult forms & profiles. Research Center for Children, Youth, & Families, University of Vermont, Burlington, VT, USA.
Additional Information: http://www.aseba.org/adults.html#scales
Behavior Assessment System for Children, 2nd Edition – Parent Rating Scale, 6-11 years old (BASC -2 (6-11))
The BASC-2 (6-11) a 160-item informant-report questionnaire assessing the adaptive and problem behaviors of children (ages 6 – 11) in the community and home setting. It provides scores for the following scales: anger control, bullying, developmental social disorders, emotional self-control, executive functioning, negative emotionality, and resiliency. Informants report on the child’s behavior in the last several months using a 4- point scale: 0-never, 1-sometimes, 2-often, 3-almost always.
Note: This BASC-2 (6-11) is given to guardians of child participants who range in age from 6-11 years old.
References: Reynolds, C. R., & Kamphaus, R. W. (1992). BASC: Behavior assessment system for children: Manual. American Guidance Service, Incorporated.
Additional Information: http://www.pearsonassessments.com/HAIWEB/Cultures/en-us/Productdetail.htm?Pid=PAa30000
Behavior Assessment System for Children, 2nd Edition –Parent Rating Scale, 12-17 years old, (BASC – 2 (12–17))
The BASC – 2 (12-17) is a 150-item informant-report questionnaire assessing the adaptive and problem behaviors of adolescents (ages 12 – 17) in the community and home setting. It provides scores for the following scales: anger control, bullying, developmental social disorders, emotional self-control, executive functioning, negative emotionality, and resiliency. Informants report on the adolescent’s behavior in the last several months using a 4- point scale: 0-never, 1-sometimes, 2-often, 3-almost always.
Note: This self-assessment is given to guardians of adolescent participants ages 12-17 years old.
References: Reynolds, C. R., & Kamphaus, R. W. (1992). BASC: Behavior assessment system for children: Manual. American Guidance Service, Incorporated.
Additional Information: http://www.pearsonassessments.com/HAIWEB/Cultures/en-us/Productdetail.htm?Pid=PAa30000
The Child Behavior Checklist – Parent Report Form (CBCL)
The CBCL is a 113-item informant-report questionnaire assessing behavioral competency and behavioral problems in children (ages 6 – 18) within the past six months. The following syndrome scales are assessed: anxious/depressed, withdrawn/depressed, somatic complains, social problems, thought problems, rule-breaking behavior, and aggressive behavior. The following DSM-oriented scales are assessed: affective problems, anxiety problems, somatic problems, attention deficit/hyperactivity problems, oppositional defiant problems, and conduct problems. Additionally, there are 20 social competency items used to obtain parents’ reports of the amount and quality of their child’s participation in sports, hobbies, games, activities, organizations, jobs and chores, friendships, how well the child gets along with others and plays and works by him/herself, and school functioning. Behaviors are rated on a 3-point scale: 0-Not true (as far as you know), 1-Somewhat or sometimes true, 2-Very true or often true.
Note: This self-assessment is given to guardians of children and adolescents ages 6-17 years old. The 20 social competency items are not included.
References: Achenbach, T. M. (1991). Integrative guide for the 1991 CBCL/4-18, YSR, and TRF profiles. Dept. of Psychiatry, University of Vermont.
The Cambridge-Hopkins Restless Legs Syndrome (Version 2) (CHRLS)
The CHRLS questionnaire is a diagnostic self-report assessing symptoms of restless leg syndrome. The questionnaire consists of 13 questions of varying types.
Note: This assessment is given to adolescents and adult participants ages 13 to 85 years old.
References: Allen, R. P., Burchell, B. J., MacDonald, B., Hening, W. A., & Earley, C. J. (2009). Validation of the self-completed cambridge-hopkins questionnaire (ch-rlsq) for ascertainment of restless legs syndrome (RLS) in a population survey. Sleep Medicine, 10(10), 1097-1100.
Multidimensional Anxiety Scale for Children (MASC)
The MASC is a normed 39-item self-report questionnaire that assesses anxiety in children and adolescents. It uses four basic scales (physical symptoms, harm avoidance, social anxiety, and separation/panic), one scale measuring total anxiety, and two additional indexes, anxiety disorder and inconsistency. Participants are asked to rate their own behavior on a 4-point scale: 0-Never true about me, 1-Rarely true about me, 2-Sometimes true about me, 3-Often true about me.
Note: This assessment will be given to children ages 8-18 years old.
References: March, J. S. (1998). Multi-dimensional anxiety scale for children. North Tonawanda, NY: Multi Health Systems.
Medical History Questionnaire-Adult
This questionnaire is designed to get a detailed and comprehensive history of the participant’s medical and psychiatric history. Participants respond Yes or No to a list of possible medical issues, and for some are asked to specify type.
Note: This assessment is given to all adult participants, ages 18-85 years old.
References: Merikangas, K., project in development.
Medical History Questionnaire-Child
This questionnaire is designed to get a detailed and comprehensive history of the participant’s medical and psychiatric history. Parents are asked to respond Yes or No to a list of possible medical issues about their child, and for some are asked to specify type.
Note: This assessment is completed by guardians of child participants, ages 6-17 years old.
References: Merikangas, K., project in development.
Older Adult Self Report (OASR)
The OASR is a 127-item self-administered instrument designed for older adults (ages 60-90) that examines diverse aspects of adaptive functioning and problems. Participants are asked to review a list of items that describe people, and select the best answer to describe themselves over the past two months on a 3-point scale: 0-Not true, 1-Somewhat or Sometimes True, 2-Very True or Often True. The questionnaire provides scores for the following syndrome scales: anxious/depressed, worries, somatic complaints, functional impairment, memory/cognition problems, thought problems, and irritable/disinhibited. The questionnaire provides scores for the following DSM-oriented scales: depressive problems, anxiety problems, somatic problems, dementia problems, psychotic problems, and antisocial personality problems. Additionally, the questionnaire asks about their use of tobacco, alcohol, and drugs.
Note: This assessment is given to participants ages 60-85 years old. The adaptive functioning scales are not included.
References: Achenbach, T. M., Newhouse, P.A., & Rescorla, L. A. (2004). Manual for the ASEBA Older Adult Forms & Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.
Youth Self-Report (YSR)
The YSR is a 112-item self-report designed for children and adolescents (ages 11-17), that assesses behavioral competency and behavioral problems and parallels the Child Behavior Checklist (CBCL). Behaviors are rated on a 3-point scale: 0-Not true, 1-Somewhat or sometimes true and 2-Very true or often true, based on the preceding 6-months. The questionnaire provides scores for the following syndrome scales: anxious/depressed, withdrawn/depressed, somatic complains, social problems, thought problems, rule-breaking behavior, and aggressive behavior. The questionnaire provides scores for the following DSM-oriented scales: affective problems, anxiety problems, somatic problems, attention deficit/hyperactivity problems, oppositional defiant problems, and conduct problems. There are 20 social competency items that measure the child’s participation in hobbies, games, sports, jobs, chores, friendship, and activities.
Note: This self-assessment is given to all child participants, ages 11-17. The 20 social competency items are not included.
References: Achenbach, T. M. (1991). Manual for the Youth Self-Report and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry.