{"id":18146,"date":"2026-10-16T12:46:15","date_gmt":"2026-10-16T12:46:15","guid":{"rendered":"http:\/\/french.arabpsychology.com\/scales\/echelle-revisee-anxiete-depression-enfants-version-parents-rcads-p\/"},"modified":"2026-10-16T12:46:27","modified_gmt":"2026-10-16T12:46:27","slug":"echelle-revisee-anxiete-depression-enfants-version-parents-rcads-p","status":"publish","type":"psych_scale","link":"https:\/\/french.arabpsychology.com\/?psych_scale=echelle-revisee-anxiete-depression-enfants-version-parents-rcads-p","title":{"rendered":"\u00c9chelle r\u00e9vis\u00e9e d&rsquo;anxi\u00e9t\u00e9 et de d\u00e9pression pour enfants &#8211; Version parents (RCADS-Parent)"},"content":{"rendered":"<h2>1. R\u00e9sum\u00e9 \/ Abstract<\/h2>\n<p>L&rsquo;\u00c9chelle r\u00e9vis\u00e9e d&rsquo;anxi\u00e9t\u00e9 et de d\u00e9pression pour enfants \u2013 Version parents (<em>Revised Child Anxiety and Depression Scale \u2013 Parent Version<\/em>, ou <strong>RCADS-Parent<\/strong> \/ <strong>RCADS-P<\/strong>) constitue un instrument psychom\u00e9trique h\u00e9t\u00e9ro-rapport\u00e9 de r\u00e9f\u00e9rence internationale, \u00e9labor\u00e9 pour \u00e9valuer de mani\u00e8re dimensionnelle et cat\u00e9gorielle la symptomatologie anxieuse et d\u00e9pressive chez les enfants et adolescents \u00e2g\u00e9s de 8 \u00e0 18 ans. D\u00e9velopp\u00e9e \u00e0 partir des travaux fondamentaux de Bruce F. Chorpita et Susan H. Spence, puis standardis\u00e9e dans sa variante parentale par Chad Ebesutani et ses collaborateurs (2010, 2011), cette \u00e9chelle de 47 items transpose l&rsquo;auto-questionnaire destin\u00e9 aux jeunes (RCADS-Child) dans le cadre d&rsquo;une \u00e9valuation par les tiers r\u00e9pondants. Les parents ou tuteurs \u00e9valuent la fr\u00e9quence d&rsquo;apparition de comportements et manifestations internalis\u00e9s sp\u00e9cifiques sur une \u00e9chelle ordinale de type Likert en 4 points (allant de 0 = \u00ab Jamais \u00bb \u00e0 3 = \u00ab Toujours \u00bb).<\/p>\n<p>L&rsquo;architecture interne du RCADS-P s&rsquo;aligne rigoureusement sur les crit\u00e8res diagnostiques du <a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/fr.wikipedia.org\/wiki\/Manuel_diagnostique_et_statistique_des_troubles_mentaux\">Manuel diagnostique et statistique des troubles mentaux<\/a> (DSM-IV et r\u00e9visions ult\u00e9rieures DSM-5), d\u00e9clinant l&rsquo;\u00e9valuation en six sous-\u00e9chelles cliniques majeures : l&rsquo;angoisse de s\u00e9paration (<em>Separation Anxiety Disorder<\/em>, SAD), la phobie sociale (<em>Social Phobia<\/em>, SP), le trouble anxieux g\u00e9n\u00e9ralis\u00e9 (<em>Generalized Anxiety Disorder<\/em>, GAD), le trouble panique (<em>Panic Disorder<\/em>, PD), le trouble obsessionnel-compulsif (<em>Obsessive-Compulsive Disorder<\/em>, OCD) et l&rsquo;\u00e9pisode d\u00e9pressif majeur (<em>Major Depressive Disorder<\/em>, MDD). L&rsquo;instrument permet \u00e9galement de d\u00e9river deux indices globaux composites d&rsquo;une grande valeur s\u00e9miologique : le Score Total d&rsquo;Anxi\u00e9t\u00e9 (somme des cinq dimensions anxieuses) et le Score Total des Troubles Internalis\u00e9s (sommation int\u00e9grale des 47 items).<\/p>\n<p>Sur le plan m\u00e9trologique, le RCADS-Parent pr\u00e9sente des qualit\u00e9s psychom\u00e9triques remarquables, document\u00e9es au sein d&rsquo;\u00e9chantillons communautaires et cliniques consid\u00e9rables. Les analyses de coh\u00e9rence interne r\u00e9v\u00e8lent des coefficients alpha de Cronbach g\u00e9n\u00e9ralement compris entre 0,78 et 0,94 pour les diff\u00e9rentes sous-\u00e9chelles, et atteignant 0,95 \u00e0 0,96 pour les scores totaux. La fid\u00e9lit\u00e9 test-retest \u00e0 court et moyen terme atteste d&rsquo;une stabilit\u00e9 temporelle robuste. Les analyses factorielles confirmatoires appuient de fa\u00e7on univoque la structure th\u00e9orique \u00e0 six facteurs corr\u00e9l\u00e9s, tout en confirmant l&rsquo;invariance de mesure \u00e0 travers les genres et les tranches d&rsquo;\u00e2ge. Utilis\u00e9 conjointement avec la version auto-rapport\u00e9e, le RCADS-Parent s&rsquo;av\u00e8re indispensable pour le d\u00e9pistage pr\u00e9coce, la planification th\u00e9rapeutique cognitive et comportementale, ainsi que pour le monitoring longitudinal de l&rsquo;efficacit\u00e9 des interventions psychologiques et pharmacologiques en p\u00e9dopsychiatrie et en psychologie clinique infanto-juv\u00e9nile.<\/p>\n<h2>2. Mots-cl\u00e9s \/ Keywords<\/h2>\n<p>RCADS-Parent, anxi\u00e9t\u00e9 p\u00e9diatrique, d\u00e9pression juv\u00e9nile, \u00e9valuation h\u00e9t\u00e9ro-rapport\u00e9e, psychom\u00e9trie infanto-juv\u00e9nile, troubles internalis\u00e9s, angoisse de s\u00e9paration, phobie sociale, trouble anxieux g\u00e9n\u00e9ralis\u00e9, trouble obsessionnel-compulsif, trouble panique, validit\u00e9 factorielle, DSM-5.<\/p>\n<h2>3. Auteurs \/ Authors<\/h2>\n<p>L&rsquo;instrument original <em>Revised Child Anxiety and Depression Scale<\/em> (RCADS) a \u00e9t\u00e9 con\u00e7u et valid\u00e9 par :<\/p>\n<ul>\n<li><strong>Bruce F. Chorpita, Ph.D.<\/strong> \u2014 Professeur \u00e9m\u00e9rite de psychologie et de psychiatrie \u00e0 l&rsquo;<a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/www.ucla.edu\/\">University of California, Los Angeles (UCLA)<\/a>, Directeur du <em>Child First Technology Lab<\/em>. Ses travaux portent sur le traitement des troubles anxieux et d\u00e9pressifs de l&rsquo;enfant ainsi que sur la diffusion des pratiques fond\u00e9es sur les donn\u00e9es probantes (<em>evidence-based practice<\/em>).<\/li>\n<li><strong>Susan H. Spence, Ph.D.<\/strong> \u2014 Professeure \u00e9m\u00e9rite \u00e0 l&rsquo;<em>Australian Institute for Suicide Research and Prevention<\/em> et \u00e0 la <em>School of Applied Psychology<\/em> de l&rsquo;<a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/www.griffith.edu.au\/\">Universit\u00e9 Griffith<\/a> (Australie). Elle est la cr\u00e9atrice de la <em>Spence Children&rsquo;s Anxiety Scale<\/em> (SCAS), matrice originale du RCADS.<\/li>\n<\/ul>\n<p>Le d\u00e9veloppement, l&rsquo;adaptation m\u00e9trologique et la validation empirique sp\u00e9cifique de la version h\u00e9t\u00e9ro-rapport\u00e9e parentale (RCADS-Parent) ont \u00e9t\u00e9 dirig\u00e9s par :<\/p>\n<ul>\n<li><strong>Chad Ebesutani, Ph.D.<\/strong> \u2014 Professeur associ\u00e9 au D\u00e9partement de psychologie de la <em>Duksung Women&rsquo;s University<\/em> (S\u00e9oul, Cor\u00e9e du Sud), ancien chercheur postdoctoral \u00e0 UCLA et \u00e0 l&rsquo;<a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/www.harvard.edu\/\">Universit\u00e9 Harvard<\/a>.<\/li>\n<li><strong>Brad J. Nakamura, Ph.D.<\/strong> \u2014 Professeur de psychologie clinique \u00e0 l&rsquo;<a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/manoa.hawaii.edu\/\">University of Hawaii at Manoa<\/a>, Directeur du <em>Child and Adolescent Mental Health Program<\/em>.<\/li>\n<li><strong>John R. Weisz, Ph.D., ABPP<\/strong> \u2014 Professeur titulaire au D\u00e9partement de psychologie de l&rsquo;Universit\u00e9 Harvard, expert mondial des psychoth\u00e9rapies pour enfants et adolescents.<\/li>\n<li><strong>Amit Bernstein, Ph.D.<\/strong> \u2014 Professeur au D\u00e9partement de psychologie de l&rsquo;Universit\u00e9 de Ha\u00effa (Isra\u00ebl).<\/li>\n<\/ul>\n<h2>4. Objectif \/ Purpose<\/h2>\n<p>Le <strong>RCADS-Parent<\/strong> a \u00e9t\u00e9 \u00e9labor\u00e9 pour pallier une lacune majeure dans le paysage de l&rsquo;\u00e9valuation psychologique des enfants : l&rsquo;absence d&rsquo;outils h\u00e9t\u00e9ro-rapport\u00e9s standardis\u00e9s mesurant avec pr\u00e9cision les syndromes anxieux et d\u00e9pressifs diff\u00e9rentiels conform\u00e9ment aux nomenclatures psychiatriques modernes. Si la <em>Spence Children&rsquo;s Anxiety Scale<\/em> (SCAS) mesurait remarquablement bien les sous-types de troubles anxieux, elle excluait la symptomatologie d\u00e9pressive, for\u00e7ant les cliniciens et chercheurs \u00e0 administrer des outils disparates pour sonder l&rsquo;affectivit\u00e9 n\u00e9gative globale. De surcro\u00eet, le RCADS auto-rapport\u00e9 initial, bien que rigoureux, d\u00e9pendait enti\u00e8rement des comp\u00e9tences d&rsquo;introspection, du niveau de lecture et de la disposition coop\u00e9rative de l&rsquo;enfant, qui peuvent s&rsquo;av\u00e9rer limit\u00e9s lors d&rsquo;\u00e9pisodes de d\u00e9tresse s\u00e9v\u00e8re, de blocages affectifs ou chez les plus jeunes patients (8-10 ans).<\/p>\n<p>L&rsquo;objectif fondamental du RCADS-P est de fournir un regard parental direct, structur\u00e9 et quantifi\u00e9 sur les manifestations observables et rapport\u00e9es des troubles internalis\u00e9s chez l&rsquo;enfant et l&rsquo;adolescent. Les m\u00e8res, p\u00e8res ou substituts parentaux constituent des informateurs privil\u00e9gi\u00e9s des alt\u00e9rations comportementales, des routines d&rsquo;\u00e9vitement, des plaintes somatiques matinales r\u00e9currentes, des compulsions motrices et des changements graduels dans l&rsquo;app\u00e9tit, l&rsquo;\u00e9nergie ou les perturbations du sommeil. L&rsquo;instrument permet d&rsquo;objectiver ces signes au quotidien dans des contextes vari\u00e9s (domicile, devoirs scolaires, interactions familiales et s\u00e9parations).<\/p>\n<p>Sur le plan des applications cliniques, le RCADS-Parent remplit trois fonctions cardinales :<\/p>\n<ul>\n<li><strong>D\u00e9pistage et \u00e9valuation diagnostique initiale :<\/strong> Il offre une cartographie s\u00e9miologique diff\u00e9rentielle qui oriente les hypoth\u00e8ses diagnostiques du clinicien lors des bilans p\u00e9dopsychiatriques et p\u00e9dopsychologiques.<\/li>\n<li><strong>Approche multi-informateurs :<\/strong> En confrontant le protocole parental \u00e0 la version auto-rapport\u00e9e de l&rsquo;enfant, le praticien identifie les concordances et les divergences perceptives. Les discordances observateur-sujet sont courantes dans les troubles internalis\u00e9s : l&rsquo;enfant verbalise souvent une d\u00e9tresse subjective invisible (id\u00e9ations anxieuses, sentiments d&rsquo;incomp\u00e9tence), tandis que le parent per\u00e7oit mieux les comportements ext\u00e9rioris\u00e9s de l&rsquo;anxi\u00e9t\u00e9 (acc\u00e8s de col\u00e8re face \u00e0 la s\u00e9paration, \u00e9vitement scolaire).<\/li>\n<li><strong>Mesure r\u00e9p\u00e9t\u00e9e de la r\u00e9ponse th\u00e9rapeutique (<em>Measurement-Based Care<\/em>) :<\/strong> Gr\u00e2ce \u00e0 sa sensibilit\u00e9 au changement et \u00e0 la clart\u00e9 de sa m\u00e9trique, le questionnaire peut \u00eatre administr\u00e9 de fa\u00e7on it\u00e9rative tout au long d&rsquo;une th\u00e9rapie cognitivo-comportementale (TCC) ou d&rsquo;une prise en charge pharmacologique afin de mesurer pr\u00e9cis\u00e9ment la trajectoire de r\u00e9duction des sympt\u00f4mes.<\/li>\n<\/ul>\n<p>Dans le domaine de la recherche, le RCADS-P s&rsquo;av\u00e8re un instrument de choix pour les \u00e9tudes \u00e9pid\u00e9miologiques, les essais cliniques randomis\u00e9s contr\u00f4l\u00e9s \u00e9valuant l&rsquo;efficacit\u00e9 des protocoles th\u00e9rapeutiques unifi\u00e9s ou modulaires (tels que MATCH-ADTC), ainsi que les recherches en psychopathologie d\u00e9veloppementale portant sur la transmission interg\u00e9n\u00e9rationnelle de l&rsquo;anxi\u00e9t\u00e9 et les trajectoires \u00e9volutives des syndromes comorbides.<\/p>\n<h2>5. Construit psychologique \/ Construct<\/h2>\n<p>Le RCADS-Parent op\u00e9rationnalise la psychopathologie internalis\u00e9e \u00e0 travers six dimensions cliniques sp\u00e9cifiques et deux composites de second ordre. Chacune de ces sous-\u00e9chelles refl\u00e8te des constellations de sympt\u00f4mes d\u00e9finies par les classifications nosographiques internationales :<\/p>\n<h3>1. Trouble Anxi\u00e9t\u00e9 de S\u00e9paration (<em>Separation Anxiety Disorder<\/em> &#8211; 7 items)<\/h3>\n<p>Cette dimension \u00e9value la peur excessive et d\u00e9veloppementalement inappropri\u00e9e de l&rsquo;\u00e9loignement d&rsquo;avec les figures d&rsquo;attachement primaires ou du domicile familial. Les manifestations mesur\u00e9es englobent l&rsquo;angoisse d&rsquo;\u00eatre seul \u00e0 la maison (item 5), la peur persistante d&rsquo;\u00eatre s\u00e9par\u00e9 du parent (item 9), la r\u00e9ticence ou le refus de dormir seul (item 17) ou de d\u00e9coucher (item 46), les difficult\u00e9s du r\u00e9veil matinal associ\u00e9es \u00e0 la perspective d&rsquo;aller \u00e0 l&rsquo;\u00e9cole (item 18), ainsi que l&rsquo;appr\u00e9hension des lieux publics populeux o\u00f9 le contact avec le parent pourrait \u00eatre perdu (item 33).<\/p>\n<h3>2. Phobie Sociale \/ Anxi\u00e9t\u00e9 Sociale (<em>Social Phobia<\/em> &#8211; 9 items)<\/h3>\n<p>La sous-\u00e9chelle de phobie sociale cible l&rsquo;anxi\u00e9t\u00e9 marqu\u00e9e d\u00e9clench\u00e9e par l&rsquo;exposition \u00e0 des situations sociales ou de performance o\u00f9 l&rsquo;enfant craint d&rsquo;\u00eatre jug\u00e9, critiqu\u00e9 ou humili\u00e9. Les items sondent l&rsquo;inqui\u00e9tude de faire des erreurs (items 4, 30), l&rsquo;anxi\u00e9t\u00e9 de performance lors des examens scolaires (items 7, 12), la peur que les pairs ou les adultes soient en col\u00e8re (item 8), la terreur du ridicule ou de para\u00eetre insens\u00e9 (items 20, 43), la pr\u00e9occupation excessive du regard d&rsquo;autrui (item 32) et la panique face \u00e0 l&rsquo;obligation de parler devant un groupe (item 38).<\/p>\n<h3>3. Trouble Anxieux G\u00e9n\u00e9ralis\u00e9 (<em>Generalized Anxiety Disorder<\/em> &#8211; 6 items)<\/h3>\n<p>Cette dimension capte l&rsquo;essence de l&rsquo;anxi\u00e9t\u00e9 g\u00e9n\u00e9ralis\u00e9e : une propension chronique, diffuse et incontr\u00f4lable \u00e0 s&rsquo;inqui\u00e9ter de multiples \u00e9v\u00e9nements quotidiens, futurs ou hypoth\u00e9tiques. Les items traduisent l&rsquo;inqui\u00e9tude envahissante sans objet pr\u00e9cis (item 1), la peur catastrophique d&rsquo;un malheur frappant les proches (item 13), l&rsquo;appr\u00e9hension diffuse que de mauvaises choses surviennent \u00e0 l&rsquo;enfant lui-m\u00eame (items 22, 27), l&rsquo;anxi\u00e9t\u00e9 projective concernant l&rsquo;avenir (item 35) et les pens\u00e9es morbides ou anxiog\u00e8nes (item 37).<\/p>\n<h3>4. Trouble Panique (<em>Panic Disorder<\/em> &#8211; 9 items)<\/h3>\n<p>La sous-\u00e9chelle de trouble panique capture les manifestations physiologiques et cognitives des attaques de panique r\u00e9currentes, inattendues et d\u00e9contextualis\u00e9es. Elle \u00e9value les sensations visc\u00e9rales paroxystiques au niveau stomacal lors des probl\u00e8mes (item 3), les dyspn\u00e9es et sensations d&rsquo;\u00e9touffement sans cause organique (item 14), les tachycardies brutales (items 24, 39), les tremblements involontaires et vertiges (items 26, 28, 36), la terreur abrupte sans d\u00e9clencheur ext\u00e9rieur (item 34) et la peur paroxystique de ressentir une panique injustifi\u00e9e (item 41).<\/p>\n<h3>5. Trouble Obsessionnel-Compulsif (<em>Obsessive-Compulsive Disorder<\/em> &#8211; 6 items)<\/h3>\n<p>Cette dimension saisit la pr\u00e9sence d&rsquo;obsessions intrusives g\u00e9n\u00e9ratrices d&rsquo;angoisse et de rituels compulsifs neutralisateurs. Elle mesure l&rsquo;intrusion de pens\u00e9es, d&rsquo;images ou d&rsquo;impulsions absurdes et d\u00e9rangeantes (items 10, 23), les compulsions de v\u00e9rification r\u00e9it\u00e9r\u00e9es (interrupteurs, serrures &#8211; item 16), l&rsquo;utilisation de rituels mentaux magiques (chiffres ou mots propitiatoires &#8211; item 31), les rituels de lavage, nettoyage et d&rsquo;ordonnancement rigide (item 42), et la n\u00e9cessit\u00e9 absolue d&rsquo;ex\u00e9cuter des actions \u00ab de la fa\u00e7on exacte \u00bb pour conjurer un p\u00e9ril imaginaire (item 44).<\/p>\n<h3>6. Trouble D\u00e9pressif Majeur (<em>Major Depressive Disorder<\/em> &#8211; 10 items)<\/h3>\n<p>La dimension d\u00e9pressive explore le versant affectif, cognitif et somato-v\u00e9g\u00e9tatif de la d\u00e9pression caract\u00e9ris\u00e9e. Elle couvre l&rsquo;anh\u00e9donie profonde et la perte d&rsquo;int\u00e9r\u00eat ludique (item 6), l&rsquo;humeur triste ou le sentiment de vide int\u00e9rieur (item 2), les perturbations neuro-v\u00e9g\u00e9tatives de l&rsquo;app\u00e9tit (item 15) et du sommeil (item 11), l&rsquo;anergie et la l\u00e9thargie psychomotrice (items 19, 21, 40), le sentiment d&rsquo;incomp\u00e9tence et de d\u00e9valorisation de soi (item 29), les difficult\u00e9s d&rsquo;attention et de concentration (item 25), et l&rsquo;agitation motrice interne (item 47).<\/p>\n<h2>6. Cadre th\u00e9orique \/ Theoretical Framework<\/h2>\n<p>Le fondement th\u00e9orique du RCADS-Parent s&rsquo;enracine \u00e0 la crois\u00e9e de la <a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/fr.wikipedia.org\/wiki\/Psychopathologie_d%C3%A9veloppementale\">psychopathologie d\u00e9veloppementale<\/a>, du mod\u00e8le tripartite de l&rsquo;anxi\u00e9t\u00e9 et de la d\u00e9pression formul\u00e9 par Clark et Watson (1991), et des principes cognitivo-comportementaux formalis\u00e9s par <a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/fr.wikipedia.org\/wiki\/Aaron_Beck\">Aaron T. Beck<\/a>. L&rsquo;instrument a \u00e9t\u00e9 intentionnellement con\u00e7u pour d\u00e9passer les limitations des \u00e9chelles unidimensionnelles de d\u00e9tresse globale, incapables d&rsquo;op\u00e9rer la diff\u00e9renciation clinique r\u00e9clam\u00e9e par les classifications nosologiques contemporaines.<\/p>\n<p>Le <strong>mod\u00e8le tripartite de Clark et Watson<\/strong> postule que l&rsquo;anxi\u00e9t\u00e9 et la d\u00e9pression partagent une composante d&rsquo;affectivit\u00e9 n\u00e9gative g\u00e9n\u00e9rale (ou n\u00e9vrosisme), responsable de la tr\u00e8s forte comorbidit\u00e9 observ\u00e9e entre ces troubles. N\u00e9anmoins, ces deux entit\u00e9s se distinguent par deux composantes sp\u00e9cifiques :<\/p>\n<ul>\n<li>L&rsquo;hyperactivation physiologique (<em>physiological hyperarousal<\/em>), caract\u00e9ristique prototypique des troubles anxieux, en particulier du trouble panique et des manifestations somatiques de l&rsquo;anxi\u00e9t\u00e9 ;<\/li>\n<li>Le d\u00e9ficit d&rsquo;affectivit\u00e9 positive (<em>low positive affect<\/em>) ou anh\u00e9donie, sp\u00e9cifique du trouble d\u00e9pressif caract\u00e9ris\u00e9.<\/li>\n<\/ul>\n<p>Bruce Chorpita et David Barlow (1998) ont \u00e9tendu ce cadre th\u00e9orique \u00e0 la p\u00e9dopsychiatrie en formulant le mod\u00e8le int\u00e9gratif hi\u00e9rarchique de l&rsquo;anxi\u00e9t\u00e9 chez l&rsquo;enfant. Ce mod\u00e8le postule qu&rsquo;au sommet de la hi\u00e9rarchie r\u00e9side une vuln\u00e9rabilit\u00e9 biologique et psychologique g\u00e9n\u00e9rale (l&rsquo;affect n\u00e9gatif), sous laquelle se d\u00e9ploient des vuln\u00e9rabilit\u00e9s sp\u00e9cifiques model\u00e9es par l&rsquo;apprentissage, le conditionnement et les biais cognitifs, donnant naissance aux syndromes cliniques distincts : angoisse de s\u00e9paration, phobie sociale, anxi\u00e9t\u00e9 g\u00e9n\u00e9ralis\u00e9e, panique et rituels obsessionnels.<\/p>\n<p>Sur le plan d\u00e9veloppemental, le RCADS-Parent s&rsquo;appuie sur la reconnaissance des variations s\u00e9miologiques li\u00e9es \u00e0 l&rsquo;\u00e2ge. Alors que les peurs de s\u00e9paration pr\u00e9dominent durant la moyenne enfance, les manifestations d&rsquo;anxi\u00e9t\u00e9 sociale culminent au d\u00e9but de l&rsquo;adolescence sous l&rsquo;effet du d\u00e9veloppement m\u00e9tacognitif et de l&rsquo;importance accrue du groupe de pairs. La d\u00e9pression et les attaques de panique, quant \u00e0 elles, \u00e9mergent avec une fr\u00e9quence accentu\u00e9e lors de la transition pubertaire. L&rsquo;outil int\u00e8gre ces variations d\u00e9veloppementales en offrant un \u00e9talonnage normatif stratifi\u00e9 qui permet de distinguer les peurs adaptatives transitoires des d\u00e9viations pathologiques durables.<\/p>\n<h2>7. Validit\u00e9 \/ Validity<\/h2>\n<p>La validit\u00e9 psychom\u00e9trique du RCADS-Parent a fait l&rsquo;objet d&rsquo;investigations empiriques approfondies men\u00e9es sur des cohortes repr\u00e9sentatives diversifi\u00e9es, \u00e0 la fois en population g\u00e9n\u00e9rale (\u00e9chantillons scolaires communautaires) et au sein de cliniques psychiatriques sp\u00e9cialis\u00e9es pour jeunes.<\/p>\n<h3>Validit\u00e9 de Construit et Structure Interne<\/h3>\n<p>L&rsquo;\u00e9tude princeps de validation men\u00e9e par Ebesutani et ses collaborateurs (2010, 2011) aupr\u00e8s de 967 parents a apport\u00e9 une d\u00e9monstration irr\u00e9futable de la validit\u00e9 de construit. Les mod\u00e8les d&rsquo;\u00e9quations structurelles confirment que la covariation des items est fid\u00e8lement mod\u00e9lis\u00e9e par une structure multifactorielle \u00e0 six dimensions correspondant aux entit\u00e9s diagnostiques du DSM. Les indices d&rsquo;ajustement soutiennent l&rsquo;hypoth\u00e8se d&rsquo;une organisation hi\u00e9rarchique o\u00f9 les facteurs de premier ordre se rattachent \u00e0 des construits sup\u00e9rieurs d&rsquo;anxi\u00e9t\u00e9 et de trouble internalis\u00e9 global.<\/p>\n<h3>Validit\u00e9 Convergente et Discriminante<\/h3>\n<p>La validit\u00e9 convergente a \u00e9t\u00e9 d\u00e9montr\u00e9e par des corr\u00e9lations fortes et statistiquement significatives entre les sous-\u00e9chelles du RCADS-Parent et d&rsquo;autres instruments standardis\u00e9s r\u00e9put\u00e9s :<\/p>\n<ul>\n<li>Les sous-\u00e9chelles anxieuses du RCADS-P pr\u00e9sentent de fortes corr\u00e9lations (variant de <em>r<\/em> = 0,65 \u00e0 <em>r<\/em> = 0,82) avec la <em>Spence Children&rsquo;s Anxiety Scale &#8211; Parent Version<\/em> (SCAS-P) et avec la <em>Multidimensional Anxiety Scale for Children<\/em> (MASC).<\/li>\n<li>La sous-\u00e9chelle de trouble d\u00e9pressif majeur pr\u00e9sente une corr\u00e9lation \u00e9lev\u00e9e (<em>r<\/em> &gt; 0,70) avec le <em>Children&rsquo;s Depression Inventory &#8211; Parent Version<\/em> (CDI-P) et les \u00e9chelles de d\u00e9pression du <em>Child Behavior Checklist<\/em> (CBCL de Thomas Achenbach).<\/li>\n<\/ul>\n<p>La validit\u00e9 discriminante est attest\u00e9e par le fait que les corr\u00e9lations intra-domaines (anxi\u00e9t\u00e9-anxi\u00e9t\u00e9, d\u00e9pression-d\u00e9pression) sont syst\u00e9matiquement sup\u00e9rieures aux corr\u00e9lations inter-domaines. De plus, les corr\u00e9lations entre les \u00e9chelles du RCADS-P et les mesures de comportements externalis\u00e9s (telles que les \u00e9chelles de trouble des conduites ou d&rsquo;hyperactivit\u00e9 du CBCL) sont faibles \u00e0 mod\u00e9r\u00e9es (<em>r<\/em> oscillant typiquement entre 0,20 et 0,35), d\u00e9montrant la sp\u00e9cificit\u00e9 du test pour l&rsquo;\u00e9valuation de la sph\u00e8re internalis\u00e9e.<\/p>\n<h3>Validit\u00e9 Pr\u00e9dictive et Crit\u00e8re<\/h3>\n<p>Le RCADS-P d\u00e9montre une excellente capacit\u00e9 \u00e0 discriminer les populations cliniques des groupes t\u00e9moins issus de la communaut\u00e9. Des analyses de courbes ROC (<em>Receiver Operating Characteristic<\/em>) ont r\u00e9v\u00e9l\u00e9 des aires sous la courbe (AUC) comprises entre 0,80 et 0,92 pour la pr\u00e9diction des diagnostics psychiatriques formels \u00e9tablis au moyen d&rsquo;entretiens semi-structur\u00e9s (ADIS-IV-C\/P, <em>Anxiety Disorders Interview Schedule for DSM-IV: Child and Parent Versions<\/em>). L&rsquo;instrument fait preuve d&rsquo;une sensibilit\u00e9 et d&rsquo;une sp\u00e9cificit\u00e9 optimales pour identifier les jeunes r\u00e9pondant aux crit\u00e8res diagnostiques des troubles anxieux et de l&rsquo;\u00e9pisode d\u00e9pressif majeur.<\/p>\n<h2>8. Fid\u00e9lit\u00e9 \/ Reliability<\/h2>\n<p>L&rsquo;\u00e9valuation de la fid\u00e9lit\u00e9 du RCADS-Parent fournit des indicateurs empiriques tr\u00e8s satisfaisants quant \u00e0 la pr\u00e9cision de mesure et \u00e0 la stabilit\u00e9 des scores obtenus.<\/p>\n<h3>Coh\u00e9rence Interne<\/h3>\n<p>Dans l&rsquo;\u00e9chantillon communautaire de 967 parents document\u00e9 par Ebesutani et al. (2011), les coefficients alpha de Cronbach (&alpha;) pour chacune des sous-\u00e9chelles r\u00e9v\u00e8lent une homog\u00e9n\u00e9it\u00e9 interne remarquable :<\/p>\n<ul>\n<li><strong>Trouble Anxi\u00e9t\u00e9 de S\u00e9paration :<\/strong> &alpha; = 0,81 &#8211; 0,85<\/li>\n<li><strong>Phobie Sociale :<\/strong> &alpha; = 0,86 &#8211; 0,89<\/li>\n<li><strong>Trouble Anxieux G\u00e9n\u00e9ralis\u00e9 :<\/strong> &alpha; = 0,83 &#8211; 0,87<\/li>\n<li><strong>Trouble Panique :<\/strong> &alpha; = 0,84 &#8211; 0,88<\/li>\n<li><strong>Trouble Obsessionnel-Compulsif :<\/strong> &alpha; = 0,78 &#8211; 0,83<\/li>\n<li><strong>Trouble D\u00e9pressif Majeur :<\/strong> &alpha; = 0,87 &#8211; 0,90<\/li>\n<li><strong>Score Total d&rsquo;Anxi\u00e9t\u00e9 (5 sous-\u00e9chelles) :<\/strong> &alpha; = 0,94 &#8211; 0,95<\/li>\n<li><strong>Score Total d&rsquo;Internalisation (Total Scale) :<\/strong> &alpha; = 0,95 &#8211; 0,96<\/li>\n<\/ul>\n<p>Dans les \u00e9chantillons cliniques (Ebesutani et al., 2010), les indices de coh\u00e9rence interne s&rsquo;av\u00e8rent tout aussi robustes, t\u00e9moignant de l&rsquo;absence d&rsquo;h\u00e9t\u00e9rog\u00e9n\u00e9it\u00e9 r\u00e9siduelle pr\u00e9judiciable \u00e0 l&rsquo;interpr\u00e9tation diagnostique.<\/p>\n<h3>Fid\u00e9lit\u00e9 Test-Retest<\/h3>\n<p>La stabilit\u00e9 temporelle a \u00e9t\u00e9 document\u00e9e sur des intervalles de deux \u00e0 six semaines aupr\u00e8s de sous-\u00e9chantillons stables ne recevant pas d&rsquo;intervention psychoth\u00e9rapeutique intensive imm\u00e9diate. Les coefficients de corr\u00e9lation intraclasse (CCI) et de Pearson rapport\u00e9s se situent entre <em>r<\/em> = 0,76 et <em>r<\/em> = 0,88 pour les sous-\u00e9chelles individuelles, et d\u00e9passent 0,85 pour le score total, ce qui indique que l&rsquo;outil est robuste face aux fluctuations al\u00e9atoires du quotidien tout en demeurant sensible aux \u00e9volutions cliniques authentiques provoqu\u00e9es par les soins.<\/p>\n<h2>9. Analyse factorielle \/ Factor Analysis<\/h2>\n<p>La confirmation de la validit\u00e9 de structure du RCADS-P a constitu\u00e9 une \u00e9tape m\u00e9thodologique d\u00e9cisive, document\u00e9e notamment par Ebesutani et al. (2010, 2011) \u00e0 l&rsquo;aide d&rsquo;analyses factorielles confirmatoires (AFC) conduites sous estimateurs robustes (WLSMV pour variables ordinales polytomiques).<\/p>\n<h3>Mod\u00e9lisation Confirmatoire et Indices d&rsquo;Ajustement<\/h3>\n<p>Les chercheurs ont soumis les donn\u00e9es recueillies \u00e0 plusieurs mod\u00e8les concurrents :<\/p>\n<ol>\n<li>Un mod\u00e8le unidimensionnel \u00e0 un seul facteur d&rsquo;affectivit\u00e9 n\u00e9gative globale.<\/li>\n<li>Un mod\u00e8le \u00e0 deux facteurs s\u00e9parant grossi\u00e8rement l&rsquo;anxi\u00e9t\u00e9 de la d\u00e9pression.<\/li>\n<li>Le mod\u00e8le th\u00e9orique \u00e0 six facteurs corr\u00e9l\u00e9s correspondant aux cat\u00e9gories DSM.<\/li>\n<li>Un mod\u00e8le bifactoriel ou hi\u00e9rarchique int\u00e9grant un facteur g\u00e9n\u00e9ral d&rsquo;internalisation et six facteurs de groupe sp\u00e9cifiques.<\/li>\n<\/ol>\n<p>Les r\u00e9sultats empiriques ont invariablement d\u00e9montr\u00e9 la nette sup\u00e9riorit\u00e9 du mod\u00e8le \u00e0 six facteurs corr\u00e9l\u00e9s (ainsi que du mod\u00e8le hi\u00e9rarchique de second ordre) sur les mod\u00e8les unidimensionnels ou bidimensionnels. Les indices statistiques usuels attestent d&rsquo;une ad\u00e9quation excellente : <em>Comparative Fit Index<\/em> (CFI) &gt; 0,94, <em>Tucker-Lewis Index<\/em> (TLI) &gt; 0,93, et <em>Root Mean Square Error of Approximation<\/em> (RMSEA) &lt; 0,05 (avec intervalle de confiance \u00e0 90 % compris entre 0,042 et 0,049).<\/p>\n<h3>Saturations Factorielles des Items<\/h3>\n<p>Toutes les saturations factorielles standardis\u00e9es (&lambda;) des items sur leurs facteurs respectifs sont statistiquement significatives (<em>p<\/em> &lt; 0,001) et d&rsquo;une magnitude \u00e9lev\u00e9e :<\/p>\n<ul>\n<li>Pour le facteur <strong>Phobie Sociale<\/strong>, les saturations des 9 items s&rsquo;\u00e9chelonnent de 0,62 \u00e0 0,81, avec des charges particuli\u00e8rement fortes pour les items mesurant l&rsquo;inqui\u00e9tude face au regard des pairs et la peur de faire des erreurs.<\/li>\n<li>Pour le <strong>Trouble Panique<\/strong>, les items d&rsquo;hyperactivation cardiorespiratoire (tachycardie subite, dyspn\u00e9e sans cause) affichent des saturations comprises entre 0,65 et 0,85.<\/li>\n<li>Pour le <strong>Trouble D\u00e9pressif Majeur<\/strong>, les items d&rsquo;anh\u00e9donie, de l\u00e9thargie et de tristesse pr\u00e9sentent des saturations homog\u00e8nes comprises entre 0,64 et 0,83.<\/li>\n<li>Pour l&rsquo;<strong>Angoisse de S\u00e9paration<\/strong> et le <strong>TOC<\/strong>, les saturations factorielles oscillent entre 0,55 et 0,78, confirmant l&rsquo;appartenance coh\u00e9rente des comportements rituels et des peurs d&rsquo;isolement \u00e0 leurs dimensions assign\u00e9es.<\/li>\n<\/ul>\n<p>Les analyses d&rsquo;invariance de mesure ont \u00e9galement confirm\u00e9 l&rsquo;invariance m\u00e9trique et scalaire selon le genre de l&rsquo;enfant et entre les enfants scolaris\u00e9s au niveau primaire (8-11 ans) et secondaire (12-18 ans), autorisant des comparaisons intergroupes valides sur les scores composites d\u00e9riv\u00e9s.<\/p>\n<h2>10. Instrument de mesure \/ Instrument<\/h2>\n<p>Le RCADS-Parent est un instrument d&rsquo;\u00e9valuation clinique standardis\u00e9 pr\u00e9sentant les caract\u00e9ristiques structurelles et m\u00e9thodologiques suivantes :<\/p>\n<ul>\n<li><strong>Format du test :<\/strong> Questionnaire psychom\u00e9trique h\u00e9t\u00e9ro-rapport\u00e9 compl\u00e9t\u00e9 par les parents, tuteurs l\u00e9gaux ou r\u00e9f\u00e9rents \u00e9ducatifs primaires.<\/li>\n<li><strong>Nombre total d&rsquo;items :<\/strong> 47 items r\u00e9dig\u00e9s sous la forme d&rsquo;affirmations comportementales claires \u00e0 la troisi\u00e8me personne (\u00ab Mon enfant&#8230; \u00bb).<\/li>\n<li><strong>\u00c9chelle de r\u00e9ponse :<\/strong> \u00c9chelle ordinale de Likert en 4 points, gradu\u00e9e comme suit :\n<ul>\n<li>0 = <em>Jamais<\/em> (Never)<\/li>\n<li>1 = <em>Parfois<\/em> (Sometimes)<\/li>\n<li>2 = <em>Souvent<\/em> (Often)<\/li>\n<li>3 = <em>Toujours<\/em> (Always)<\/li>\n<\/ul>\n<\/li>\n<li><strong>Distribution des sous-\u00e9chelles et cl\u00e9s de calcul :<\/strong>\n<ul>\n<li><strong>Trouble Anxi\u00e9t\u00e9 de S\u00e9paration (7 items) :<\/strong> Items 5, 9, 17, 18, 33, 45, 46.<\/li>\n<li><strong>Phobie Sociale (9 items) :<\/strong> Items 4, 7, 8, 12, 20, 30, 32, 38, 43.<\/li>\n<li><strong>Trouble Anxieux G\u00e9n\u00e9ralis\u00e9 (6 items) :<\/strong> Items 1, 13, 22, 27, 35, 37.<\/li>\n<li><strong>Trouble Panique (9 items) :<\/strong> Items 3, 14, 24, 26, 28, 34, 36, 39, 41.<\/li>\n<li><strong>Trouble Obsessionnel-Compulsif (6 items) :<\/strong> Items 10, 16, 23, 31, 42, 44.<\/li>\n<li><strong>Trouble D\u00e9pressif Majeur (10 items) :<\/strong> Items 2, 6, 11, 15, 19, 21, 25, 29, 40, 47.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Scores composites :<\/strong>\n<ul>\n<li><strong>Score Total d&rsquo;Anxi\u00e9t\u00e9 (Total Anxiety) :<\/strong> Somme des 37 items relevant des 5 sous-\u00e9chelles anxieuses (SAD + SP + GAD + PD + OCD). L&rsquo;\u00e9tendue possible est de 0 \u00e0 111.<\/li>\n<li><strong>Score Total des Troubles Internalis\u00e9s (Total Internalizing \/ Total Score) :<\/strong> Somme int\u00e9grale des 47 items du questionnaire. L&rsquo;\u00e9tendue brute s&rsquo;\u00e9tend de 0 \u00e0 141.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Modalit\u00e9s de cotation et d&rsquo;\u00e9talonnage :<\/strong>\n<ul>\n<li>Les scores bruts sont transform\u00e9s en scores T standardis\u00e9s (Moyenne = 50, \u00c9cart-type = 10) ou en rangs percentiles ajust\u00e9s en fonction de la classe d&rsquo;\u00e2ge et du sexe du jeune \u00e0 partir des tables normatives valid\u00e9es.<\/li>\n<li><em>Seuil subclinique \/ Limite (Borderline clinical threshold) :<\/em> Un score T &ge; 65 (correspondant environ au 93e percentile) indique un niveau sous-clinique pr\u00e9occupant n\u00e9cessitant une surveillance active.<\/li>\n<li><em>Seuil clinique (Clinical threshold) :<\/em> Un score T &ge; 70 (environ 98e percentile) signale une s\u00e9v\u00e9rit\u00e9 clinique marqu\u00e9e n\u00e9cessitant une \u00e9valuation psychiatrique approfondie et une intervention th\u00e9rapeutique cibl\u00e9e.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Temps de passation :<\/strong> Environ 10 \u00e0 15 minutes.<\/li>\n<\/ul>\n<h2>11. Permissions, Tarifs et Ann\u00e9e du test \/ Permissions &#038; Fee and Test Year<\/h2>\n<p><strong>Ann\u00e9e d&rsquo;origine du mod\u00e8le RCADS :<\/strong> 1998 (Bruce F. Chorpita &amp; Susan H. Spence).<\/p>\n<p><strong>Ann\u00e9e de validation de la version parentale (RCADS-P) :<\/strong> 2010 (\u00e9chantillon clinique) \/ 2011 (\u00e9chantillon communautaire normatif).<\/p>\n<p><strong>Conditions d&rsquo;acc\u00e8s et droits d&rsquo;utilisation :<\/strong> Le RCADS et le RCADS-Parent sont mis gracieusement \u00e0 la disposition de la communaut\u00e9 clinique et scientifique internationale par leurs auteurs. Les questionnaires, feuilles de calcul de cotation automatique et grilles de conversion en scores T peuvent \u00eatre t\u00e9l\u00e9charg\u00e9s gratuitement \u00e0 des fins de recherche clinique, d&rsquo;enseignement acad\u00e9mique et de pratique en soins courants sans paiement de redevance (<em>royalty-free<\/em>), sous r\u00e9serve de ne pas modifier les items et de citer fid\u00e8lement les sources originales des concepteurs.<\/p>\n<p><strong>D\u00e9p\u00f4t officiel des ressources :<\/strong> Les praticiens et chercheurs peuvent acc\u00e9der aux documents normatifs et outils automatis\u00e9s sur le site officiel maintenu par le laboratoire du Pr Bruce Chorpita \u00e0 UCLA (<a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/www.childfirst.ucla.edu\/resources\/\">Child First UCLA Resources<\/a>).<\/p>\n<h2>12. R\u00e9f\u00e9rences \/ References<\/h2>\n<p>Chorpita, B. F., &amp; Spence, S. H. (1998). The Revised Child Anxiety and Depression Scale (RCADS). University of California, Los Angeles.<\/p>\n<p>Chorpita, B. F., Yim, L., Moffitt, C., Umemoto, L. A., &amp; Francis, S. E. (2000). Assessment of symptoms of DSM-IV anxiety and depression in children: A revised version of the Spence Children&rsquo;s Anxiety Scale. <em>Behaviour Research and Therapy<\/em>, 38(8), 835-855. <a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/doi.org\/10.1016\/S0005-7967(99)00130-8\">https:\/\/doi.org\/10.1016\/S0005-7967(99)00130-8<\/a><\/p>\n<p>Clark, L. A., &amp; Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. <em>Journal of Abnormal Psychology<\/em>, 100(3), 316-336. <a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/doi.org\/10.1037\/0021-843X.100.3.316\">https:\/\/doi.org\/10.1037\/0021-843X.100.3.316<\/a><\/p>\n<p>Ebesutani, C., Bernstein, A., Nakamura, B. J., Chorpita, B. F., &amp; Weisz, J. R. (2010). A psychometric analysis of the Revised Child Anxiety and Depression Scale\u2014Parent Version in a clinical sample. <em>Journal of Abnormal Child Psychology<\/em>, 38(2), 249-260. <a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/doi.org\/10.1007\/s10802-009-9363-8\">https:\/\/doi.org\/10.1007\/s10802-009-9363-8<\/a><\/p>\n<p>Ebesutani, C., Chorpita, B. F., Higa-McMillan, C. K., Nakamura, B. J., Regan, J., &amp; Lynch, R. E. (2011). A psychometric analysis of the Revised Child Anxiety and Depression Scale\u2014Parent Version in a school sample. <em>Journal of Abnormal Child Psychology<\/em>, 39(6), 861-873. <a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/doi.org\/10.1007\/s10802-011-9505-3\">https:\/\/doi.org\/10.1007\/s10802-011-9505-3<\/a><\/p>\n<p>Spence, S. H. (1998). A measure of anxiety symptoms among children. <em>Behaviour Research and Therapy<\/em>, 36(5), 545-566. <a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/doi.org\/10.1016\/S0005-7967(98)00034-5\">https:\/\/doi.org\/10.1016\/S0005-7967(98)00034-5<\/a><\/p>\n<h2>13. Questions et items du questionnaire \/ Scale Items<\/h2>\n<div class=\"wpt-scale-items-container\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:12px; margin:28px 0; overflow:hidden; box-shadow:0 4px 12px rgba(0,0,0,0.03);\">\n<div class=\"wpt-scale-notice\" style=\"direction:ltr; text-align:left; background:#f8fafc; border-bottom:1px solid #e2e8f0; padding:14px 20px; font-size:13.5px; color:#475569; font-weight:500;\">\n    Voici les items originaux de l&rsquo;\u00e9chelle tels que publi\u00e9s dans les \u00e9tudes psychom\u00e9triques de r\u00e9f\u00e9rence, sans modification ni traduction, afin de pr\u00e9server la validit\u00e9 et la fid\u00e9lit\u00e9 de l&rsquo;instrument :\n  <\/div>\n<div class=\"wpt-scale-english-box\" style=\"direction:ltr; text-align:left; padding:20px 24px; font-family:-apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Helvetica, Arial, sans-serif; font-size:14.5px; color:#1e293b; line-height:1.7;\">\n<div class=\"wpt-scale-instructions\" style=\"background:#f1f5f9; border-left:4px solid #64748b; border-radius:0 8px 8px 0; padding:12px 16px; margin-bottom:16px; font-size:13.5px; color:#334155;\">\n      <strong style=\"color:#0f172a;\">Instructions \/ Directions:<\/strong> Please have the parent\/caregiver check the word that shows how often each of these things happens to their child. There are no right or wrong answers. Rate each item using the following scale: 0 = Never, 1 = Sometimes, 2 = Often, 3 = Always.\n    <\/div>\n<div class=\"wpt-scale-response-format\" style=\"background:#eff6ff; border-left:4px solid #3b82f6; border-radius:0 8px 8px 0; padding:12px 16px; margin-bottom:14px; font-size:13.5px; color:#1e40af;\">\n      <strong style=\"color:#1e3a8a;\">Response Scale:<\/strong> 4-point Likert scale: 0 = Never, 1 = Sometimes, 2 = Often, 3 = Always\n    <\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">1<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child worries about things<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">2<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child feels sad or empty<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">3<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">When my child has a problem, he\/she gets a funny feeling in his\/her stomach<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">4<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child worries when he\/she thinks he\/she has done poorly at something<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">5<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child feels afraid of being alone at home<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">6<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Nothing is much fun for my child anymore<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">7<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child feels scared when taking a test<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">8<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child worries when he\/she thinks someone is angry with him\/her<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">9<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child worries about being away from me<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">10<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child is bothered by bad or silly thoughts or pictures in his\/her mind<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">11<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child has trouble sleeping<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">12<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child worries about doing badly at schoolwork<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">13<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child worries that something awful will happen to someone in the family<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">14<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child suddenly feels as if he\/she can\u2019t breathe when there is no reason for this<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">15<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child has problems with his\/her appetite<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">16<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child has to keep checking that he\/she has done things right (like the switch is off, or the door is locked)<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">17<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child feels scared to sleep on his\/her own<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">18<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child has trouble going to school in the mornings because of feeling nervous or afraid<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">19<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child has no energy for things<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">20<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child worries about looking foolish<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">21<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child is tired a lot<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">22<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child worries that bad things will happen to him\/her<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">23<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child can\u2019t seem to get bad or silly thoughts out of his\/her head<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">24<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">When my child has a problem, his\/her heart beats really fast<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">25<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child cannot think clearly<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">26<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child suddenly starts to tremble or shake when there is no reason for this<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">27<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child worries that something bad will happen to him\/her<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">28<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">When my child has a problem, he\/she feels shaky<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">29<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child feels worthless<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">30<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child worries about making mistakes<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">31<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child has to think of special thoughts (like numbers or words) to stop bad things from happening<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">32<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child worries what other people think of him\/her<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">33<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child is afraid of being in crowded places (like shopping centers, the movies, buses, busy playgrounds)<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">34<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">All of a sudden my child will feel really scared for no reason at all<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">35<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child worries about what is going to happen<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">36<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child suddenly becomes dizzy or faint when there is no reason for this<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">37<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child thinks about death<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">38<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child feels afraid if he\/she has to talk in front of the class<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">39<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child\u2019s heart suddenly starts to beat too quickly for no reason<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">40<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child feels like he\/she doesn\u2019t want to move<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">41<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child worries that he\/she will suddenly get a scared feeling when there is nothing to be afraid of<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">42<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child has to do some things over and over again (like washing hands, cleaning, or putting things in a certain order)<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">43<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child feels afraid that he\/she will make a fool of him\/herself in front of people<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">44<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child has to do some things in just the right way to stop bad things from happening<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">45<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child worries when in bed at night<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">46<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child would feel scared if he\/she had to stay away from home overnight<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">47<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My child feels restless<\/div>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Revue psychom\u00e9trique compl\u00e8te de l&rsquo;\u00c9chelle r\u00e9vis\u00e9e d&rsquo;anxi\u00e9t\u00e9 et de d\u00e9pression pour enfants &#8211; Version parents (RCADS-Parent) : validit\u00e9 de construit, coh\u00e9rence interne, structure factorielle \u00e0 six dimensions et inventaire exhaustif des 47 items.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","categories":[26205,1672,2],"tags":[28516,14267,22193,28515,1257,16,28514,1233,1647,13333],"class_list":["post-18146","psych_scale","type-psych_scale","status-publish","hentry","category-evaluations-pedopsychiatriques","category-psychologie-clinique-de-lenfant","category-psychometrie","tag-angoisse-de-separation","tag-anxiete-infantile","tag-depression-adolescente","tag-evaluation-parents","tag-phobie-sociale","tag-psychometrie","tag-rcads-parent","tag-trouble-obsessionnel-compulsif","tag-trouble-panique","tag-troubles-internalises"],"_links":{"self":[{"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=\/wp\/v2\/psych_scale\/18146","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=\/wp\/v2\/psych_scale"}],"about":[{"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=\/wp\/v2\/types\/psych_scale"}],"author":[{"embeddable":true,"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=18146"}],"version-history":[{"count":1,"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=\/wp\/v2\/psych_scale\/18146\/revisions"}],"predecessor-version":[{"id":18147,"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=\/wp\/v2\/psych_scale\/18146\/revisions\/18147"}],"wp:attachment":[{"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18146"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=18146"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/french.arabpsychology.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=18146"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}