Version June 2024
| Depressive symptoms |
| Children's Depression Rating Scale - Revised |
| This clinician-administered rating scale is based upon a semi-structured interview with child/adolescent patient and parent informant. The scale is the most widely used and highly regarded clinician scale for monitoring response to treatment in children and adolescents. Modeled after the adult Hamilton Rating Scale for Depression, the CDRS was developed to assess current severity of depression in children ages 6 to 12 years and is often used for adolescents as well. The revised version of the CDRS examines 17 symptom areas (eg, depressed feelings, sleep disturbance, and social withdrawal) and can be administered in 15 to 20 minutes. The revised CDRS can be purchased at www.proedinc.com. |
| Patient Health Questionnaire - Nine Item: Modified for Teens |
| Self-report measure that consists of the 9 criteria that are used by the DSM-5 to diagnose major depression. The PHQ-9: Modified for Teens is derived from the PHQ-9, which is the most widely used instrument for measurement based care in adults. The PHQ-9: Modified for Teens requires approximately 5 minutes to complete and is in the public domain. |
| Short Mood and Feelings Questionnaire |
| Self-report measure that has a separate form that is completed by the child or adolescent and by the parent. Each form contains 13 items and requires approximately 5 minutes to complete. The Short Mood and Feelings Questionnaire is in the public domain and is based upon the longer Mood and Feelings Questionnaire. |
| Revised Hamilton Rating Scale for Depression |
| Clinician rating for adult depression that is used often with older adolescents. The revision retains the original Hamilton items, adds items, and includes a self-report version. The RHRSD takes 5 to 10 minutes to administer and is available for purchase at www.wpspublish.com. |
| Children's Depression Inventory-2 |
| Self-report measure designed for assessment of depressive symptoms in children/adolescents ages 7 to 17. CDI-2 is a revision of the CDI. Revision includes new items, revised scales, and updated norms. Assesses current severity of depressive symptoms. Parent and teacher versions of CDI are available. A self-rating short form takes about 5 to 10 minutes to complete. All versions are available through www.mhs.com. |
| Beck Depression Inventory II |
| Widely used self-report rating scale designed for use with adults and adolescents older than 13 years of age. The BDI-II takes 5 to 10 minutes to complete. It is available for purchase at www.harcourtassessment.com. |
| Reynolds Adolescent Depression Scale, Second Edition |
| Self-report measure designed for assessment of depressive symptoms in adolescents 11 to 20 years of age. The RADS-2 may be administered in 5 to 10 minutes and is available at www.parinc.com or www.wpspublish.com. |
| Center for Epidemiological Studies Depression Scale Modified for Children |
| Adapted version of the adult Center for Epidemiological Studies Depression Scale. It is a 20-item scale designed for use with children/adolescents ages 6 to 17. The CES-DC takes approximately 5 minutes to complete and is available in the public domain. Scores greater than 15 suggest significant levels of depressive symptoms. It can be found at www.brightfutures.org/mentalhealth/pdf/tools.html (scroll to "Bridges" section and then will find under a "Mood Disorders" link). |
| Clinical Global Impression Scale |
| The CGI is a 3-item clinician rating scale used to assess treatment response (typically in research settings, often as an adjunct outcome measure). It is an unanchored measure (ie, there is no specific assessment). The ratings refer to the global impression of the patient and require substantial clinical experience with the syndrome under assessment. The 3 items are Severity of Illness, Global Improvement, and an Efficacy Index. Most use only the severity and improvement indices. |
| The Severity of Illness item (CGI-S) requires a seasoned clinician to rate the severity of the patient's illness on a 7-point scale from 1 ("normal," not ill) to 7 (extremely ill). |
| The Global Improvement item (CGI-I) requires a seasoned clinician (who has knowledge of the patient's history) to rate how much the patient's illness has improved or worsened relative to baseline status. The patient's illness is compared to baseline rated on a 7-point scale from 1 (very much improved) to 7 (very much worse). |
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