Grothus Susanne, Sommer Ariane, Claus Benedikt B, Stahlschmidt Lorin, Höfel Lea, Chorpita Bruce F, Wager Julia
German Paediatric Pain Centre, Children's and Adolescents' Hospital, Datteln, Germany.
Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, Witten, Germany.
Int J Methods Psychiatr Res. 2025 Jun;34(2):e70022. doi: 10.1002/mpr.70022.
This study assesses the reliability and validity of two short forms of the German Revised Children's Anxiety and Depression Scale (RCADS 11- and 25-item versions) and provides normative data.
Data were collected from a representative sample of N = 1562 German schoolchildren and N = 757 pediatric chronic pain patients (ages 8-17).
Cronbach's α demonstrated acceptable to good internal consistency for the total score as well as the depression and anxiety scales. Confirmatory factor analysis (CFA) demonstrated acceptable to good model fit for both a 2-factor structure (RCADS-11) and a higher-order structure (RCADS-25). Multi-group CFAs demonstrated similar model structures across the school and pediatric chronic pain samples. Convergent validity was supported by moderate to high negative correlations with health-related quality of life and a high positive correlation with functional impairment. Girls-and to some extent, adolescents - scored significantly higher on anxiety and depression scales. The short versions demonstrated excellent agreement with the original 47-item RCADS (0.78 ≤ Cohen's κ ≤ 1.0). German normative data are provided.
The short versions of the German RCADS are reliable and valid instruments for assessing anxiety and depressive symptoms in children and adolescents.
本研究评估了德国修订版儿童焦虑抑郁量表的两种简短形式（11项和25项版本）的信度和效度，并提供了常模数据。
从1562名德国学童和757名儿科慢性疼痛患者（8至17岁）的代表性样本中收集数据。
克朗巴哈系数（Cronbach's α）表明，总分以及抑郁和焦虑量表的内部一致性可接受至良好。验证性因素分析（CFA）表明，二因素结构（RCADS - 11）和高阶结构（RCADS - 25）的模型拟合度均可接受至良好。多组CFA表明，学校样本和儿科慢性疼痛样本的模型结构相似。与健康相关生活质量的中度至高度负相关以及与功能损害的高度正相关支持了收敛效度。女孩以及在一定程度上青少年在焦虑和抑郁量表上的得分显著更高。简短版本与原始的47项RCADS表现出极好的一致性（0.78≤科恩kappa系数≤1.0）。提供了德国常模数据。
德国RCADS的简短版本是评估儿童和青少年焦虑和抑郁症状的可靠且有效的工具。
