The purpose of this study was to identify items from the Revised Children’s Anxiety and Depression Scale – RCADS-C/P that provided a brief, reliable and valid screen for anxiety and/or depressive disorders in adolescents. In addition, we examined whether adding items assessing suicidal ideation (Moods and Feelings Questionnaire – MFQ- C/P) and symptom impact and duration (items adapted from the Strengths and Difficulties Questionnaire – SDQ) improved the identification of adolescents with anxiety and/or depressive disorders. We compared two samples of adolescents and their parents – a community sample, recruited through secondary schools in England (n = 214) and a clinic-referred sample, who met diagnostic criteria for anxiety and/or depressive disorder and were recruited through a university-based research clinic (n = 246). Participants completed the RCADS-C/P with additional symptom impact and duration items, and the MFQ-C/P. Using ROC curve analyses, we identified a set of 11 RCADS-C/P items (6 addressing anxiety and 5 depression symptoms) for adolescent- and parent-report. This set of 11 symptom items achieved sensitivity/specificity values > .75, which were comparable to corresponding values for the RCADS-47-C/P. Combining adolescent and parent-report improved the identification of anxiety/depression in adolescents compared to using adolescent-report alone. Finally, adding two symptom impact items further improved the sensitivity/specificity of the 11 symptom items, whereas adding suicidal ideation items did not. The 11 RCADS items accurately discriminated between the community and clinic-referred sample with anxiety and/or depressive disorders and have the potential to quickly and accurately identify adolescents with these disorders in community settings.

这项研究的目的是从修订的《儿童焦虑和抑郁量表》（RCADS-C / P）中识别出可以对青少年的焦虑和/或抑郁症进行简要，可靠和有效筛查的项目。此外，我们检查了添加评估自杀意念（情绪和情感问卷– MFQ-C / P）和症状影响和持续时间（项目从“长处和困难问卷” – SDQ改编的项目）是否可以改善对焦虑和/或青少年的识别抑郁症。我们比较了两个青少年及其父母的样本：一个社区样本，该样本是通过英格兰的中学（n = 214）招募的，另一个是临床参考样本，它们符合焦虑和/或抑郁症的诊断标准，并通过一所大学招募。基础研究诊所（n = 246）。参与者完成了RCADS-C / P，并添加了其他症状影响和持续时间项目，以及MFQ-C / P。使用ROC曲线分析，我们确定了一组11个RCADS-C / P项目（6个解决焦虑和5个抑郁症状），用于青少年和父母报告。这套11个症状项目的敏感性/特异性值> 0.75，与RCADS-47-C / P的相应值相当。与仅使用青春期报告相比，将青春期报告和家长报告相结合可以改善青少年对焦虑/抑郁的识别。最后，添加两个症状影响项进一步提高了11个症状项的敏感性/特异性，而添加自杀意念项却没有。