Structure, reliability, and validity of the revised child anxiety and depression scale (RCADS) in a multi-ethnic urban sample of Dutch children
Open accessAbstract
BACKGROUND: Although anxiety and, to a lesser extent, depression are highly prevalent in children, these problems are, difficult to identify. The Revised Anxiety and Depression Scale (RCADS) assesses self-reported symptoms of anxiety and depression in youth. METHODS: The present study examined the factor structure, internal consistency, short-term stability, and validity including sensitivity to change of the RCADS in a multi-ethnic urban sample of 3636 Dutch children aged 8 to 13 years old. RESULTS: Results indicate that the RCADS is a reliable and valid instrument. The original 6-factor structure was replicated to a fair extent in the present study (RMSEA = 0.048) and internal consistency was good (αs = 0.70-0.96). ICCs for short-term stability were 0.76 to 0.86. Girls and children who indicated wishing to participate in a program targeting anxiety and depression had higher RCADS scores. Sensitivity to change analyses showed that the RCADS can detect changes in anxiety and depression symptoms in children who participated in a preventive intervention. The study showed low agreement between teacher and self-reported internalizing problems, even for children scoring above the 90(th) percentile of the RCADS, indicating a high level of problems, emphasizing the need to also take child reports into account when screening for anxiety and depression in children. CONCLUSION: This study shows that the RCADS can yield reliable data on a diversity of anxiety disorders and depression in urban children aged 8-13 from very diverse ethnic backgrounds. TRIAL REGISTRATION: Netherlands Trial Register: NTR2397 . Registered 30 June 2010.
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The RCADS has shown adequate factorial reliability and convergent validity in prior work among youth.
“The RCADS has shown adequate factorial reliability and convergent validity in prior work among youth (Chorpita et al., 2005; Kosters et al., 2015).”
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- Authors
- Kösters, M. P., Chinapaw, M. J. M., Zwaanswijk, M., van der Wal, M. F., & Koot, H. M.
- Affiliations
- GGD Amsterdam (NL)
- Amsterdam Public Health (NL)
- Netherlands Institute for Health Services Research (NL)
- Corresponding author
- Kösters, Mia P.
- Venue
- BMC Psychiatry
- Published
- 2015-06-23
- Volume
- 15
- Issue
- 1
- Pages
- 132-132
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC4477605
- OpenAlex
- W2106374600
- Cited by
- 107
- References
- 33
- Citations by year
- 2026: 7 · 2025: 12 · 2024: 10 · 2023: 11 · 2022: 20 · 2021: 13 · 2020: 6 · 2019: 9 · 2018: 5 · 2017: 9 · 2016: 3 · 2015: 2
- FWCI
- 7.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- VU Research Portal (publishedVersion, other-oa)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- ZonMw (50-50405-98-142)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- Revised Child Anxiety and Depression Scale, childhood anxiety, childhood depression, internalizing problems, psychometric validation, factor structure, reliability statistics, sensitivity to change, preventive interventions, ethnic diversity, urban children, self-report screening
- MeSH terms
- Adolescent, Anxiety, Child, Depression, Ethnicity, Female, Humans, Male, Netherlands, Psychiatric Status Rating Scales, Psychometrics, Urban Population, Reproducibility of Results
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