CHILD & ADOLESCENT SYMPTOM INVENTORY-4R
(Ages 5 to 18 Years)
By Kenneth D. Gadow, Ph.D. and Joyce Sprafkin, Ph.D.
The Child & Adolescent Symptom Inventory-4R (CASI-4R) is a behavior rating scale for DSM-IV-defined emotional and behavioral disorders in youths between 5 and 18 years old. It includes all of the items from both the previously published Child Symptom Inventory-4 (CSI-4) and the Adolescent Symptom Inventory-4 (ASI-4) in a single measure. The CASI-4R includes a functional impairment question for each disorder (i.e., the degree to which symptoms interfere with the youth’s social or academic functioning).
The CASI-4R Parent Checklist contains 142 items (8 pages), and the CASI-4R Teacher Checklist contains 105 items (7 pages). The CASI-4R can be scored to derive four different scores:
ü Symptom Count scores which are based on the number of symptoms necessary for a DSM-IV diagnosis.
ü Symptom Severity scores are based on a dimensional model and uses normative data to generate T scores.
ü Impairment scores indicate whether the youth is impaired by the symptoms of a particular disorder such as ADHD regardless of the youth’s Symptom Count score or Symptom Severity score.
ü Clinical Cutoff scores are a combination of the DSM-IV-referenced Symptom Count score and the Impairment score.
The CASI-4R can be easily adopted by qualified professionals who are already familiar with the CSI-4 or the ASI-4 but who prefer one measure that covers the wider age range.
IMPORTANT: Qualified professionals who are not familiar with the CSI-4 or the ASI-4 should consult the product information on the website about the CSI-4 and the ASI-4 before ordering the CASI-4R.
The CASI-4R assesses symptoms of the following disorders: ADHD, oppositional defiant disorder, conduct disorder, generalized anxiety disorder, social phobia, separation anxiety disorder, major depressive episode, manic episode, dysthymic disorder, schizophrenia, autistic/Asperger’s disorder, anorexia, and bulimia. One or two key symptoms of each of the following disorders are also included: obsessive-compulsive disorder, specific phobia, panic attack, motor tics, vocal tics, and substance use.
The CASI-4R is an amalgam of the CSI-4 and the ASI-4 symptom rating scales, and therefore scoring procedures are highly similar to those for the CSI-4 (children 5 to 12 years in elementary school) and the ASI-4 (youths 12 to 18 year olds in middle or secondary schools).
The CASI-4R uses the same normative data as the CSI-4 and ASI-4 as the bases for T scores. For this reason, there are a few symptom categories for which there are no T scores for a particular age group. For children 5 to 12 years old, there are currently no normative data for the following symptom categories: manic episode, anorexia, bulimia, or substance use. For youths 12 to 18 years old, there are no normative data or T scores for autistic disorder or Asperger’s disorder (pervasive developmental disorders).
IMPORTANT: There are currently no Scoring Software for the CASI-4R, and there is currently no computer-presented version of the CASI-4R.
CSI-4 and ASI-4 scores generally show a reasonable degree of correspondence with psychiatric diagnoses (predictive validity) and correlate well with other commonly used dimensional scales (concurrent validity). An extensive Annotated Bibliography of research studies that used at least one Checkmate Plus measure can be accessed on the checkmateplus.com website by clicking the “Bibliography of Research” button on the Home page.
ü The Quick Guide to Using the Child & Adolescent Symptom Inventory-4R (CASI-4R) can be accessed on the checkmateplus.com website by clicking the “Scoring Procedures” button on the Home page. The Quick Guide describes how to score the CASI-4R; however, we recommend that you read either the CSI-4 Screening and Norms Manual or the ASI-4 Screening and Norms Manual for a more detailed description of the development, research, and applications of the Symptom Inventories.
ü The 2002 Child Symptom Inventory 4 Screening and Norms Manual is a 179-page book that reviews DSM-IV diagnostic criteria and describes the development, research, scoring guidelines, normative data, and clinical applications for Symptom Count and Symptom Severity scores. Parallel information for the ASI-4 is provided in the 2008 Adolescent Symptom Inventory 4 Screening and Norms Manual.
ü The CASI-4R Parent Checklist and the CASI-4R Teacher Checklist are sold separately in packages of 50 checklists. CASI-4R Symptom Count Score Sheets (25 for children and 25 for adolescents) are included.
ü CASI-4R Symptom Severity Profile score sheets can be purchased for the CASI-4R Parent Checklist and the CASI-4R Teacher Checklist. T scores and raw scores are presented separately on the CASI-4R Symptom Severity Profile score sheets by age group (child/adolescent), gender, and informant (parent/teacher). The norms and T scores for the CASI-4R are based on previously-published data for the CSI-4 and ASI-4. Information about the normative samples for the CSI-4 and ASI- 4 can be found on the Products page of the checkmateplus.com website.
The CASI-4R Deluxe Kit contains the following: 25 CASI-4R Parent Checklists, 25 CASI-4R Teacher Checklists, 25 CASI-4R Symptom Count Score Sheets for Children, 25 CASI-4R Symptom Count Score Sheets for Adolescents, 50 CASI-4R Symptom Severity Profiles (T scores) for the CASI-4R Parent Checklist (25 for children and 25 for adolescents), 50 CASI-4R Symptom Severity Profiles (T scores) for the CASI-4R Teacher Checklist (25 for children and 25 for adolescents), and both the Child Symptom Inventory-4 Screening and Norms Manual and the Adolescent Symptom Inventory-4 Screening and Norms Manual.
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Revised: January 23, 2016