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Child & Youth Mental Health Algorithm - GPSC

Child & Youth Mental Health Algorithm - GPSC

Kutcher Generalized

Kutcher Generalized Social Anxiety Disorder Scale for Adolescents(K-GSADS-A)Section A: Fear and AvoidanceScoring: 0 = Never; 1 = Mild; 2 = Moderate; 3 = Severe/Total AvoidanceItem1 Initiating conversation with a member of the opposite sex23Attending a party or other social gathering with people you don'tknow very wellSpeaking up, answering questions in class/participating in classdiscussions4 Presenting in front of a small group or in a classroom settingAttending overnight group activities such as camps, school trips,5etc.6 Speaking to a store clerk, bank teller, etc.7 Asking a stranger for directions8 Changing in a common locker room9 Showering in a common shower room101112Using a public toilet facility or urinating in public (score whatever isgreater)Telephoning to ask for information or to speak to someone you don'tknow very well (score whatever is greater)Entering a classroom or social group once the class or activity isalready underway13 Initiating conversation with strangers14Speaking with authority figures: i.e. teachers, counselor, principal,police officers, clergy, physician, etc.15 Eating in public16 Going to a party alone17 Asking someone for a date18 Writing your name in publicDiscomfort,Anxiety,Distress(0-3)Avoidance(0-3)Copyright © 1999 Stan Kutcher – Version 4

Section B: Fear/Avoidance - Seminal ItemsWhat are your three most feared social situations and how strong is the fear/avoidance of eachScoring: 0 = Never; 1 = Mild; 2 = Moderate; 3 = Severe/Total AvoidanceFearAvoidance (0-3)123Section C: Distress QuotientIn general, how strongly do these items occur to you in most social situations?Scoring: 0 = Never; 1 = Mild; 2 = Moderate; 3 = Severe/Total AvoidanceItem Score (0 - 3)1 Feeling embarrassed or humiliated2 Feeling 'centered out', scrutinized by others3 Feeling judged or critically evaluated by others4 Wanting to leave the social situation5 Anxious anticipation of social situation6 Experiences a panic attack7 Blushes8 Sweats or hot/cold flashes9 Urination urges10 Gastrointestinal distress11 Trembling or shakingSubscale scores and Total Score:SS1: Fear and Anxiety Score (Items A 1-18, anxiety column)SS2: Avoidance Score (Items A 1-18, avoidance column)SS3: Affective Distress Score (Items C 1-5)SS4: Somatic Distress Score (Items C 6-11)Total K-GSADS-A Score (SS1 + SS2 + SS3 + SS4)Interpretation of scores: There are no validated diagnostic categories associated with particular rangesof scores. All scores should be assessed relative to an individual patient's baseline score (higher scoresindicating worsening social phobia, lower scores suggesting possible improvement).Copyright © 1999 Stan Kutcher – Version 4

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