Brief Description
The DSM-5 Level 2—Anxiety—Parent/Guardian of Child Age 6–17 DSM-5 II Anx-P (GN) measure is a 10-item assessment designed to evaluate anxiety levels in children and adolescents as perceived by their parent/caregiver. The DSM-5 Cross-Cutting Symptom Measure, Parent/Guardian Report (DSM-5 Level 1 Parent/Guardian), which assesses a variety of mental health concerns in children and serves as a precursor to the DSM-5 II Anx-P (GN) is also available on Blueprint.
The DSM-5 II Anx-P (GN) is completed by a parent or guardian, reflecting on their child’s anxiety symptoms over the past week (e.g., “In the past SEVEN (7) DAYS, my child said that he/she felt like something awful might happen”). Response options range from “Almost Never” to “Almost Always.” The DSM-5 II Anx-P (GN) captures the severity and frequency of anxious behaviors and feelings. This tool is best used in clinical settings before a visit, to help clinicians understand the child’s emotional state and guide further discussion and intervention. When the measure is used to monitor changes in anxiety over time, it should be completed regularly, depending on the child's symptoms and treatment status, ideally by the same parent or guardian for consistency. Persistently high scores in any area may indicate significant concerns that require further assessment, treatment, and follow-up.
Assessment Administration Type
Parent/Caregiver Report
Number of questions
10
Age Range for Administration
Parent/guardian of child ages 6-17
Recommended Frequency of Administration
Weekly or as clinically indicated
Summary of Scoring and Interpretations
coring the DSM-5 Level 2 Anxiety measure involves summing the raw scores of each of the 10 items, with each item rated on a 5-point scale from 1 (“Almost never”) to 5 (“Almost always”). The total raw score, which ranges from 10 to 50, is then converted into a T-score using the following standardized table:
Score | T-Score |
10 | 34.4 |
11 | 39.4 |
12 | 42.3 |
13 | 44.6 |
14 | 46.5 |
15 | 48.2 |
16 | 49.7 |
17 | 51.1 |
18 | 52.4 |
19 | 53.6 |
20 | 54.8 |
21 | 55.9 |
22 | 57.1 |
23 | 58.2 |
24 | 59.3 |
25 | 60.4 |
26 | 61.5 |
27 | 62.6 |
28 | 63.7 |
29 | 64.8 |
30 | 65.8 |
31 | 66.9 |
32 | 67.9 |
33 | 68.9 |
34 | 70 |
35 | 71 |
36 | 72 |
37 | 73 |
38 | 73.9 |
39 | 74.9 |
40 | 75.9 |
41 | 76.9 |
42 | 77.9 |
43 | 79 |
44 | 80 |
45 | 81.2 |
46 | 82.4 |
47 | 83.6 |
48 | 85 |
49 | 86.6 |
50 | 88.8 |
T-scores are interpreted to determine the severity of the child’s anxiety as follows:
T-score | Interpretation |
<55 | None to slight anxiety |
55.0-59.9 | Mild anxiety |
60.0-69.9 | Moderate anxiety |
≥70 | Severe anxiety |
Blueprint Adjustments
Blueprint produces the total raw score. Please use the first table to convert the raw score to the T-score, which can be interpreted using the second table.
Clinical Considerations
Estimated time for completion: 2-4 minutes
The DSM-5 Cross-Cutting Symptom Measure, Parent/Guardian Report (DSM-5 Level 1 Parent/Guardian), which assesses a variety of mental health concerns in children and serves as a precursor to the DSM-5 II Anx-P (GN) is also available on Blueprint.
The parent’s responses provide a valuable perspective but should be balanced with input from the child and other caregivers or teachers.
It is important to remain mindful of cultural norms and parenting practices that might influence how symptoms are perceived or reported.
The DSM-5 Severity Measure for Generalized Anxiety Disorder, Child (DSM-5 GAD-C) and DSM-5 Level 2 Anxiety, Child 11-17 (DSM-5 II Anx-C), which assesses anxiety in youth ages 11-17, are also available on Blueprint.
Citation
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th Ed.). Arlington, VA: American Psychiatric Publishing.
Relevant Articles + Further Resources
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