Manual

CAARS 2 Manual

Chapter 5: Case Studies, Tables

print this section

Click to expand

Table 5.1. CAARS 2 Baseline Results: Case Study #2–“Maria” (Normative Sample–Combined Gender)

CAARS 2 Content Area Baseline
Feb 13
(Self-Report) 		Baseline
Feb 13
(Spouse)
Response Style Analysis Negative Impression Index Raw Score
Need to follow up 		0
Not indicated 		3
Not indicated
Inconsistency Index Raw Score
Need to follow up 		0
Not indicated 		2
Not indicated
Omitted Item(s) Number of Omitted Items
Need to follow up 		0
Not indicated 		0
Not indicated
Pace Avg. # of Items/Minute
Need to follow up 		12.1
Not indicated 		11.5
Not indicated
Associated Clinical Concern Items Critical Items
Suicidal thoughts/attempts; Self-Injury 		Flagged Items No flags No flags
Screening Items
Anxiety/worry; Sadness/Emptiness* 		Flagged Items No flags No flags
Content Scales Inattention/​Executive Dysfunction T-score (90% CI)
Guideline 		44 (41–47)
Not Elevated 		50 (47–53)
Not Elevated
Hyperactivity T-score (90% CI)
Guideline 		43 (38–48)
Not Elevated 		71 (67–75)
Very Elevated
Impulsivity T-score (90% CI)
Guideline 		45 (40–50)
Not Elevated 		60 (56–64)
Slightly Elevated
Emotional Dysregulation T-score (90% CI)
Guideline 		46 (41–51)
Not Elevated 		64 (60–68)
Slightly Elevated
Negative Self-Concept T-score (90% CI)
Guideline 		51 (46–56)
Not Elevated 		68 (62–74)
Elevated
DSM Symptom Scales ADHD Inattentive Symptoms T-score (90% CI)
Guideline
Symptom Count 		40 (36–44)
Not Elevated
0/9 		46 (42–50)
Not Elevated
0/9
ADHD Hyperactive/​Impulsive Symptoms T-score (90% CI)
Guideline
Symptom Count 		46 (41–51)
Not Elevated
1/9 		78 (74–82)
Very Elevated
7/9
Total ADHD Symptoms T-score (90% CI)
Guideline 		43 (38–48)
Not Elevated 		78 (74–82)
Very Elevated
CAARS 2–ADHD Index Probability Score
Guideline 		1%
Very Low 		13%
Low
Impairment & Functional Outcome Items Elevated Items Yes – Review items Yes – Review items
* The item stem for this Screening Item is Sadness/Emptiness for Self-Report and Sadness for Observer.
Click to expand

Table 5.2. CAARS 2–Short Midpoint and Final Results: Case Study #2–“Maria” (Normative Sample–Combined Gender)

CAARS 2 Content Area Midpoint
May 10
Self-Report 		Midpoint
May 7
Spouse 		Final
July 25
Self-Report 		Final
July 23
Spouse
Response Style Analysis Negative Impression Index Raw Score
Need to follow up 		1
Not indicated 		2
Not indicated 		0
Not indicated 		1
Not indicated
Omitted Item(s) Number of Omitted Items
Need to follow up 		0
Not indicated 		0
Not indicated 		0
Not indicated 		0
Not indicated
Pace Avg. # of Items/Minute
Need to follow up 		6.0
Not indicated 		5.7
Not indicated 		5.9
Not indicated 		6.2
Not indicated
Content Scales Inattention/
Executive Dysfunction 		T-score (90% CI)
Guideline 		57 (54–60)
Not Elevated 		48 (45–51)
Not Elevated 		55 (52–58)
Not Elevated 		51 (48–54)
Not Elevated
Hyperactivity T-score (90% CI)
Guideline 		72 (67–77)
Very Elevated 		71 (67–75)
Very Elevated 		62 (57–67)
Slightly Elevated 		60 (56–64)
Slightly Elevated
Impulsivity T-score (90% CI)
Guideline 		72 (67–77)
Very Elevated 		65 (61–69)
Elevated 		61 (56–66)
Slightly Elevated 		55 (51–59)
Not Elevated
Emotional Dysregulation T-score (90% CI)
Guideline 		53 (48–58)
Not Elevated 		57 (53–61)
Not Elevated 		53 (48–58)
Not Elevated 		55 (51–59)
Not Elevated
Negative Self-Concept T-score (90% CI)
Guideline 		67 (62–72)
Elevated 		70 (64–76)
Very Elevated 		64 (59–69)
Slightly Elevated 		60 (54–66)
Slightly Elevated
CAARS 2–ADHD Index Probability Score
Guideline 		43%
Borderline 		8%
Borderline 		30%
Low 		3%
Very Low
Note. Baseline results (initial evaluation data with full-length form) are available in Table 5.1. Midpoint = after psychotherapy but before medication, with CAARS 2–Short; Final = after a month of medication, with CAARS 2–Short.
Click to expand

Table 5.3. CAARS 2 Results: Case Study #3–“Barbara” (Normative Sample Gender Specific–Females)

CAARS 2 Content Area Observer –
Boyfriend 		Observer –
Daughter
Response Style Analysis Negative Impression Index Raw Score
Need to follow up 		3
Not indicated 		4
Not indicated
Inconsistency Index Raw Score
Need to follow up 		2
Not indicated 		3
Not indicated
Omitted Item(s) Number of Omitted Items
Need to follow up 		0
Not indicated 		0
Not indicated
Pace Avg. # of Items/Minute
Need to follow up 		12.7
Not indicated 		10.5
Not indicated
Associated Clinical Concern Items Critical Items
Suicidal thoughts/attempts; Self-Injury 		Flagged Items No flags No flags
Screening Items
Anxiety/worry; Sadness/Emptiness* 		Flagged Items No flags “occasional” sadness
Content Scales Inattention/ Executive Dysfunction T-score (90% CI)
Guideline 		75 (72–78)
Very Elevated 		87 (84–90)
Very Elevated
Hyperactivity T-score (90% CI)
Guideline 		45 (41–49)
Not Elevated 		58 (54–62)
Not Elevated
Impulsivity T-score (90% CI)
Guideline 		40 (35–45)
Not Elevated 		65 (60–70)
Elevated
Emotional Dysregulation T-score (90% CI)
Guideline 		45 (40–50)
Not Elevated 		51 (46–56)
Not Elevated
Negative Self-Concept T-score (90% CI)
Guideline 		45 (38–52)
Not Elevated 		52 (45–59)
Not Elevated
DSM Symptom Scales ADHD Inattentive Symptoms T-score (90% CI)
Guideline
Symptom Count 		73 (69–77)
Very Elevated
6/9 		82 (78–86)
Very Elevated
7/9
ADHD Hyperactive/Impulsive Symptoms T-score (90% CI)
Guideline
Symptom Count 		42 (38–46)
Not Elevated
0/9 		63 (59–67)
Slightly Elevated
4/9
Total ADHD Symptoms T-score (90% CI)
Guideline 		58 (54–62)
Not Elevated 		75 (71–79)
Very Elevated
CAARS 2–ADHD Index Probability Score
Guideline 		84%
High 		99%
Very high
Impairment & Functional Outcome Items Elevated Items Yes – Review items Yes – Review items
* The item stem for this Screening Item is Sadness/Emptiness for Self-Report and Sadness for Observer.
Click to expand

Table 5.4. CAARS 2 Results: Case Study #4–“David”(Normative Sample–Combined Gender)

CAARS 2 Content Area Self-Report Observer –
Mother 		Observer –
Father
Response Style Analysis Negative Impression Index Raw Score
Need to follow up 		1
Not indicated 		7
Indicated 		2
Not indicated
Inconsistency Index Raw Score
Need to follow up 		2
Not indicated 		1
Not indicated 		2
Not indicated
Omitted Item(s) Number of Omitted Items
Need to follow up 		0
Not indicated 		0
Not indicated 		0
Not indicated
Pace Avg. # of Items/Minute
Need to follow up 		9.3
Not indicated 		11.7
Not indicated 		10.4
Not indicated
Associated Clinical Concern Items Critical Items
Suicidal thoughts/attempts; Self-Injury 		Flagged Items No flags No flags No flags
Screening Items
Anxiety/worry; Sadness/Emptiness* 		Flagged Items No flags No flags No flags
Content Scales Inattention/ Executive Dysfunction T-score (90% CI)
Guideline 		58 (55–61)
Not Elevated 		72 (69–75)
Very Elevated 		61 (58–64)
Slightly Elevated
Hyperactivity T-score (90% CI)
Guideline 		50 (45–55)
Not Elevated 		61 (57–65)
Slightly Elevated 		49 (44–54)
Not Elevated
Impulsivity T-score (90% CI)
Guideline 		46 (57–67)
Not Elevated 		53 (56–66)
Not Elevated 		50 (44–54)
Not Elevated
Emotional Dysregulation T-score (90% CI)
Guideline 		40 (35–45)
Not Elevated 		49 (44–54)
Not Elevated 		39 (34–44)
Not Elevated
Negative Self-Concept T-score (90% CI)
Guideline 		44 (39–49)
Not Elevated 		59 (54–64)
Not Elevated 		45 (40–50)
Not Elevated
DSM Symptom Scales ADHD Inattentive Symptoms T-score (90% CI)
Guideline
Symptom Count 		55 (51–59)
Not Elevated
4/9 		71 (67–75)
Very Elevated
8/9 		60 (56–64)
Slightly Elevated
3/9
ADHD Hyperactive/Impulsive Symptoms T-score (90% CI)
Guideline
Symptom Count 		51 (46–56)
Not Elevated
2/9 		64 (59–69)
Slightly Elevated
1/9 		49 (44–54)
Not Elevated
0/9
Total ADHD Symptoms T-score (90% CI)
Guideline 		53 (48–58)
Not Elevated 		66 (61–71)
Elevated 		59 (55–65)
Not Elevated
CAARS 2–ADHD Index Probability Score
Guideline 		87%
High 		94%
Very high 		34%
Low
Impairment & Functional Outcome Items Elevated Items Yes – Review items Yes – Review items Yes – Review items
* The item stem for this Screening Item is Sadness/Emptiness for Self-Report and Sadness for Observer.
Click to expand

Table 5.5. CAARS 2 Results: Case Study #5–“Anthony” (Normative Sample–Combined Gender and ADHD Reference Sample–Combined Gender)

CAARS 2 Content Area Normative
Sample–Combined Gender 		ADHD Reference
Sample–Combined Gender
Response Style Analysis Negative Impression Index Raw Score
Need to follow up 		3
Not indicated
Inconsistency Index Raw Score
Need to follow up 		2
Not indicated
Omitted Item(s) Number of Omitted Items
Need to follow up 		0
Not indicated
Pace1 Avg. # of Items/Minute
Need to follow up 		—
(See Notes)
Associated Clinical Concern Items Critical Items
Suicidal thoughts/attempts; Self-Injury 		Flagged Items No flags
Screening Items
Anxiety/worry; Sadness/Emptiness* 		Flagged Items No flags
Content Scales Inattention/ Executive Dysfunction T-score (90% CI)
Guideline 		76 (73-79)
Very Elevated 		60 (57-63)4
Slightly Elevated
Hyperactivity T-score (90% CI)
Guideline 		81 (77-85)
Very Elevated 		65 (61-70)4
Elevated
Impulsivity T-score (90% CI)
Guideline 		86 (81-91)
Very Elevated 		70 (64-76)4
Very Elevated
Emotional Dysregulation T-score (90% CI)
Guideline 		75 (70-80)
Very Elevated 		65 (60-70)4
Elevated
Negative Self-Concept T-score (90% CI)
Guideline 		40 (36-44)
Not Elevated 		31 (27-35)4
Not Elevated
DSM Symptom Scales ADHD Inattentive Symptoms T-score (90% CI)
Guideline 		77 (70-78)
Very Elevated 		60 (55-65)4
Slightly Elevated
Symptom Count 9/92
ADHD Hyperactive/Impulsive Symptoms T-score (90% CI)
Guideline 		83 (78-88)
Very Elevated 		67 (62-72)4
Elevated
Symptom Count 9/92
Total ADHD Symptoms T-score (90% CI)
Guideline 		81 (76-86)
Very Elevated 		65 (60-70)4
Elevated
CAARS 2–ADHD Index3 Probability Score
Guideline 		99%
Very High
Impairment & Functional Outcome Items Elevated Items Yes – Review items
* The item stem for this Screening Item is Sadness/Emptiness for Self-Report and Sadness for Observer.

1 Pace was not calculated because the assessments were completed on paper.

2 Because Symptom Counts are criterion-based scores, rather than normative-based scores, they do not change with differing reference samples.

3 The ADHD Index scores are based on a combination of Normative and ADHD Reference Sample scores and therefore remain unchanged with different reference groups (see chapter 12, CAARS 2–ADHD Index, for details).

4 The clinician calculated the confidence intervals for the Additional Reference Sample using appendix C.
Click to expand

Table 5.6. CAARS 2 Results: Case Study #6–“Gloria” (Normative Sample–Combined Gender)

CAARS 2 Content Area Self-Report Observer –
Spouse
Response Style Analysis Negative Impression Index Raw Score
Need to follow up 		2
Not indicated 		3
Not indicated
Inconsistency Index Raw Score
Need to follow up 		4
Indicated 		2
Not indicated
Omitted Item(s) Number of Omitted Items
Need to follow up 		0
Not indicated 		0
Not indicated
Pace Avg. # of Items/Minute
Need to follow up 		10.2
Not indicated 		10.7
Not indicated
Associated Clinical Concern Items Critical Items
Suicidal thoughts/attempts; Self-Injury 		Flagged Items No flags No flags
Screening Items
Anxiety/worry; Sadness/Emptiness* 		Flagged Items “occasionally” for both No flags
Content Scales Inattention/ Executive Dysfunction T-score (90% CI)
Guideline 		66 (63–69)
Elevated 		67 (64–70)
Elevated
Hyperactivity T-score (90% CI)
Guideline 		42 (37–47)
Not Elevated 		44 (40–48)
Not Elevated
Impulsivity T-score (90% CI)
Guideline 		41 (36–46)
Not Elevated 		39 (39–49)
Not Elevated
Emotional Dysregulation T-score (90% CI)
Guideline 		40 (35–45)
Not Elevated 		43 (39–47)
Not Elevated
Negative Self-Concept T-score (90% CI)
Guideline 		59 (54–64)
Not Elevated 		44 (39–49)
Not Elevated
DSM Symptom Scales ADHD Inattentive Symptoms T-score (90% CI)
Guideline
Symptom Count 		66 (62–70)
Elevated
5/9 		67 (63–71)
Elevated
6/9
ADHD Hyperactive/Impulsive Symptoms T-score (90% CI)
Guideline
Symptom Count 		44 (39–49)
Not Elevated
1/9 		42 (38–46)
Not Elevated
0/9
Total ADHD Symptoms T-score (90% CI)
Guideline 		55 (50–60)
Not Elevated 		55 (51-59)
Not Elevated
CAARS 2–ADHD Index Probability Score
Guideline 		50%
Borderline 		78%
High
Impairment & Functional Outcome Items Elevated Items Yes – Review items Yes – Review items
* The item stem for this Screening Item is Sadness/Emptiness for Self-Report and Sadness for Observer.