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Chapter 1: Introduction
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Chapter 2: Administration
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Chapter 3: Scoring and Reports
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Chapter 4: Interpretation
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Chapter 5: Case Studies
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Chapter 6: Development
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Chapter 7: Standardization
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Chapter 8: Reliability
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Chapter 9: Validity
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Chapter 10: Fairness
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Chapter 11: Conners 4–Short
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Chapter 12: Conners 4–ADHD Index
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Appendices
Conners 4 ManualChapter 5: Case Studies, Tables |
| Click to expand |
Table 5.1 Conners 4 Results: Case Study #1–“Manny” (Normative Sample–Combined Gender)
|
Scale |
Parent 1 (Mother) |
Parent 2 (Grandmother) |
Teacher |
||
|
Response Style Analysis |
Negative Impression Index |
Raw Score Negative or Exaggerated Response Style Indicated? |
0 Not indicated |
0 Not indicated |
3 Not Indicated |
|
Inconsistency Index |
Raw Score Inconsistent Response |
0 Not indicated |
0 Not indicated |
3 Not Indicated |
|
|
Omitted Items |
Number of Omitted Items Flagged for Consideration? |
0 No flag |
0 No flag |
0 No flag |
|
|
Pace |
Avg. # of Items/Minute Unusual Pace Indicated? |
12.1 Typical pace |
— |
13.5 Typical pace |
|
|
Sleep Problems Indicator |
Flagged? |
|
|
|
|
|
Content Scales |
Inattention/Executive Dysfunction |
T-score (90% CI) Guideline Within-Profile Comparisons |
71 (68–74) Very Elevated Higher |
69 (66–72) Elevated Higher |
71 (69–73) Very Elevated Higher |
|
Hyperactivity |
T-score (90% CI) Guideline Within-Profile Comparisons |
72 (68–76) Very Elevated Higher |
67 (63–71) Elevated Higher |
76 (73–79) Very Elevated Higher |
|
|
Impulsivity |
T-score (90% CI) Guideline Within-Profile Comparisons |
65 (60–70) Elevated Not Significant |
63 (58–68) Slightly Elevated Not Significant |
74 (71–77) Very Elevated Higher |
|
|
Emotional |
T-score (90% CI) Guideline Within-Profile Comparisons |
50 (46–54) Average Lower |
48 (44–52) Average Lower |
49 (46–52) Average Lower |
|
|
Depressed Mood |
T-score (90% CI) Guideline |
43 (38–48) Average |
43 (38–48) Average |
43 (38–48) Average |
|
|
Anxious Thoughts |
T-score (90% CI) Guideline |
43 (37–49) Average |
43 (37–49) Average |
44 (40–48) Average |
|
|
Impairment & Functional
|
Schoolwork |
T-score (90% CI) Guideline Within-Profile Comparisons |
59 (54–64) Average Not Significant |
59 (54–64) Average Not Significant |
68 (64–72) Elevated Not Significant |
|
Peer Interactions |
T-score (90% CI) Guideline Within-Profile Comparisons |
57 (51–63) Average Not Significant |
57 (51–63) Average Not Significant |
73 (69–77) Very Elevated Not Significant |
|
|
Family Life |
T-score (90% CI) Guideline Within-Profile Comparisons |
59 (55–63) Average Not Significant |
56 (52–60) Average Not Significant |
— |
|
|
DSM Symptom Scales |
ADHD Inattentive Symptoms |
T-score (90% CI) Guideline Symptom Count |
74 (70–78) Very Elevated 8/9 |
70 (66–74) Very Elevated 7/9 |
73 (70–76) Very Elevated 9/9 |
|
ADHD Hyperactive/ |
T-score (90% CI) Guideline Symptom Count |
71 (67–75) Very Elevated 6/9 |
68 (64–72) Elevated 6/9 |
75 (72–78) Very Elevated 9/9 |
|
|
Total ADHD Symptoms |
T-score (90% CI) Guideline |
73 (69–77) Very Elevated |
69 (65–73) Elevated |
75 (72–78) Very Elevated |
|
|
Oppositional Defiant Disorder Symptoms |
T-score (90% CI) Guideline Symptom Count |
43 (39–47) Average 0/8 |
43 (39–47) Average 0/8 |
50 (47–53) Average 0/8 |
|
|
Conners 4–ADHD Index |
Probability Score Guideline |
99% Very High |
99% Very High |
94% Very High |
|
Note. Because the clinician disabled the Self-Harm Critical Items and
DSM Conduct Disorder Symptoms scale, the results for these
components are excluded from the table. Because the grandmother completed the paper form,
Pace was not available. 
=
follow up is recommended.
| Click to expand |
Table 5.2. Conners 4 Results: Case Study #1–“Manny” (ADHD Reference Sample Gender Specific–Males)
|
Scale |
Parent 1 (Mother) |
Parent 2 |
Teacher |
||
|
Content Scales |
Inattention/Executive Dysfunction |
T-score (90% CI) Guideline |
49 (45–53) Average |
47 (43–51) Average |
60 (57–63) Slightly Elevated |
|
Hyperactivity |
T-score (90% CI) Guideline |
52 (48–56) Average |
46 (42–50) Average |
63 (60–66) Slightly Elevated |
|
|
Impulsivity |
T-score (90% CI) Guideline |
46 (41–51) Average |
45 (40–50) Average |
62 (58–66) Slightly Elevated |
|
|
Emotional Dysregulation |
T-score (90% CI) Guideline |
37 (33–41) Low |
36 (32–40) Low |
42 (40–44) Average |
|
|
Depressed Mood |
T-score (90% CI) Guideline |
40 (35–45) Average |
40 (35–45) Average |
41 (35–47) Average |
|
|
Anxious Thoughts |
T-score (90% CI) Guideline |
39 (34–44) Low |
39 (34–44) Low |
42 (37–47) Average |
|
|
Impairment & |
Schoolwork |
T-score (90% CI) Guideline |
50 (44–56) Average |
50 (45–55) Average |
59 (54–64) Average |
|
Peer Interactions |
T-score (90% CI) Guideline |
41 (37–45) Average |
41 (37–45) Average |
58 (54–62) Average |
|
|
Family Life |
T-score (90% CI) Guideline |
43 (39–47) Average |
41 (37–45) Average |
— |
|
|
DSM Symptom |
ADHD Inattentive Symptoms |
T-score (90% CI) Guideline |
54 (49–59) Average |
50 (45–55) Average |
60 (56–64) Slightly Elevated |
|
ADHD Hyperactive/Impulsive Symptoms |
T-score (90% CI) Guideline |
50 (46–54) Average |
46 (42–50) Average |
60 (57–63) Slightly Elevated |
|
|
Total ADHD Symptoms |
T-score (90% CI) Guideline |
53 (48–58) Average |
49 (44–54) Average |
61 (57–65) Slightly Elevated |
|
|
Oppositional Defiant Disorder Symptoms |
T-score (90% CI) Guideline |
34 (30–38) Low |
34 (30–38) Low |
43 (40–46) Average |
|
Note. This is a clinician-created table based on the Conners 4 Multi-Rater report.
| Click to expand |
Table 5.3 Conners 4 Results: Case Study #2–“Emma”
|
Scale |
Parent (Mother) |
Teacher 1 (Art) |
Teacher 2 (Math) |
Self-Report |
||
|
Response Style Analysis |
Negative Impression Index |
Raw Score Negative or Exaggerated Response Style Indicated? |
2 Not indicated |
0 Not indicated |
0 Not indicated |
2 Not indicated |
|
Inconsistency Index |
Raw Score Inconsistent Response Style Indicated? |
2 Not indicated |
2 Not indicated |
0 Not indicated |
4 Not indicated |
|
|
Omitted Items |
Number of Omitted Items Flagged for Consideration? |
0 No flag |
0 No flag |
0 No flag |
0 No flag |
|
|
Pace |
Avg. # of Items/Minute Unusual Pace Indicated? |
7.4 Typical pace |
12.1 Typical pace |
15.3 Typical pace |
9.2 Typical pace |
|
|
Critical & Indicator Items |
Severe Conduct Critical Items |
Flagged? |
No |
No |
No |
No |
|
Self-Harm Critical Items |
Flagged? |
No |
No |
No |
|
|
|
Sleep Problems Indicator |
Flagged? |
|
|
|
|
|
|
Content Scales |
Inattention/ Executive Dysfunction |
T-score (90% CI) Guideline Within-Profile Comparisons |
60 (57–63) Slightly Elevated Higher |
61 (59-63) Slightly Elevated Higher |
61 (59-63) Slightly Elevated Higher |
61 (58-64) Slightly Elevated Higher |
|
Hyperactivity |
T-score (90% CI) Guideline Within-Profile Comparisons |
43 (39–47) Average Lower |
40 (37-43) Average Lower |
44 (41-47) Average Lower |
39 (34-44) Low Lower |
|
|
Impulsivity |
T-score (90% CI) Guideline Within-Profile Comparisons |
44 (40–48) Average Lower |
40 (36-44) Average Lower |
42 (38-46) Average Lower |
39 (34-44) Low Lower |
|
|
Emotional Dysregulation |
T-score (90% CI) Guideline Within-Profile Comparisons |
62 (58–66) Slightly Elevated Higher |
45 (42-48) Average Not Significant |
52 (49-55) Average Not Significant |
64 (59-69) Slightly Elevated Higher |
|
|
Depressed Mood |
T-score (90% CI) Guideline |
72 (68–76) Very Elevated |
50 (45-55) Average |
57 (52-62) Average |
74 (69-79) Very Elevated |
|
|
Anxious Thoughts |
T-score (90% CI) Guideline |
66 (61–71) Elevated |
47 (42-52) Average |
47 (42-52) Average |
63 (59-67) Slightly Elevated |
|
|
Impairment & Functional Outcome Scales |
Schoolwork |
T-score (90% CI) Guideline Within-Profile Comparisons |
61 (56–66) Slightly Elevated Higher |
60 (56-64) Average Higher |
60 (56-64) Slightly Elevated Higher |
64 (58-70) Slightly Elevated Higher |
|
Peer Interactions |
T-score (90% CI) Guideline Within-Profile Comparisons |
48 (44–52) Average Lower |
44 (38-50) Average Lower |
46 (40-52) Average Lower |
45 (38-42) Average Lower |
|
|
Family Life |
T-score (90% CI) Guideline Within-Profile Comparisons |
59 (55–63) Average Not Significant |
— |
— |
58 (53-63) Average Not Significant |
|
|
DSM Symptom Scales |
ADHD Inattentive Symptoms |
T-score (90% CI) Guideline Symptom Count |
63 (59–67) Slightly Elevated 5/9 |
61 (58-64) Slightly Elevated 4/9 |
61 (58-64) Slightly Elevated 4/9 |
61 (57-65) Slightly Elevated 4/9 |
|
ADHD Hyperactive/ Impulsive Symptoms |
T-score (90% CI) Guideline Symptom Count |
45 (41–49) Average 1/9 |
41 (38-44) Average 0/9 |
43 (40-46) Average 0/9 |
39 (34-44) Low 0/9 |
|
|
Total ADHD Symptoms |
T-score (90% CI) Guideline |
55 (51–59) Average |
51 (48-54) Average |
52 (49-55) Average |
50 (46-54) Average |
|
|
Oppositional Defiant Disorder Symptoms |
T-score (90% CI) Guideline Symptom Count |
51 (47–55) Average 1/8 |
43 (40-46) Average 0/8 |
43 (40-46) Average 0/8 |
49 (44-54) Average 2/8 |
|
|
Conduct Disorder Symptoms |
T-score (90% CI) Guideline Symptom Count |
48 (45–51) Average 0/15 |
48 (45-51) Average 0/15 |
51 (48-54) Average 0/15 |
46 (43-49) Average 0/15 |
|
|
Conners 4–ADHD Index |
Probability Score Guideline |
46% Borderline |
41% Borderline |
41% Borderline |
51% Borderline |
|
Note. This is a clinician-created table based on the Conners 4 Multi-Rater report; Principal Reference Sample = Normative
Sample–Combined Gender.
= Follow up is
recommended;
= Critical; immediate
follow-up is recommended.
| Click to expand |
Table 5.4 Conners 4–Short Results: Case Study #2–“Emma”
|
Scale |
Parent |
Teacher |
Self-Report |
||
|
Response Style Analysis |
Negative Impression |
Raw Score Negative or Exaggerated |
2 Not indicated |
0 Not indicated |
0 Not indicated |
|
Omitted Items |
Number of Omitted Items Flagged for Consideration? |
0 No flag |
0 No flag |
0 No flag |
|
|
Pace |
Avg. # of Items/Minute Unusual Pace Indicated? |
10.2 Typical pace |
15.4 Typical pace |
9.5 Typical pace |
|
|
Content Scales |
Inattention/Executive Dysfunction |
T-score (90% CI) Guideline |
67 (63–71) Elevated |
69 (65–73) Elevated |
61 (55–67) Slightly Elevated |
|
Hyperactivity |
T-score (90% CI) Guideline |
40 (34–46) Low |
41 (37–45) Average |
40 (34–46) Average |
|
|
Impulsivity |
T-score (90% CI) Guideline |
40 (35–45) Low |
41 (35–47) Average |
49 (42–56) Average |
|
|
Emotional Dysregulation |
T-score (90% CI) Guideline |
55 (50–60) Average |
43 (38–48) Average |
59 (52–66) Average |
|
|
Impairment & Functional Outcome Scales |
Schoolwork |
T-score (90% CI) Guideline |
72 (68–76) Very Elevated |
61 (57–65) Slightly Elevated |
68 (61–75) Elevated |
|
Peer Interactions |
T-score (90% CI) Guideline |
44 (39–49) Average |
43 (37–49) Average |
50 (43–57) Average |
|
|
Family Life |
T-score (90% CI) Guideline |
44 (40–48) Average |
— |
53 (47–59) Average |
|
|
Conners 4–ADHD Index |
Probability Score Guideline |
83% High |
78% High |
72% High |
|
Note. This is a clinician-created table based on the Conners 4 Multi-Rater report; Principal Reference Sample = Normative Sample–Combined Gender.
| Click to expand |
Table 5.5 Conners 4 Results: Case Study #3–“Asher”
|
Scale |
Parent (Mother) |
Parent (Father) |
Teacher |
Self-Report Short |
||
|
Response Style Analysis |
Negative Impression Index |
Raw Score Negative or Exaggerated |
Indicated |
2 Not indicated |
3 Not indicated |
0 Not indicated |
|
Inconsistency Index |
Raw Score Inconsistent Response Style Indicated? |
2 Not indicated |
0 Not indicated |
0 Not indicated |
— |
|
|
Omitted Items |
Number of Omitted Items Flagged for Consideration? |
0 No flag |
0 No flag |
0 No flag |
0 No flag |
|
|
Pace |
Avg. # of Items/Minute Unusual Pace Indicated? |
10.2 Typical pace |
8.3 Typical pace |
16.4 Typical pace |
12.2 Typical pace |
|
|
Critical & |
Severe Conduct Critical Items |
Flagged? |
No |
No |
No |
— |
|
Self-Harm Critical Items |
Flagged? |
No |
No |
No |
— |
|
|
Sleep Problems Indicator |
Flagged? |
No |
No |
No |
— |
|
|
Content Scales |
Inattention/ Executive |
T-score (90% CI) Guideline Within-Profile Comparisons |
72 (69–75) Very Elevated Lower |
70 (67–73) Very Elevated Lower |
71 (69–73) Very Elevated Lower |
55 (49–61) Average Not Significant |
|
Hyperactivity |
T-score (90% CI) Guideline Within-Profile Comparisons |
77 (73–81) Very Elevated Not Significant |
74 (70–78) Very Elevated Not Significant |
77 (73–81) Very Elevated Not Significant |
51 (45–57) Average Not Significant |
|
|
Impulsivity |
T-score (90% CI) Guideline Within-Profile Comparisons |
82 (77–87) Very Elevated Not Significant |
78 (73–83) Very Elevated Not Significant |
77 (73–81) Very Elevated Not Significant |
54 (47–61) Average Not Significant |
|
|
Emotional |
T-score (90% CI) Guideline Within-Profile Comparisons |
81 (77–85) Very Elevated Not Significant |
77 (73–81) Very Elevated Not Significant |
75 (72–78) Very Elevated Not Significant |
55 (47–61) Average Not Significant |
|
|
Depressed Mood |
T-score (90% CI) Guideline |
48 (43–53) Average |
48 (43–53) Average |
47 (42–52) Average |
— |
|
|
Anxious Thoughts |
T-score (90% CI) Guideline |
43 (38–48) Average |
43 (38–48) Average |
44 (39–49) Average |
— |
|
|
Impairment & Functional
|
Schoolwork |
T-score (90% CI) Guideline Within-Profile Comparisons |
77 (72–82) Very Elevated Not Significant |
71 (66–76) Very Elevated Not Significant |
66 (62–70) Elevated Not Significant |
49 (41–57) Average Not Significant |
|
Peer Interactions |
T-score (90% CI) Guideline Within-Profile Comparisons |
80 (75–85) Very Elevated Not Significant |
73 (68–78) Very Elevated Not Significant |
69 (65–73) Elevated Not Significant |
58 (51–65) Average Not Significant |
|
|
Family Life |
T-score (90% CI) Guideline Within-Profile Comparisons |
98 (94–102) Very Elevated Higher |
75 (71–79) Very Elevated Not Significant |
— |
54 (46–62) Average Not Significant |
|
|
DSM |
ADHD Inattentive Symptoms |
T-score (90% CI) Guideline Symptom Count |
76 (72–80) Very Elevated 9/9 |
73 (69–77) Very Elevated 8/9 |
72 (69–75) Very Elevated 8/9 |
— |
|
ADHD Hyperactive/ Impulsive
|
T-score (90% CI) Guideline Symptom Count |
84 (80–88) Very Elevated 9/9 |
78 (74–82) Very Elevated 9/9 |
77 (74–80) Very Elevated 9/9 |
— |
|
|
Total ADHD |
T-score (90% CI) Guideline |
82 (78–86) Very Elevated |
78 (74–82) Very Elevated |
76 (73–79) Very Elevated |
— |
|
|
Oppositional Defiant Disorder Symptoms |
T-score (90% CI) Guideline Symptom Count |
93 (89–97) Very Elevated 8/8 |
71 (67–75) Very Elevated 6/8 |
82 (79–85) Very Elevated 7/8 (79–85) |
— |
|
|
Conduct Disorder Symptoms |
T-score (90% CI) Guideline Symptom Count |
58 (55–61) Average 1/15 |
58 (55–61) Average 1/15 |
53 (49–57) Average 1/15 |
— |
|
|
Conners 4–ADHD Index |
Probability Score Guideline |
99% Very High |
99% Very High |
97% Very High |
52% Borderline |
|
Note. This is a clinician-created table based on the Conners 4 Multi-Rater report; Principal Reference Sample = Normative Sample–Combined Gender.
= Follow up is
recommended.