Child Illness Attitude Assessment Test

In about 8 minutes, it clarifies how parents and relatives are coping with a child’s illness, from anxiety to sense of control. It helps clinicians spot support needs fast and guide focused family care.
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08:30
October 2, 2025
October 2, 2025
Material has been updated
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Verified by Daniel Hall
Psychologist with 25 years of experience
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How the Scales are Structured

example score
8/30
Activity Restriction Control (ARC)
Measures the extent to which parents attempt to restrict and manage the child’s activity during illness.
Low restriction
Balanced control
High restriction
-30-1Low restriction015Balanced control1630High restriction
A score of 8 suggests a balanced tendency to set activity limits during the illness without imposing maximal restrictions.
example score
0/30
Nosognosia (N)
Measures how accurately a parent perceives and understands the severity of the child’s illness, from underestimation to exaggeration.
Underestimates severity
Balanced perception
Overestimates severity
-30-1Underestimates severity0Balanced perception130Overestimates severity
A score of 0 suggests a balanced perception of the child’s illness severity without clear under- or overestimation.
example score
-17/30
Anxiety (A)
This scale measures the degree of anxious reaction and worry a family member experiences in response to a child's illness.
Anxiety denied / suppressed
Relatively neutral
Pronounced anxiety
-30-1Anxiety denied / suppressed0Relatively neutral130Pronounced anxiety
A score of -17 falls in the anxiety denied/suppressed range, suggesting the person reports little worry about the child's illness, which may reflect a neutral stance or reduced awareness of anxious feelings.
example score
-28/30
Internality (I)
Internality reflects whether parents perceive control over the child’s illness as mainly their own responsibility (internal) or as determined by external factors (external).
Internal control
Mixed/neutral control
External control
-30-1Internal control0Mixed/neutral control130External control
A score of -28 falls in the Internal control range, indicating the parent tends to feel personally responsible and able to influence the situation rather than viewing it as outside their control.
example score
-6/30
General Tension (GT)
Measures the overall level of psychological tension in the family related to the child’s illness across the whole questionnaire.
Lower tension
Elevated tension
-30-1Lower tension030Elevated tension
A score of -6 falls in the Lower tension range, suggesting the situation is currently experienced with comparatively less overall strain.
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DATA-BASED USER COHORTS

Who Usually Takes This Test?

Parents of ill children
46%OF USERS
Mothers and fathers use it to understand their stress, sense of control, and how the diagnosis is affecting family life.
Clinical psychologists and counselors
32%OF USERS
Specialists administer it to quickly assess family attitudes toward a child’s illness and plan targeted psychological support.
Close relatives caregivers
22%OF USERS
Grandparents or other involved relatives take it to clarify their worries, involvement, and role in supporting the child and parents.
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
RESULTS YOU CAN ACTUALLY USE

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Interpretation
You’ll receive a structured, clinically-grounded explanation. Our AI analyzes patterns and relationships between scales to provide a coherent interpretation, without exaggerated language.
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Once you complete the test, your results are compared with real-world data from people in your country.
Below is a preview of how scores are typically distributed across each scale.
Activity Control (AC)
Average
12.3
Normal range
3.521
min.
-30
max.
30
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Noosognosia (N)
Average
-8.4
Normal range
-19.22.5
min.
-30
max.
30
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Anxiety (A)
Average
10.2
Normal range
1.918.6
min.
-30
max.
30
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
Internality (I)
Average
-13.9
Normal range
-24.4-3.4
min.
-30
max.
30
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
General Tension Scale (GTS)
Average
-0.2
Normal range
-7.87.4
min.
-30
max.
30
Majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.
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CLEAR ANSWERS TO COMMON QUESTIONS

Frequently Asked Questions

What does this questionnaire measure?
It measures attitudes and emotional responses to a child’s illness within the family. It summarizes key areas such as perceived control, anxiety, illness understanding, activity management, and overall family tension.
Who should complete the questionnaire?
It is intended for parents and close relatives who are involved in the child’s care or daily life. It may also be used with other adult caregivers when they play a primary support role.
How long does it take and how many items are included?
Completion time is about 8 minutes. The questionnaire includes 40 items.
How should responses be selected?
Select the response that best matches current thoughts and feelings about the child’s illness. Answer all items based on typical reactions rather than isolated events.
How are results used in practice?
Results help identify patterns in how the family relates to the illness and where support may be needed. They can guide clinical discussion and the selection of psychological support strategies.
WHAT THE TEST MEASURES
About This Assessment
Methodology for Diagnosing Attitudes Toward a Child's Illness, DOBR Test

Child Illness Attitude Assessment Test - Symptoms and Signs

This instrument assesses caregivers’ attitudes and emotional responses to a child’s illness in order to inform clinical formulation and supportive intervention planning. The Child Illness Attitude Assessment is completed as a self-report questionnaire and is designed for use in clinical, counseling, or research contexts.

It contains 40 items and typically requires about 8 minutes to complete. Content coverage commonly includes appraisals of controllability or responsibility, illness-related worry, perceived understanding of the condition, activity regulation within the family, and overall strain associated with the child’s health status. The Child Illness Attitude Assessment has been attributed to S. Rachman and G. C. L. Davey and is interpreted using standardized scoring procedures consistent with the measure’s documentation.

Author: G. C. L. Davey, S. Rachman
Literature: Kazak, A. E., Rourke, M. T., & Navsaria, N. V. Families and other systems in pediatric psychology. In M. C. Roberts (Ed.), Handbook of pediatric psychology. Guilford Press. 2014.
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