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Child Illness Attitude Assessment

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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Questions: 408 minutes

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08:30

October 2, 2025

October 2, 2025
Material has been updated

October 2, 2025
Material has been published

12993 views

689 completions

582 likes

Scale Explorer

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 – -1: Low restriction | 0 – 15: Balanced control | 16 – 30: High 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 – -1: Underestimates severity | 0: Balanced perception | 1 – 30: Overestimates 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 – -1: Anxiety denied / suppressed | 0: Relatively neutral | 1 – 30: Pronounced 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 – -1: Internal control | 0: Mixed/neutral control | 1 – 30: External 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 – -1: Lower tension | 0 – 30: Elevated 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

What You’ll See After You Finish the Test

Scale Results
— Explained Clearly

Your scores across each test scale, translated into plain, usable insights. Not just numbers, but what they actually mean for your daily life, emotional state, and overall well-being.

AI-Powered
Interpretation

A structured, clinically grounded explanation. Our AI analyzes patterns and relationships between scales to provide a coherent interpretation — without alarmist language.

Statistical
Comparison

See how you compare to others. Your scores are placed in a statistical context, showing percentiles and trends based on anonymized platform data to help you understand what`s typical.

Practical
Recommendations

Actionable guidance tailored to your profile. Receive clear, realistic suggestions you can apply immediately — focused on coping, self-regulation, and realistic next steps.

AI-Detected
Insights

Key patterns you might not notice on your own. Surfacing subtle connections in your responses that help you better understand what may be driving your current results.

Discuss with
an AI Psychologist

Clarify, reflect, and explore right away. Talk through your outcomes, ask questions, and explore meanings in a calm, non-diagnostic dialogue environment.

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Used in 52+ countries

Benchmarking

See How You Compare

Once you finish the test, your results will be compared with real-world data from people in your country.
Below is a preview of the benchmarks we use to place your score in context.

Activity Control (AC)

Average

12.3

Normal range

3.5 — 21

min.

-30

max.

majority

This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.

Noosognosia (N)

Average

-8.4

Normal range

-19.2 — 2.5

min.

-30

max.

majority

This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.

Anxiety (A)

Average

10.2

Normal range

1.9 — 18.6

min.

-30

max.

majority

This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.

Internality (I)

Average

-13.9

Normal range

-24.4 — -3.4

min.

-30

max.

majority

This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.

General Tension Scale (GTS)

Average

-0.2

Normal range

-7.8 — 7.4

min.

-30

max.

majority

This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.

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CLEAR ANSWERS TO COMMON QUESTIONS

Frequently Asked Questions

Any questions left?

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

attitude towards illness pediatrics

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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