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attitude towards illness

Child Illness Attitude Assessment Test

Take the online Child Illness Attitude Assessment Test - AI psychologist FreudlyYou can take Child Illness Attitude Assessment Test here. Online version of a simple and accurate psychological test with interpretation.en
Designed for parents reflecting on responses to a child’s illness, the Child Illness Attitude Assessment Test is a 40-question self-reflection questionnaire completed in about 8 minutes. It explores activity restrictions, perceived severity, anxiety, responsibility, and tension, helping you understand caregiving attitudes and consider how they shape responses during illness.
Questions: 408 minutes
Child Illness Attitude Assessment: situation and reply bubbles
October 2, 2025October 2, 2025Material has been updatedOctober 2, 2025Material has been published
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1,349 completions
1,146 likes
Daniel HallPsychologist · Test reviewer
1,146 likes
Scale Explorer

How the Scales are Structured

Activity Restriction ControlARC
Measures the extent to which parents attempt to restrict and manage the child’s activity during illness.
example score8/30
8/30Balanced controlexample score
-30 – -1Low restriction
0 – 15Balanced control
16 – 30High restriction
A score of 8 suggests a balanced tendency to set activity limits during the illness without imposing maximal restrictions.
NosognosiaN
Measures how accurately a parent perceives and understands the severity of the child’s illness, from underestimation to exaggeration.
example score0/30
0/30Balanced perceptionexample score
-30 – -1Underestimates severity
0Balanced perception
1 – 30Overestimates severity
A score of 0 suggests a balanced perception of the child’s illness severity without clear under- or overestimation.
AnxietyA
This scale measures the degree of anxious reaction and worry a family member experiences in response to a child's illness.
example score-17/30
-17/30Anxiety denied / suppressedexample score
-30 – -1Anxiety denied / suppressed
0Relatively neutral
1 – 30Pronounced 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.
InternalityI
Internality reflects whether parents perceive control over the child’s illness as mainly their own responsibility (internal) or as determined by external factors (external).
example score-28/30
-28/30Internal controlexample score
-30 – -1Internal control
0Mixed/neutral control
1 – 30External 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.
General TensionGT
Measures the overall level of psychological tension in the family related to the child’s illness across the whole questionnaire.
example score-6/30
-6/30Lower tensionexample score
-30 – -1Lower tension
0 – 30Elevated 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.
Benchmarking

See How You Compare

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.
Shaded area — where most people score
Dot — the average
You — your score lands on each curve after the test— your score, after the test
Activity ControlAC
You?
Average12.3
Typical rangeTypical3.5 – 21
Possible-30 – 30
NoosognosiaN
You?
Average-8.4
Typical rangeTypical-19.2 – 2.5
Possible-30 – 30
AnxietyA
You?
Average10.2
Typical rangeTypical1.9 – 18.6
Possible-30 – 30
InternalityI
You?
Average-13.9
Typical rangeTypical-24.4 – -3.4
Possible-30 – 30
General Tension ScaleGTS
You?
Average-0.2
Typical rangeTypical-7.8 – 7.4
Possible-30 – 30
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SAMPLE QUESTIONS

Example Questions From the Test

    • Strongly disagree
    • Generally disagree
    • Disagree more than agree
    • Agree more than disagree
    • Generally agree
    • Strongly agree
    • Strongly disagree
    • Generally disagree
    • Somewhat disagree
    • Somewhat agree
    • Generally agree
    • Strongly agree
    • Strongly disagree
    • Generally disagree
    • Disagree more than agree
    • Agree more than disagree
    • Generally agree
    • Strongly agree
WHAT THE TEST MEASURES

Child Illness Attitude Assessment Test - Description and methodology of the test

attitude towards illness
pediatrics

Parents who want to examine how they respond when a child is unwell may use the Child Illness Attitude Assessment Test to reflect on protective decisions, emotional reactions, and beliefs about responsibility. The result organizes responses into dimensions, helping readers notice whether concern, restriction, perceived severity, or tension shapes caregiving. A parent can use this child illness self-assessment to clarify uncertainty about protection, severity, responsibility, and fear.

What This Assessment Explores

This assessment is intended for parents examining parental attitudes to childhood illness, especially decisions made when a child is sick. Its themes cover activity, perceived severity, anxiety, responsibility, and overall tension. The five displayed scales describe the profile as follows:

  • Activity Restriction Control (-30-30) shows whether activity is restricted too much or too little: Low restriction (-30--1), Balanced control (0-15), High restriction (16-30).
  • Nosognosia (-30-30) shows whether severity is underestimated or exaggerated: Underestimates severity (-30--1), Balanced perception (0-0), Overestimates severity (1-30).
  • Anxiety (-30-30) captures anxious reactions: Anxiety denied / suppressed (-30--1), Relatively neutral (0-0), Pronounced anxiety (1-30).
  • Internality (-30-30) places illness responsibility with the parent or outside causes: Internal control (-30--1), Mixed/neutral control (0-0), External control (1-30).
  • General Tension (-30-30) is the questionnaire’s total score for overall tension: Lower tension (-30--1) or Elevated tension (0-30).

Methodology and Evidence Base

Responses use six-point agreement choices, from strong disagreement to strong agreement, with minor wording differences across items. The items cover protection, activity, medical seriousness, parental responsibility, fear, and perceived control. Answers are combined into the displayed dimension scores; the published ranges do not by themselves reveal how many points any single answer contributes.

Conceptually, this child illness attitude questionnaire is consistent with DOBR, the closest source instrument, but it should not be called a validated adaptation without documented evidence. Related studies by Bogacheva and colleagues, Suregoina and Kholmogorova, and Galasyuk and Mitina concern parental experiences of autism, chronic disabling illness, and families of children with special needs; they provide context rather than validation or standardization for this questionnaire.

Read the profile as a pattern rather than an isolated score: current stress, memory, self-awareness, and the wish to appear competent can influence self-report. The online questionnaire has no stated population norms or diagnostic thresholds, so its scores are descriptive rather than standardized clinical measures; it may be discussed alongside a fuller assessment when needed.

Author: G. C. L. Davey, S. Rachman
Literature:
  • Kagan, V. E., & Zhuravleva, I. P. (1991). Methods for diagnosing attitudes toward a child's illness (DOBR). In D. N. Isaev & V. E. Kagan (Eds.), Psychodiagnostic methods in pediatrics and child psychoneurology: Methodological manual (pp. 30-34). Saint Petersburg: PMI.
  • Bogacheva, O. I., Ivanov, M. V., Balakireva, E. E., Koval-Zaitsev, A. A., Kulikov, A. V., Niktina, S. G., & Shalina, N. S. (2023). The structure of parental attitude to the disease of a child with autism spectrum disorder. Bulletin of Psychotherapy, 87, 49-59.
  • Suregoina, A. Yu., & Kholmogorova, A. B. (2015). Parents' adaptation to different types of chronic disabling illness in a child: Consequences of spinal cord injury and cerebral palsy in adolescence and young adulthood. Counseling Psychology and Psychotherapy, 23(1), 177-195.
  • Galasyuk, I. N., & Mitina, O. V. (2018). Parental attitude in families with a special child. Psychological Science and Education, 23(4), 102-111. 10.17759/pse.2018230410.

Updated:

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