itsea parent report sample - pearson assessments...2006/04/03 · b8 2 gets very wound up or silly...

ITSEA Scoring Assistant Report - Parent Form

Copyright © 2006 by Harcourt Assessment, Inc. All rights reserved.

123456789

EXAMINEE: Jennifer Smith REPORT DATE: 4/3/2006 AGE: 2 years 11 months ETHNICITY: <Not Specified> DATE OF BIRTH: 4/5/2003 EXAMINER: Jane Doe EXAMINEE ID: 123456789 DATE OF TESTING: 2/23/2006 GENDER: Female AGE AT TESTING: 2 Years 10 Months Subscale Scores Summary Subscale

Raw Score Cut Point Status of Concern

Percentile Rank

Externalizing Domain Activity/Impulsivity 1.17 1.26 10-14 Aggression/Defiance 0.83 0.79 Of Concern 5-9 Peer Aggression 0.33 1.07 35-39 Internalizing Domain Depression/Withdrawal 0.00 0.22 60-69 General Anxiety 0.00 0.61 >=90 Separation Distress 0.83 1.27 40-49 Inhibition to Novelty 1.00 1.65 50-59 Dysregulation Domain Negative Emotionality 1.08 0.98 Of Concern 5-9 Sleep 1.40 1.18 Of Concern 5-9 Eating 1.11 0.84 Of Concern 1-4 Sensory Sensitivity 0.14 0.82 80-89 Competence Domain Compliance 1.25 0.92 35-39 Attention 1.80 1.17 60-69 Mastery Motivation 1.67 1.3 30-34 Imitation/Play 2.00 1.35 >=90 Empathy 0.86 0.9 Of Concern 5-9 Prosocial Peer Relations 1.00 0.88 10-14 Item Cluster Maladaptive Item Cluster 0.00 0.2 Social Relatedness Item Cluster

2.00 1.44

Atypical Item Cluster 0.00 0.54



123456789

Domain Score Summary

Domain

Raw Score

T Score Cumulative %

Status Of Concern

# of Subscales

“Of Concern” Externalizing 0.78 60 12.90 1 Internalizing 0.46 46 66.70 0 Dysregulation 0.93 71 4.80 Of Concern 3 Competence 1.43 42 25.70 1



123456789

Item Level Information for Domain and Item Cluster Scores

Externalizing Domain Activity /Impulsivity Subscale

Item # Item Score Item Content A2 0 Gets hurt so often that you can’t take your eyes off him or her A4 2 Restless and can't sit still B8 2 Gets very wound up or silly when playing B10 2 Constantly moving B27 1 Is very loud, shouts, or screams a lot B32 0 Goes from toy to toy faster than other children his or her age

Aggression/ Defiance Subscale Item # Item Score Item Content A28 0 Is destructive, breaks, or ruins things on purpose A30 0 Hits, bites or kicks you (or other parent) A33 1 Purposely tries to hurt you (or other parent) B3 1 Acts aggressive when frustrated B9 2 Acts bossy B16 1 Misbehaves to get attention from adults B30 1 Is disobedient or defiant (for example, refuses to do as you ask) B34 0 Is sneaky. Hides misbehavior B44 2 Is stubborn B88 2 Has temper tantrums C2 0 Swears E4 0 Hurts animals on purpose

Peer Aggression Subscale Item # Item Score Item Content A27 0 Hits, shoves, kicks or bites children (not including brother or sister) D2 2 Tests other children to see if they will get angry D5 0 Picks on or bullies other children D6 0 Teases other children D8 0 Won't let other children play with his or her group D9 0 Hurts other children on purpose

Internalizing Domain General Anxiety Subscale

Item # Item Score Item Content (FC) 0 Fear Composite B21 0 Is afraid of certain animals B22 1 Is afraid of certain things B23 0 Is afraid of certain places, like stores, elevators, parks, or cars A3 0 Seems nervous, tense, or fearful A12 0 Worries a lot or is very serious A35

0 Puts things in a special order over and over and gets upset if he or she is interrupted

B37 0 Feels sick when nervous or upset B70 0 Is a perfectionist B86 0 Wakes up from scary dreams or nightmares E5 0 Is very worried about getting dirty E6 0 Needs things to be clean or neat E11 0 Worries about own body

Depression/Withdrawal Subscale Item # Item Score Item Content A9 0 Has less fun than other children A39 0 Does not make eye contact



123456789

A40 0 Avoids physical contact B43 (R) 2 Laughs easily or a lot B76 0 Looks unhappy or sad without any reason B81 0 Feels bad about himself or herself B84 0 Seems to have no energy B91 0 Seems withdrawn B92 0 Seems very unhappy, sad or depressed

Inhibition to Novelty Subscale Item # Item Score Item Content B2 1 Takes a while to feel comfortable in new places (10 minutes or more) B4 1 Is quiet or less active in new situations B64 1 Is shy with new adults B83 2 Is shy with new children C3 0 Takes a while to speak in unfamiliar situations

Separation Distress Subscale Item # Item Score Item Content A11 0 Cries or hangs onto you when you try to leave B5 0 Gets upset when left with a new babysitter B13 0 Gets upset when left with a familiar babysitter or relative B24 1 Hangs on to you or wants to be in your lap when with other people B28 2 Reaches for you when you are not holding him or her B54 2 Demands a lot of attention

Dysregulation Domain Eating Subscale

Item # Item Score Item Content A24 1 Gags or chokes on food A26 1 Refuses to eat B15 1 Refuses to eat foods that require chewing B29 1 Spits out food B68 (R) 0 Accepts new foods right away B82 (R) 1 Good eater B89 2 Picky eater B94 1 Refuses to eat certain foods for 2 days or more E3 0 Holds food in cheeks

Negative Emotionality Subscale Item # Item Score Item Content A7 0 Cries or has tantrums until he or she is exhausted A21 0 Has trouble adjusting to changes A23 2 Often gets very upset B31 2 Cries if he or she doesn't get own way B45 0 Hard to soothe when upset B50 1 Wakes up grouchy or in a bad mood B53 1 Has trouble calming down when upset B59 2 Impatient or easily frustrated B65 (R) 1 Is able to wait for things he or she wants B66 2 Cries a lot B74 1 Irritable or grouchy B80 1 Is whiny or fussy when he or she is not tired B85 1 Gets angry or pouts

Sensory Sensitivity Subscale Item # Item Score Item Content A16 0 Won't touch some objects because of how they feel B1 0 Bothered by loud noises or bright lights



123456789

B11 1 Dislikes some foods because of how they feel B12 0 Bothered by certain odors (smells) B39

0 Bothered by how some things feel on his or her skin (for example, clothing seams, certain fabrics, etc.)

B40 0 Easily startled B49

0 Bothered by being in motion (for example, swinging, spinning, being tossed in the air, or bouncing)

Sleep Subscale Item # Item Score Item Content A6 2 Wakes up at night and needs help to fall asleep again A17 2 Has trouble falling asleep or staying asleep B46 (R) 1 Sleeps through the night B58 0 Must be held to go to sleep B87 2 Wants to sleep in someone else's room or bed

Competence Domain Attention Subscale

Item # Item Score Item Content A20 1 Can pay attention for a long time (other than watching TV) B18 2 Plays with toys for 5 minutes or longer B35 2 Looks at picture books by himself or herself B55 2 Sits for 5 minutes while you read a story B75 2 Pays careful attention when being taught something new

Compliance Subscale Item # Item Score Item Content A5 1 Follows rules B7 1 Puts toys away after playing B14 1 Quiets down when you say "Shh" B17 1 Tries to do as you ask B36 2 Helps with dressing (for example, puts arms in sleeve) B41 1 Well-behaved B52 2 Stays still while being changed, dressed, or bathed B93 1 Obeys when asked to stop being aggressive

Empathy Subscale Item # Item Score Item Content A22 1 Tries to help when someone is hurt (for example, gives a toy) B51 1 Tries to make you feel better when you're upset B56 0 Worried or upset when someone is hurt B57 1 Tries to "make-up" for misbehaving B63 1 Aware of other people's feelings B73 2 Jokes or gives you things to make you smile or laugh C4 0 Talks about other people's feelings (for example, "Mommy mad")

Imitation/Play Subscale Item # Item Score Item Content A25 2 Imitates playful sounds when you ask him or her to A31 2 Hugs or feeds dolls or stuffed animals B25 2 Rolls a ball back to you (or someone else) B38 2 Pretends to do grown-up things, like shaving B67

2 Pretends that objects are something else (for example, uses a banana as a phone)

B71 2 Imitates clapping or waving bye-bye Mastery Motivation Subscale

Item # Item Score Item Content A1 2 Shows pleasure when he or she succeeds (for example, claps for self) B33 1 Keeps trying to do something even when it's hard



123456789

B47 2 Wants to do things for himself or herself B61 2 Likes figuring things out, like stacking blocks B69 1 Enjoys challenging activities B78 2 Curious about new things

Prosocial Peer Relations Subscale Item # Item Score Item Content A19 1 Plays well with other children (not including brother or sister) D1 1 Takes turns when playing with others D3 1 Asks for things nicely when playing with other children D4 2 Has at least one favorite friend (a child) D7 0 Plays house with other children

Maladaptive Item Cluster Item # Item Score Item Content A34 0 When upset, gets very still, freezes, or doesn't move A42 0 Eats or drinks things that are not edible, like paper or paint B20 0 Has started doing something he or she had outgrown (like uses a pacifier) E1

0 Has a body tic or twitch he or she seems unable to control (for example, eyes, mouth, nose, or legs twitch)

E2 0 Makes sounds he or she seems unable to control E7

0 Plays games with other children in which they look at or touch each other's private parts

E8 0 Plays with own genitals often and for a long time E9 0 Pulls own hair out (such as eyelashes, eyebrows, or hair on head) E12 0 Plays with own bowel movements ("poops") E13

0 Has bowel movements where he or she shouldn't (for example, on the floor)

E14 0 Urinates ("pees") where he or she shouldn't E15 0 Acts out the same pretend theme over and over without enjoment E17 0 Chews on things he or she shouldn't

Social Relatedness Item Cluster Item # Item Score Item Content A10 2 Looks for you (or other parent) when upset A13 2 Looks right at you when you say his or her name A15 2 Affectionate with loved ones B6 2 Responds the first time his or her name is called B19 2 Hugs people with a squeeze or a pat B26 2 Likes being cuddled, hugged, or kissed by loved ones B28 2 Reaches for you when you are not holding him or her B42 2 Prefers you (or other parent) over other adults B60 2 Interested in babies and children B90 2 Smiles back at you from across a room

Atypical Item Cluster Item # Item Score Item Content A29 (R) 2 Points to show you something far away A35

0 Puts things in a special order over and over and gets upset if he or she is interrupted

A36 0 Repeats the same action or phrase over and over without enjoyment A37 0 Repeats a particular movement over and over (like rocking or spinning) A38 0 Spaces out. Is totally unaware of what's happening around him or her B48 (R) 2 Points to ask for something E10

0 Without looking at you, puts your hand on objects, such as wind-up toys, to make them work

E16 0 Has very strange habits Individual Items of Clinical Significance



123456789

Item # Item Score Item Content A14 0 Does not react when hurt A18 1 Runs away in public places A41 0 Hurts self on purpose (for example, bangs head) B62 0 Is affectionate with strangers B72 0 Is not afraid when he or she should be B77 0 Sleeps more than other children his or her ages B79

0 Wakes up screaming and doesn't respond to you for a few minutes (night terrors)

B95 1 Gets upset when asked to change activities C1 1 Repeats the last words of sentences or TV commercials C5 1 Talks about strange, scary, or disgusting things

itsea parent report sample - pearson assessments...2006/04/03 · b8 2 gets very wound up or silly...

Documents