Overview
The CAM is a unidimensional 8-item measure designed to assess a child’s tendency to avoid anxiety-provoking situations. The measure is designed to be applicable to the full spectrum of anxiety disorders in children and adolescents.Scoring & Interpretation
Items are rated on a 4-point response scale ranging from 0 (never) to 3 (almost always). Total scores are a sum of all 8 items and range from 0 to 24. Scores range between 0 and 24, with higher scores indicating greater behaviour avoidance.Psychometric Properties
Internal Consistency
Test-Retest Reliability
Factor Structure
Validity
Construct validity was supported by significant and positive correlations with pre-existing measures of anxiety symptoms, social anxiety, and disability. Concurrent validity was examined through correlations with measures of anxiety, avoidance and disability (Spence Children’s Anxiety Scale; Social Anxiety Scale for Children-Revised; Fear of Negative Evaluations; Child Sheehan Disability Scale; Social Avoidance and Distress)
Criterion validity was assessed through group differences between subgroups of the clinical and community samples matched on age and sex. Clinical sample scores indicated significantly more avoidance than in the community sample. Group differences on the anxiety measures suggest that the groups differed as expected on clinical variables.