{"id":8661,"date":"2026-09-28T09:13:42","date_gmt":"2026-09-28T09:13:42","guid":{"rendered":"http:\/\/ashadocs.org\/scales\/achenbach-system-of-empirically-based-assessment-aseba\/"},"modified":"2026-09-28T09:13:57","modified_gmt":"2026-09-28T09:13:57","slug":"achenbach-system-of-empirically-based-assessment-aseba","status":"publish","type":"psych_scale","link":"https:\/\/ashadocs.org\/?psych_scale=achenbach-system-of-empirically-based-assessment-aseba","title":{"rendered":"Achenbach System of Empirically Based Assessment (ASEBA)"},"content":{"rendered":"<h2>1. Abstract<\/h2>\n<p>The <a href=\"https:\/\/en.wikipedia.org\/wiki\/Child_Behavior_Checklist\" target=\"_blank\" rel=\"noopener noreferrer\">Achenbach System of Empirically Based Assessment (ASEBA)<\/a> represents one of the most comprehensive, scientifically validated, and widely utilized multi-informant assessment batteries in the fields of clinical psychology, developmental psychopathology, psychiatry, and educational diagnostics. Developed originally by Thomas M. Achenbach and expanded collaboratively with Leslie A. Rescorla and colleagues, the ASEBA battery is designed to evaluate maladaptive behavioral, emotional, and social functioning, alongside positive adaptive competencies, across the human lifespan from age 1.5 to 90+ years. The system integrates data across multiple informants\u2014including parents, teachers, daycare providers, spouses, adult partners, trained observers, and the individuals themselves\u2014operationalizing the conceptual paradigm that psychological functioning varies systematically across interpersonal and environmental contexts.<\/p>\n<p>Structurally, the ASEBA battery comprises age-stratified forms such as the Child Behavior Checklist (CBCL\/1\u00bd-5 and CBCL\/6-18), the Caregiver-Teacher Report Form (C-TRF\/1\u00bd-5), the Teacher&#8217;s Report Form (TRF\/6-18), the Youth Self-Report (YSR\/11-18), the Adult Self-Report (ASR\/18-59), the Adult Behavior Checklist (ABCL\/18-59), the Older Adult Self-Report (OASR\/60-90+), and the Older Adult Behavior Checklist (OABCL\/60-90+). Psychometrically, the system is founded upon bottom-up, empirically derived dimensional constructs identified through iterative exploratory and confirmatory factor analyses. These yield narrowband syndrome scales (e.g., Anxious\/Depressed, Withdrawn\/Depressed, Somatic Complaints, Social Problems, Thought Problems, Attention Problems, Rule-Breaking Behavior, and Aggressive Behavior) that hierarchically aggregate into two broadband dimensions: Internalizing Problems and Externalizing Problems, along with a Total Problems metric. Furthermore, the ASEBA incorporates top-down Diagnostic and Statistical Manual of Mental Disorders (DSM)-oriented scales constructed via international expert consensus to facilitate categorical diagnostic alignment.<\/p>\n<p><span class=\"arabpsy-eq\" dir=\"ltr\">Respondents rate target behaviors using a standardized 3-point Likert response format (0 = Not True, 1 = Somewhat or Sometimes True, 2 = Very True or Often True). The system provides continuous raw scores converted into normalized T-scores and percentile ranks standardized against vast non-referred epidemiological cohorts, incorporating multicultural norms across dozens of distinct societies. Psychometric evaluations consistently demonstrate robust internal consistency (Cronbach\u2019s alpha and McDonald\u2019s omega typically ranging from .70 to .97 across scales), exceptional test-retest reliability<\/span> (<span class=\"arabpsy-math-inline\" data-latex=\"r &gt; .80\">$r &gt; .80$<\/span> to <span class=\"arabpsy-math-inline\" data-latex=\".95\">$.95$<\/span>), and profound discriminative, convergent, and cross-cultural structural validity, confirming its role as a premier gold standard in psychological evaluation.<\/p>\n<h2>2. Keywords<\/h2>\n<p>Achenbach System of Empirically Based Assessment, ASEBA, Child Behavior Checklist, CBCL, Youth Self-Report, Teacher&#8217;s Report Form, developmental psychopathology, multi-informant assessment, internalizing problems, externalizing problems, behavioral rating scales, cross-cultural psychometrics<\/p>\n<h2>3. Authors<\/h2>\n<p>The principal architect and primary investigator of the Achenbach System of Empirically Based Assessment is <strong>Thomas M. Achenbach, Ph.D.<\/strong>, Professor of Psychiatry and Psychology at the University of Vermont Larner College of Medicine. Dr. Achenbach initiated the empirical conceptualization of childhood psychopathology in the late 1960s, constructing the seminal Child Behavior Checklist to overcome the diagnostic ambiguities and empirical inadequacies of early psychiatric nosologies.<\/p>\n<p>A pivotal co-developer of the modern ASEBA suite is <strong>Leslie A. Rescorla, Ph.D.<\/strong> (1945\u20132020), who served as Professor of Psychology and Director of the Child Study Institute at Bryn Mawr College. Dr. Rescorla directed extensive international collaborative initiatives evaluating the cross-cultural generalizability, epidemiological invariance, and structural validity of ASEBA instruments across more than 50 societies worldwide.<\/p>\n<p>Institutional Affiliation and Distribution Center:<br \/>\nASEBA \/ Research Center for Children, Youth, &amp; Families, Inc.<br \/>\nUniversity of Vermont<br \/>\n1 South Prospect Street, St. Joseph&#8217;s Wing, 3rd Floor<br \/>\nBurlington, VT 05401-3456, USA<br \/>\nOfficial Contact &amp; Technical Support: <a href=\"https:\/\/aseba.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/aseba.org\/<\/a><\/p>\n<h2>4. Purpose<\/h2>\n<p>The primary clinical and scientific purpose of the Achenbach System of Empirically Based Assessment is to provide a standardized, objective, and developmentally sensitive framework for quantifying behavioral, emotional, and social competencies and problems. Historically, clinical decision-making was dominated by adultomorphic, top-down diagnostic systems\u2014most notably early iterations of the American Psychiatric Association&#8217;s <a href=\"https:\/\/en.wikipedia.org\/wiki\/Diagnostic_and_Statistical_Manual_of_Mental_Disorders\" target=\"_blank\" rel=\"noopener noreferrer\">Diagnostic and Statistical Manual of Mental Disorders<\/a>\u2014which conceptualized child and adolescent behavioral problems through sparse, unvalidated categories that ignored developmental context and phenotypic heterogeneity. The ASEBA was engineered to remedy these limitations through an inductive, empirical approach: systematically capturing hundreds of observable problem behaviors and applying advanced multivariate statistical techniques to delineate how psychiatric symptoms naturally cluster in clinical and general populations.<\/p>\n<p>Clinically, the ASEBA suite fulfills several vital functions across psychiatric, pediatric, educational, and forensic domains:<\/p>\n<ul>\n<li><strong>Multi-Informant Diagnostic Assessment:<\/strong> By gathering concurrent ratings from parents, educators, clinicians, and individuals themselves, the ASEBA captures situational variations in human behavior. It addresses the well-documented empirical reality that cross-informant agreement regarding emotional and behavioral symptoms is modest (typically correlating between <span class=\"arabpsy-math-inline\" data-latex=\"r = .20\">$r = .20$<\/span> and <span class=\"arabpsy-math-inline\" data-latex=\".45\">$.45$<\/span>), demonstrating that variance across informants often reflects meaningful context-specific behavior (e.g., home vs. school environments) rather than mere measurement error.<\/li>\n<li><strong>Baseline Quantification and Severity Stratification:<\/strong> Continuous normative scoring allows practitioners to differentiate normative developmental variation from subclinical manifestations and severe psychopathology using scientifically grounded cutoffs (Normal, Borderline Clinical, and Clinical ranges).<\/li>\n<li><strong>Treatment Planning and Longitudinal Monitoring:<\/strong> Standardized T-scores and reliable change metrics empower clinicians to measure therapeutic efficacy, psychiatric pharmacotherapy outcomes, and psychoeducational interventions longitudinally.<\/li>\n<li><strong>Forensic, Medical, and Custody Evaluations:<\/strong> Due to its robust psychometric validation and cross-cultural standardization, the battery is widely admitted in legal proceedings, child welfare assessments, and medical contexts evaluating chronic pediatric conditions or neuropsychological insults.<\/li>\n<\/ul>\n<p>In empirical research, the ASEBA functions as a core measurement instrument in developmental psychopathology, behavioral genetics, neuroimaging, and epidemiological studies. It enables investigators to model psychopathology as dimensional phenotypes rather than artificial categorical dichotomies, maximizing statistical power and accommodating the extensive comorbidity observed among psychiatric disorders.<\/p>\n<h2>5. Psychological Construct<\/h2>\n<p>The ASEBA operationalizes psychological functioning via a hierarchical, multidimensional paradigm encompassing broad competence domains, narrowband behavioral syndromes, broadband higher-order dimensions, and DSM-oriented diagnostic categories. This structure reflects the reality that emotional and behavioral difficulties rarely present as isolated symptoms; rather, they manifest as complex, interconnected behavioral constellations.<\/p>\n<h3>5.1 Adaptive and Competence Dimensions<\/h3>\n<p>Unlike purely deficit-oriented diagnostic tools, the ASEBA incorporates systematic evaluation of personal assets, social resources, and functional competencies:<\/p>\n<ul>\n<li><strong>Activities:<\/strong> Evaluates involvement, skill, and time investment in sports, hobbies, games, jobs, and organizational activities relative to peers.<\/li>\n<li><strong>Social:<\/strong> Evaluates interpersonal engagement, number and quality of close friendships, frequency of social interaction, and interpersonal cooperation.<\/li>\n<li><strong>Academic:<\/strong> Assesses school functioning across core academic curricula (e.g., reading, mathematics, language arts, social studies) alongside the presence of special education placements or grade retention.<\/li>\n<li><strong>Adult Adaptive Functioning:<\/strong> In the adult forms (ASR\/ABCL), competence metrics assess functioning across friends, spouse\/partner relations, family interaction, job performance, and educational attainment.<\/li>\n<\/ul>\n<h3>5.2 The Broadband Dimensions<\/h3>\n<p>Higher-order factor analyses consistently reveal two overarching, broadband phenotypic spectra across childhood, adolescence, and adulthood:<\/p>\n<ul>\n<li><strong>Internalizing Problems:<\/strong> Captures overcontrolled, inwardly directed psychological distress. It encompasses cognitive, affective, and physiological symptoms characterized by dysphoria, anxiety, somatic distress without biological etiology, and social withdrawal.<\/li>\n<li><strong>Externalizing Problems:<\/strong> Captures undercontrolled, outwardly directed behavioral difficulties. It encompasses behavioral disruptions that conflict with the social environment, including rule violations, physical and verbal aggression, impulsivity, and defiance of authority.<\/li>\n<\/ul>\n<h3>5.3 Narrowband Syndrome Scales<\/h3>\n<p>The core empirical architecture comprises eight narrowband syndromes (derived across the school-age CBCL, TRF, and YSR), which demonstrate consistent factor-analytic stability across demographic strata:<\/p>\n<ul>\n<li><strong>Anxious\/Depressed:<\/strong> Encompasses manifestations of generalized anxiety, panic, guilt, self-deprecation, catastrophic worry, and affective distress (e.g., crying frequently, feeling unloved, intense fears).<\/li>\n<li><strong>Withdrawn\/Depressed:<\/strong> Assesses apathy, social isolation, emotional blunting, profound lethargy, and avoidance of social interactions (e.g., prefers to be alone, lacks energy, secretive).<\/li>\n<li><strong>Somatic Complaints:<\/strong> Captures idiopathic physical symptoms lacking confirmed medical etiology (e.g., recurring headaches, nausea, abdominal pains, non-organic dizziness).<\/li>\n<li><strong>Social Problems:<\/strong> Reflects peer rejection, immaturity, social incompetence, dependent social behaviors, and difficulties navigating peer-group dynamics.<\/li>\n<li><strong>Thought Problems:<\/strong> Captures obsessive-compulsive manifestations, perceptual distortions, self-harm, unusual ideation, sleep disturbances, and psychotic-like experiences (e.g., hears sounds or voices that aren&#8217;t there, strange behaviors, cannot get mind off certain thoughts).<\/li>\n<li><strong>Attention Problems:<\/strong> Measures neurocognitive dysregulation, inattention, hyperactivity, impulsivity, poor task completion, and disorganization across environmental contexts.<\/li>\n<li><strong>Rule-Breaking Behavior:<\/strong> Measures antisocial conduct, delinquency, truancy, substance experimentation, running away, theft, lying, and violation of societal norms.<\/li>\n<li><strong>Aggressive Behavior:<\/strong> Evaluates overt interpersonal hostility, destructiveness toward property, physical fights, verbal threats, temper tantrums, and cruelty.<\/li>\n<\/ul>\n<h3>5.4 DSM-Oriented Scales<\/h3>\n<p>To bridge empirical dimensional paradigms with statutory clinical nosology, the ASEBA features DSM-oriented scales assembled through international panels of child psychiatrists, clinical psychologists, and psychiatric epidemiologists who independently rated ASEBA items on diagnostic correspondence:<\/p>\n<ul>\n<li>Depressive Problems<\/li>\n<li>Anxiety Problems<\/li>\n<li>Somatic Problems<\/li>\n<li>Attention-Deficit\/Hyperactivity Problems (Inattention and Hyperactivity\/Impulsivity subscales)<\/li>\n<li>Oppositional Defiant Problems<\/li>\n<li>Conduct Problems<\/li>\n<\/ul>\n<h2>6. Theoretical Framework<\/h2>\n<p>The ASEBA is fundamentally grounded in the paradigm of <strong>Developmental Psychopathology<\/strong>, an integrative framework formulated by Dante Cicchetti, L. Alan Sroufe, Michael Rutter, and Thomas Achenbach himself. This conceptual framework rejects static, categorical views of psychiatric disease, conceptualizing mental disorders instead as dynamic processes emerging from complex, reciprocal interactions between biological vulnerabilities, psychological systems, familial contexts, and socio-environmental stressors across developmental stages.<\/p>\n<h3>6.1 Bottom-Up Taxometrics vs. Top-Down Nosology<\/h3>\n<p>Traditional psychiatric nosology (such as the DSM and ICD systems) utilizes a top-down, expert-consensus approach to clinical classification. Panels of clinicians delineate theoretical diagnostic categories and prescribe operational criteria based on clinical observation. While clinically accessible, top-down taxonomies have historically suffered from massive comorbidity rates, diagnostic instability, and arbitrary boundary lines between normalcy and pathology.<\/p>\n<p>In contrast, Dr. Achenbach instituted a <em>bottom-up, empirical taxonomy<\/em>. By compiling expansive inventories of observable child and adult behaviors, surveying large non-clinical and clinical populations, and utilizing factor-analytic algorithms, the ASEBA allows the latent taxonomy of psychological dysfunction to reveal itself directly from the covariance structure of observed behaviors. This bottom-up framework aligns with modern dimensional models of psychopathology, including the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Hierarchical_Taxonomy_of_Psychopathology\" target=\"_blank\" rel=\"noopener noreferrer\">Hierarchical Taxonomy of Psychopathology (HiTOP)<\/a> and the National Institute of Mental Health&#8217;s <a href=\"https:\/\/en.wikipedia.org\/wiki\/Research_Domain_Criteria\" target=\"_blank\" rel=\"noopener noreferrer\">Research Domain Criteria (RDoC)<\/a>.<\/p>\n<h3>6.2 Contextual Specificity and Multi-Informant Methodology<\/h3>\n<p>A foundational theoretical postulate of the ASEBA is that no single informant serves as an exhaustive, omniscient gold standard of an individual&#8217;s psychological functioning. Human behavior is intrinsically transactional; it varies in response to situational demands, environmental affordances, and relational partners. A child may manifest severe inattention and impulsivity in a structured academic environment (observed by a teacher) while remaining comparatively regulated in a flexible, one-on-one home context (observed by a parent). Conversely, subjective internal distress (e.g., depressive dysphoria, suicidal ideation, secret obsessions) is frequently inaccessible to external observers, requiring self-report data.<\/p>\n<p>Therefore, discrepancies between informant ratings are not discarded as psychometric error or unreliability. Instead, the ASEBA conceptualizes multi-informant variation as substantive clinical data that captures contextual variance across social ecosystems.<\/p>\n<h2>7. Validity<\/h2>\n<p>The ASEBA instruments have undergone extensive empirical validation across thousands of peer-reviewed studies conducted worldwide over five decades.<\/p>\n<h3>7.1 Criterion-Related and Discriminant Validity<\/h3>\n<p>Criterion validity is demonstrated by the instruments&#8217; capacity to differentiate between individuals referred for mental health or special education services and demographically matched non-referred individuals. In extensive normative studies (Achenbach &amp; Rescorla, 2001, 2007), referred children and adults scored significantly higher (<span class=\"arabpsy-math-inline\" data-latex=\"p &lt; .001\">$p &lt; .001$<\/span>) across all syndrome, broadband, and DSM-oriented scales compared to non-referred peers, with effect sizes (Cohen\u2019s <span class=\"arabpsy-math-inline\" data-latex=\"d\">$d$<\/span>) routinely exceeding 1.20 to 1.80 for Total Problems, Externalizing, and Internalizing scales. Receiver Operating Characteristic (ROC) analyses confirm area under the curve (AUC) metrics consistently ranging between .82 and .94, confirming strong diagnostic accuracy in classifying clinical status.<\/p>\n<h3>7.2 Convergent Validity<\/h3>\n<p>The ASEBA scales demonstrate strong convergent correlations with concurrent standardized rating scales and clinical interviews:<\/p>\n<ul>\n<li>The CBCL Attention Problems scale and DSM-oriented ADHD scale correlate strongly (<span class=\"arabpsy-math-inline\" data-latex=\"r = .72\">$r = .72$<\/span> to <span class=\"arabpsy-math-inline\" data-latex=\".86\">$.86$<\/span>) with the Conners Rating Scales and the ADHD Rating Scale-5.<\/li>\n<li>The Internalizing Problems scale correlates significantly (<span class=\"arabpsy-math-inline\" data-latex=\"r = .68\">$r = .68$<\/span> to <span class=\"arabpsy-math-inline\" data-latex=\".81\">$.81$<\/span>) with established self-report depression and anxiety inventories, including the Children&#8217;s Depression Inventory (CDI), the Revised Children&#8217;s Manifest Anxiety Scale (RCMAS), and the Beck Depression Inventory (BDI-II).<\/li>\n<li>High concordance is documented with structured psychiatric diagnostic interviews, such as the Diagnostic Interview Schedule for Children (DISC-IV) and the Mini International Neuropsychopathic Interview (M.I.N.I.).<\/li>\n<\/ul>\n<h3>7.3 Cross-Cultural Structural Invariance<\/h3>\n<p>A major milestone in psychiatric assessment is the international research spearheaded by Rescorla and colleagues (e.g., Rescorla et al., 2007, 2012). Analyzing data across more than 50 societies representing Western, Asian, African, South American, and Middle Eastern populations, structural equation modeling (SEM) confirmed that the eight-syndrome model exhibits robust measurement invariance across cultures. While baseline mean problem scores exhibit modest cultural shifts\u2014leading to the establishment of three distinct international normative groupings\u2014the latent structure of psychological problems remains cross-culturally universal.<\/p>\n<h2>8. Reliability<\/h2>\n<p>The ASEBA battery exhibits high psychometric reliability across internal consistency, test-retest stability, and inter-rater concordance.<\/p>\n<h3>8.1 Internal Consistency<\/h3>\n<p>Across the school-age forms (CBCL\/6-18, TRF\/6-18, YSR\/11-18), internal consistency coefficients (Cronbach\u2019s alpha and McDonald\u2019s omega) are high across clinical and non-clinical populations:<\/p>\n<ul>\n<li><strong>Total Problems Scale:<\/strong> Consistently achieves <span class=\"arabpsy-math-inline\" data-latex=\"\\alpha = .95\">$\\alpha = .95$<\/span> to <span class=\"arabpsy-math-inline\" data-latex=\".97\">$.97$<\/span> across all forms.<\/li>\n<li><strong>Broadband Scales (Internalizing &amp; Externalizing):<\/strong> Alphas range reliably between <span class=\"arabpsy-math-inline\" data-latex=\".88\">$.88$<\/span> and <span class=\"arabpsy-math-inline\" data-latex=\".94\">$.94$<\/span>.<\/li>\n<li><strong>Narrowband Syndrome Scales:<\/strong> Syndrome scales with larger item counts (e.g., Aggressive Behavior, Attention Problems) yield alphas ranging from <span class=\"arabpsy-math-inline\" data-latex=\".84\">$.84$<\/span> to <span class=\"arabpsy-math-inline\" data-latex=\".92\">$.92$<\/span>. Narrower syndromes with lower base-rate items (e.g., Somatic Complaints, Thought Problems) generally range between <span class=\"arabpsy-math-inline\" data-latex=\".72\">$.72$<\/span> and <span class=\"arabpsy-math-inline\" data-latex=\".86\">$.86$<\/span>.<\/li>\n<li><strong>DSM-Oriented Scales:<\/strong> Alphas range from <span class=\"arabpsy-math-inline\" data-latex=\".73\">$.73$<\/span> to <span class=\"arabpsy-math-inline\" data-latex=\".91\">$.91$<\/span> depending on informant and developmental stage.<\/li>\n<\/ul>\n<h3>8.2 Test-Retest Reliability<\/h3>\n<p>Temporal stability evaluated across non-clinical cohorts over short intervals (typically 7 to 14 days) reveals exceptional consistency. Mean test-retest reliability Pearson correlations (<span class=\"arabpsy-math-inline\" data-latex=\"r\">$r$<\/span>) across informants are:<\/p>\n<ul>\n<li><strong>CBCL\/6-18:<\/strong> Test-retest correlation for the Total Problems scale averages <span class=\"arabpsy-math-inline\" data-latex=\"r = .94\">$r = .94$<\/span>; the broadband scales average <span class=\"arabpsy-math-inline\" data-latex=\"r = .90\">$r = .90$<\/span>; syndrome scales average <span class=\"arabpsy-math-inline\" data-latex=\"r = .88\">$r = .88$<\/span>.<\/li>\n<li><strong>TRF\/6-18:<\/strong> Teacher ratings over a two-week interval demonstrate a mean correlation of <span class=\"arabpsy-math-inline\" data-latex=\"r = .92\">$r = .92$<\/span> for Total Problems and <span class=\"arabpsy-math-inline\" data-latex=\"r = .86\">$r = .86$<\/span> across specific behavioral syndromes.<\/li>\n<li><strong>YSR\/11-18:<\/strong> Adolescent self-reports yield test-retest coefficients averaging <span class=\"arabpsy-math-inline\" data-latex=\"r = .87\">$r = .87$<\/span> for Total Problems and <span class=\"arabpsy-math-inline\" data-latex=\"r = .82\">$r = .82$<\/span> for individual syndrome scales.<\/li>\n<\/ul>\n<h3>8.3 Cross-Informant Agreement<\/h3>\n<p>Extensive meta-analytic reviews (e.g., Achenbach, McConaughy, &amp; Howell, 1987; De Los Reyes et al., 2015) demonstrate that cross-informant correlations within the ASEBA conform to standard developmental expectations:<\/p>\n<ul>\n<li>Parent-Parent concordance: <span class=\"arabpsy-math-inline\" data-latex=\"r = .65\">$r = .65$<\/span> to <span class=\"arabpsy-math-inline\" data-latex=\".75\">$.75$<\/span>.<\/li>\n<li>Teacher-Teacher concordance: <span class=\"arabpsy-math-inline\" data-latex=\"r = .55\">$r = .55$<\/span> to <span class=\"arabpsy-math-inline\" data-latex=\".70\">$.70$<\/span>.<\/li>\n<li>Parent-Teacher concordance: <span class=\"arabpsy-math-inline\" data-latex=\"r = .25\">$r = .25$<\/span> to <span class=\"arabpsy-math-inline\" data-latex=\".45\">$.45$<\/span>.<\/li>\n<li>Parent-Youth concordance: <span class=\"arabpsy-math-inline\" data-latex=\"r = .30\">$r = .30$<\/span> to <span class=\"arabpsy-math-inline\" data-latex=\".45\">$.45$<\/span>.<\/li>\n<\/ul>\n<p>These moderate cross-informant correlations highlight situational specificity in behavioral manifestations, demonstrating the critical value of utilizing multi-informant assessment batteries.<\/p>\n<h2>9. Factor Analysis<\/h2>\n<p>The structural validity of the ASEBA is anchored in decades of rigorous exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) applied to large general population samples and clinical cohorts.<\/p>\n<h3>9.1 Historical Exploratory Factor Analysis<\/h3>\n<p>In the initial development phases, principal components analyses with varimax and promax rotations were conducted on large pools of behavioral problem items. These analyses isolated primary factors representing narrowband syndromes. Factor extractions consistently identified symptom clusters that separated outwardly disruptive actions (e.g., fighting, stealing, disobedience) from internal distress (e.g., somatic complaints, depression, anxiety). Secondary principal component analyses conducted on the intercorrelations of these primary factors yielded the two broadband second-order factors: Internalizing and Externalizing.<\/p>\n<h3>9.2 Confirmatory Factor Analysis and Structural Fit<\/h3>\n<p>During the major 2001 and 2007 revisions, Achenbach and Rescorla conducted confirmatory factor analyses on independent national samples to validate the empirical architecture across age cohorts (preschool, school-age, and adult levels). Multiple structural models were tested, comparing single-factor, uncorrelated multidimensional, and hierarchical bifactor structures.<\/p>\n<p>The standard eight-syndrome hierarchical model\u2014wherein individual items load directly onto their respective first-order syndrome scales, which subsequently load onto the two higher-order broadband dimensions (Internalizing and Externalizing) with Attention, Social, and Thought Problems loading directly onto Total Problems\u2014demonstrated strong fit indices across samples:<\/p>\n<ul>\n<li><strong>Root Mean Square Error of Approximation (RMSEA):<\/strong> Values consistently range between <span class=\"arabpsy-math-inline\" data-latex=\".032\">$.032$<\/span> and <span class=\"arabpsy-math-inline\" data-latex=\".048\">$.048$<\/span>, well below the conventional <span class=\"arabpsy-math-inline\" data-latex=\".06\">$.06$<\/span> threshold for good fit.<\/li>\n<li><strong>Comparative Fit Index (CFI):<\/strong> Values exceed <span class=\"arabpsy-math-inline\" data-latex=\".92\">$.92$<\/span> to <span class=\"arabpsy-math-inline\" data-latex=\".96\">$.96$<\/span> across non-referred and clinical validation cohorts.<\/li>\n<li><strong>Standardized Root Mean Square Residual (SRMR):<\/strong> Values typically range between <span class=\"arabpsy-math-inline\" data-latex=\".041\">$.041$<\/span> and <span class=\"arabpsy-math-inline\" data-latex=\".052\">$.052$<\/span>.<\/li>\n<\/ul>\n<p>Item factor loadings (<span class=\"arabpsy-math-inline\" data-latex=\"lambda\">$lambda$<\/span>) onto their designated syndrome constructs are robust, predominantly exceeding <span class=\"arabpsy-math-inline\" data-latex=\".50\">$.50$<\/span>, with few items loading below <span class=\"arabpsy-math-inline\" data-latex=\".40\">$.40$<\/span>. Item response theory (IRT) analyses, utilizing both Rasch single-parameter and two-parameter logistic (2PL) models, further confirm that the items effectively span the latent continuum of symptom severity ($\theta$), offering high measurement precision particularly in the moderate-to-severe clinical range.<\/p>\n<h2>10. Instrument \/ Measurement Tool<\/h2>\n<p>The ASEBA is organized into distinct assessment modules corresponding to specific developmental life stages. Each instrument is designed for rapid, straightforward administration and scoring.<\/p>\n<h3>10.1 Key Forms Across the Lifespan<\/h3>\n<ul>\n<li><strong>Preschool Level (Ages 1.5 to 5):<\/strong>\n<ul>\n<li><em>Child Behavior Checklist for Ages 1\u00bd-5 (CBCL\/1\u00bd-5):<\/em> Completed by parents or primary caregivers; includes 99 specific problem items plus the Language Development Survey (LDS).<\/li>\n<li><em>Caregiver-Teacher Report Form (C-TRF\/1\u00bd-5):<\/em> Completed by daycare workers, preschool teachers, or early education staff; contains 99 behavioral problem items.<\/li>\n<\/ul>\n<\/li>\n<li><strong>School-Age Level (Ages 6 to 18):<\/strong>\n<ul>\n<li><em>Child Behavior Checklist for Ages 6-18 (CBCL\/6-18):<\/em> Completed by parents\/guardians; comprises 113 problem items (120 scoring entries including sub-items) and 7 adaptive competence items.<\/li>\n<li><em>Teacher&#8217;s Report Form (TRF\/6-18):<\/em> Completed by academic teachers; comprises 113 problem items and academic\/adaptive performance scales.<\/li>\n<li><em>Youth Self-Report (YSR\/11-18):<\/em> Completed directly by adolescents aged 11 to 18; comprises 112 problem items alongside competence ratings.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Adult Level (Ages 18 to 59):<\/strong>\n<ul>\n<li><em>Adult Self-Report (ASR\/18-59):<\/em> Completed by the adult; includes 126 problem items and adaptive functioning sections.<\/li>\n<li><em>Adult Behavior Checklist (ABCL\/18-59):<\/em> Completed by a spouse, partner, parent, or close friend.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Older Adult Level (Ages 60 to 90+):<\/strong>\n<ul>\n<li><em>Older Adult Self-Report (OASR\/60-90+):<\/em> Self-administered inventory tailored to physical, cognitive, and emotional challenges of aging.<\/li>\n<li><em>Older Adult Behavior Checklist (OABCL\/60-90+):<\/em> Informant form completed by adult offspring, spouses, or residential caregivers.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>10.2 Response Format and Scoring Mechanics<\/h3>\n<ul>\n<li><strong>Response Scale:<\/strong> Respondents evaluate behavioral items over a designated temporal recall window (past 6 months for CBCL, past 2 months for TRF) using a 3-point ordinal Likert scale:\n<ul>\n<li><span class=\"arabpsy-eq\" dir=\"ltr\"><strong>0<\/strong> = Not True (as far as you know)<\/span><\/li>\n<li><span class=\"arabpsy-eq\" dir=\"ltr\"><strong>1<\/strong> = Somewhat or Sometimes True<\/span><\/li>\n<li><span class=\"arabpsy-eq\" dir=\"ltr\"><strong>2<\/strong> = Very True or Often True<\/span><\/li>\n<\/ul>\n<\/li>\n<li><strong>Standardized Metric Conversions:<\/strong> Raw scores are summed and converted into normalized T-scores (<span class=\"arabpsy-math-inline\" data-latex=\"M = 50, SD = 10\">$M = 50, SD = 10$<\/span>) and corresponding percentile ranks derived from age-, sex-, and culture-specific non-referred population norms.<\/li>\n<li><strong>Clinical Interpretive Ranges:<\/strong>\n<ul>\n<li><em>Syndrome and DSM-Oriented Scales:<\/em>\n<ul>\n<li>Normal Range: <span class=\"arabpsy-eq\" dir=\"ltr\">T-score &lt; 65 (&lt; 93rd percentile)<\/span><\/li>\n<li>Borderline Clinical Range: T-score 65 to 69 (93rd to 97th percentile)<\/li>\n<li>Clinical Range: <span class=\"arabpsy-eq\" dir=\"ltr\">T-score &ge; 70 (&gt; 97th percentile)<\/span><\/li>\n<\/ul>\n<\/li>\n<li><em>Broadband (Internalizing, Externalizing) and Total Problems Scales:<\/em>\n<ul>\n<li>Normal Range: <span class=\"arabpsy-eq\" dir=\"ltr\">T-score &lt; 60 (&lt; 84th percentile)<\/span><\/li>\n<li>Borderline Clinical Range: T-score 60 to 63 (84th to 90th percentile)<\/li>\n<li>Clinical Range: <span class=\"arabpsy-eq\" dir=\"ltr\">T-score &ge; 64 (&gt; 90th percentile)<\/span><\/li>\n<\/ul>\n<\/li>\n<li><span class=\"arabpsy-eq\" dir=\"ltr\"><em>Competence Scales:<\/em> Scored inversely, where lower T-scores reflect impairment (Clinical: T-score &lt; 31; Borderline: 31\u201335; Normal: &gt; 35)<\/span>.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>11. Permissions &amp; Fee and Test Year<\/h2>\n<p>The ASEBA was created in its initial version by Thomas M. Achenbach in 1966, followed by major milestones including the 1983 CBCL, the 1991 integrative assessment system revision, the 2001 school-age system update, and the 2007 older adult expansion. Continuous psychometric updates and multicultural norms have followed up to the present day.<\/p>\n<p><strong>Licensing, Fees, and Copyright:<\/strong> The Achenbach System of Empirically Based Assessment is a fully proprietary, copyrighted psychological assessment suite owned and controlled by the <em>Research Center for Children, Youth, &amp; Families, Inc.<\/em> \/ ASEBA at the University of Vermont. The assessment materials, questionnaires, scoring profiles, software, and normative databases are strictly protected under international copyright legislation and are not in the public domain.<\/p>\n<p>Users must purchase official paper questionnaires, licensing subscriptions for web-based scoring platforms (ASEBA-Web), or desktop scoring software (ASEBA-PC). Per-administration fees apply. Educational institutions, clinics, and independent researchers must register and obtain explicit user qualifications (typically requiring clinical licensure or advanced degrees in psychology, psychiatry, or allied professions consistent with APA Guidelines for Test User Qualifications) before administering or scoring the tools. Information regarding licensing, permissions for academic research, and purchasing can be secured through the official clearinghouse at <a href=\"https:\/\/aseba.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/aseba.org\/<\/a>.<\/p>\n<h2>12. References<\/h2>\n<p>Achenbach, T. M. (1966). The classification of children&#8217;s psychiatric symptoms: A factor-analytic study. <em>Psychological Monographs: General and Applied<\/em>, 80(7), 1\u201337. <a href=\"https:\/\/doi.org\/10.1037\/h0093906\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1037\/h0093906<\/a><\/p>\n<p>Achenbach, T. M. (2009). <em>The Achenbach System of Empirically Based Assessment (ASEBA): Development, findings, theory, and application<\/em>. University of Vermont, Research Center for Children, Youth, &amp; Families.<\/p>\n<p>Achenbach, T. M., McConaughy, S. H., &amp; Howell, C. T. (1987). Child\/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. <em>Psychological Bulletin<\/em>, 101(2), 213\u2013232. <a href=\"https:\/\/doi.org\/10.1037\/0033-2909.101.2.213\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1037\/0033-2909.101.2.213<\/a><\/p>\n<p>Achenbach, T. M., &amp; Rescorla, L. A. (2000). <em>Manual for the ASEBA Preschool Forms &amp; Profiles<\/em>. University of Vermont, Research Center for Children, Youth, &amp; Families.<\/p>\n<p>Achenbach, T. M., &amp; Rescorla, L. A. (2001). <em>Manual for the ASEBA School-Age Forms &amp; Profiles<\/em>. University of Vermont, Research Center for Children, Youth, &amp; Families.<\/p>\n<p>Achenbach, T. M., &amp; Rescorla, L. A. (2003). <em>Manual for the ASEBA Adult Forms &amp; Profiles<\/em>. University of Vermont, Research Center for Children, Youth, &amp; Families.<\/p>\n<p>Achenbach, T. M., &amp; Rescorla, L. A. (2007). <em>Multicultural supplement to the Manual for the ASEBA School-Age Forms &amp; Profiles<\/em>. University of Vermont, Research Center for Children, Youth, &amp; Families.<\/p>\n<p>Cicchetti, D., &amp; Toth, S. L. (2009). The past, present, and future of developmental psychopathology: The effects of early adversity on dynamic systems of development. <em>Development and Psychopathology<\/em>, 21(1), 1\u20134. <a href=\"https:\/\/doi.org\/10.1017\/S095457940900001X\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1017\/S095457940900001X<\/a><\/p>\n<p>De Los Reyes, A., Augenstein, T. M., Wang, M., Thomas, S. A., Drabick, D. A. G., Burgers, D. E., &amp; Rabinowitz, J. (2015). The validity of the multi-informant approach to assessing child and adolescent mental health. <em>Psychological Bulletin<\/em>, 141(4), 858\u2013900. <a href=\"https:\/\/doi.org\/10.1037\/a0038498\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1037\/a0038498<\/a><\/p>\n<p>Ivanova, M. Y., Achenbach, T. M., Rescorla, L. A., Dumenci, L., Almqvist, F., Bilenberg, N., Bird, H., Broberg, A. G., Dobrean, A., Du00f6pfner, M., Erol, N., Forns, M., Hannesdu00f3ttir, H., Kanbayashi, Y., Lambert, M. C., Leung, P. W. L., Minaei, A., Mulatu, M. S., Novik, T. S., u2026 Verhulst, F. C. (2007). The generalizability of the Youth Self-Report syndrome structure in 23 societies. <em>Journal of Consulting and Clinical Psychology<\/em>, 75(5), 729\u2013738. <a href=\"https:\/\/doi.org\/10.1037\/0022-006X.75.5.729\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1037\/0022-006X.75.5.729<\/a><\/p>\n<p>Rescorla, L. A., Achenbach, T. M., Ivanova, M. Y., Dumenci, L., Almqvist, F., Bilenberg, N., Bird, H., Broberg, A., Domuta, R., Du00f6pfner, M., Erol, N., Forns, M., Hannesdu00f3ttir, H., Kanbayashi, Y., Lambert, M. C., Leung, P., Minaei, A., Mulatu, M. S., Novik, T. S., u2026 Verhulst, F. C. (2007). Behavioral and emotional problems reported by parents of children, 6 to 16 in 31 societies. <em>Journal of Emotional and Behavioral Disorders<\/em>, 15(3), 130\u2013142. <a href=\"https:\/\/doi.org\/10.1177\/10634266070150030101\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1177\/10634266070150030101<\/a><\/p>\n<p>Rescorla, L. A., Ivanova, M. Y., Achenbach, T. M., Begovac, I., Chahed, M., Drugli, M. B., Emerich, D. R., Fung, D. S., Haider, I. I., Hanssen-Bauer, K., Liu, J., Mahr, D., Motti-Stefanidi, F., Moreira, P., Mountukray, R., Ogun, O., Oh, K. J., Ooi, Y. P., Simsek, Z., u2026 Xianchen, L. (2012). International comparisons of behavioral and emotional problems in preschool children: Parents&#8217; reports from 24 societies. <em>Journal of Clinical Child and Adolescent Psychology<\/em>, 41(4), 458\u2013473. <a href=\"https:\/\/doi.org\/10.1080\/15374416.2012.694600\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1080\/15374416.2012.694600<\/a><\/p>\n<h2>13. Items of the Scale<\/h2>\n<div class=\"wpt-scale-items-container\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:12px; margin:28px 0; overflow:hidden; box-shadow:0 4px 12px rgba(0,0,0,0.03);\">\n<div class=\"wpt-scale-notice\" style=\"direction:ltr; text-align:left; background:#f8fafc; border-bottom:1px solid #e2e8f0; padding:14px 20px; font-size:13.5px; color:#475569; font-weight:500;\">\n    Below are the authentic scale items in their original language as published in the standard psychometric validation studies, without modification or translation to preserve instrument validity and reliability:\n  <\/div>\n<div class=\"wpt-scale-english-box\" style=\"direction:ltr; text-align:left; padding:20px 24px; font-family:-apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Helvetica, Arial, sans-serif; font-size:14.5px; color:#1e293b; line-height:1.7;\">\n<div class=\"wpt-scale-instructions\" style=\"background:#f1f5f9; border-left:4px solid #64748b; border-radius:0 8px 8px 0; padding:12px 16px; margin-bottom:16px; font-size:13.5px; color:#334155;\">\n      <strong style=\"color:#0f172a;\">Instructions \/ Directions:<\/strong> Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please rate how true it is of your child: <span class=\"arabpsy-eq\" dir=\"ltr\">0 = Not True (as far as you know), 1 = Somewhat or Sometimes True, or 2 = Very True or Often True. Please answer all items as well as you can, even if some do not seem to apply to your child<\/span>.\n    <\/div>\n<div class=\"wpt-scale-response-format\" style=\"background:#eff6ff; border-left:4px solid #3b82f6; border-radius:0 8px 8px 0; padding:12px 16px; margin-bottom:14px; font-size:13.5px; color:#1e40af;\">\n      <strong style=\"color:#1e3a8a;\">Response Scale:<\/strong> 3-point scale: <span class=\"arabpsy-eq\" dir=\"ltr\">0 = Not True (as far as you know), 1 = Somewhat or Sometimes True, 2 = Very True or Often True<\/span>\n    <\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">1<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Acts too young for his\/her age<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">2<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Drinks alcohol without parents&#039; approval<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">3<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Argues a lot<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">4<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Fails to finish things he\/she starts<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">5<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">There is very little that he\/she enjoys<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">6<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Bowel movements outside toilet<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">7<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Bragging, boasting<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">8<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Can&#039;t concentrate, can&#039;t pay attention for long<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">9<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Can&#039;t get his\/her mind off certain thoughts; obsessions<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">10<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Can&#039;t sit still, restless, or hyperactive<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">11<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Clings to adults or too dependent<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">12<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Complains of loneliness<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">13<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Confused or seems to be in a fog<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">14<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Cries a lot<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">15<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Cruel to animals<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">16<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Cruelty, bullying, or meanness to others<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">17<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Daydreams or gets lost in his\/her thoughts<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">18<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Deliberately harms self or attempts suicide<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">19<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Demands a lot of attention<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">20<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Destroys his\/her own things<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">21<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Destroys things belonging to his\/her family or others<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">22<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Disobedient at home<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">23<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Disobedient at school<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">24<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Doesn&#039;t eat well<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">25<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Doesn&#039;t get along with other kids<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">26<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Doesn&#039;t seem to feel guilty after misbehaving<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">27<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Easily jealous<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">28<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Breaks rules at home, school, or elsewhere<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">29<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Fears certain animals, situations, or places, other than school<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">30<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Fears going to school<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">31<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Fears he\/she might think or do something bad<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">32<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Feels he\/she has to be perfect<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">33<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Feels or complains that no one loves him\/her<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">34<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Feels others are out to get him\/her<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">35<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Feels worthless or inferior<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">36<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Gets hurt a lot, accident-prone<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">37<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Gets in many fights<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">38<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Gets teased a lot<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">39<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Hangs around with others who get in trouble<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">40<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Hears sounds or voices that aren&#039;t there<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">41<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Impulsive or acts without thinking<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">42<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Would rather be alone than with others<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">43<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Lying or cheating<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">44<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Bites fingernails<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">45<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Nervous, highstrung, or tense<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">46<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Nervous movements or twitching<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">47<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Nightmares<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">48<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Not liked by other kids<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">49<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Constipated, doesn&#039;t move bowels<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">50<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Too fearful or anxious<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">51<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Feels dizzy or lightheaded<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">52<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Feels too guilty<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">53<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Overeating<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">54<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Overtired without good reason<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">55<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Overweight<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">56<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Physical problems without known medical cause (aches\/pains, headaches, nausea, eye problems, skin problems, stomachaches, vomiting)<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">57<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Physically attacks people<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">58<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Picks nose, skin, or other parts of body<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">59<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Plays with own sex parts in public<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">60<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Plays with own sex parts too much<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">61<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Poor school work<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">62<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Poorly coordinated or clumsy<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">63<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Prefers being with older kids<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">64<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Prefers being with younger kids<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">65<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Refuses to talk<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">66<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Repeats certain acts over and over; compulsions<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">67<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Runs away from home<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">68<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Screams a lot<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">69<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Secretive, keeps things to self<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">70<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Sees things that aren&#039;t there<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">71<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Self-conscious or easily embarrassed<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">72<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Sets fires<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">73<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Sexual problems<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">74<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Showing off or clowning<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">75<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Shy or timid<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">76<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Sleeps less than most kids<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">77<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Sleeps more than most kids during day and\/or night<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">78<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Inattentive or easily distracted<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">79<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Speech problem<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">80<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Stares blankly<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">81<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Steals at home<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">82<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Steals outside the home<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">83<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Stores up too many things he\/she doesn&#039;t need<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">84<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Strange behavior<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">85<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Strange ideas<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">86<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Stubborn, sullen, or irritable<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">87<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Sudden changes in mood or feelings<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">88<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Sulks a lot<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">89<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Suspicious<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">90<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Swearing or obscene language<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">91<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Talks about killing self<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">92<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Talks or walks in sleep<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">93<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Talks too much<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">94<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Teases a lot<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">95<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Temper tantrums or hot temper<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">96<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Thinks about sex too much<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">97<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Threatens people<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">98<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Thumb-sucking<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">99<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Smokes, chews, or sniffs tobacco<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">100<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Trouble sleeping<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">101<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Truancy, skips school<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">102<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Underactive, slow moving, or lacks energy<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">103<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Unhappy, sad, or depressed<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">104<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Unusually loud<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">105<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Uses drugs for nonmedical purposes (don&#039;t include alcohol or tobacco)<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">106<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Vandalism<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">107<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Wets self during the day<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">108<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Wets the bed<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">109<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Whining<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">110<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Wishes to be of opposite sex<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">111<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Withdrawn, doesn&#039;t get involved with others<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">112<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Worrying<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">113<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Any other problems not listed above<\/div>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>A comprehensive psychometric guide to the Achenbach System of Empirically Based Assessment (ASEBA), covering the CBCL, TRF, and YSR, theoretical foundations in developmental psychopathology, dimensional factor structures, multi-informant validity, and clinical scoring mechanics.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","categories":[791,66,306,2],"tags":[1599,25760,1598,1602,1604,1603,20600,6,25766,25765],"class_list":["post-8661","psych_scale","type-psych_scale","status-publish","hentry","category-child-adolescent-psychology","category-clinical-psychology","category-psychological-assessment","category-psychometrics","tag-aseba","tag-behavior-rating-scales","tag-cbcl","tag-developmental-psychopathology","tag-externalizing","tag-internalizing","tag-multi-informant-assessment","tag-psychometrics","tag-trf","tag-ysr"],"_links":{"self":[{"href":"https:\/\/ashadocs.org\/index.php?rest_route=\/wp\/v2\/psych_scale\/8661","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ashadocs.org\/index.php?rest_route=\/wp\/v2\/psych_scale"}],"about":[{"href":"https:\/\/ashadocs.org\/index.php?rest_route=\/wp\/v2\/types\/psych_scale"}],"author":[{"embeddable":true,"href":"https:\/\/ashadocs.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ashadocs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8661"}],"version-history":[{"count":0,"href":"https:\/\/ashadocs.org\/index.php?rest_route=\/wp\/v2\/psych_scale\/8661\/revisions"}],"wp:attachment":[{"href":"https:\/\/ashadocs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8661"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ashadocs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8661"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ashadocs.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8661"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}