10 Nov Choose as your client either Rosa (minor) or Maggie (minor) In narrative form, discuss the Content Scales, Symptom Scales, and Symptom Counts for your chosen client (either Rosa or Maggie
Each of the 3 questions below should be answered with a minimum of 150 words for a total of 450 words:
Choose as your client either Rosa (minor) or Maggie (minor) -ATTACHED BELOW-
- In narrative form, discuss the Content Scales, Symptom Scales, and Symptom Counts for your chosen client (either Rosa or Maggie). Discuss the T-Scores, Percentile Ranks, and what that means (e.g., "qualitative feedback) for each scale in regard to your client.
The following T-Score notes will help clarify the meanings for the T-Scores. Remember that the mean for T-Scores is 50 with a standard deviation of 10 and that 68% of all participants for within one standard deviation of the mean.
T Score ≥ 70 Very elevated scores
T Score 65-69 Elevated scores
T Score 60-64 High Average
T Score 40-59 Average
T Score < 40 Low
- Write a summary of your assessment of the client. Include their background information with their scores to create a more complete picture of the client.
- Next, write what steps you would take to ensure the client’s success. (CRC/CMHC this can be a treatment plan.) Please put all of this in narrative form.
**Resources provided in attachments**
Rosa Jones
Rosa Jones is a 7-year-old African-American female in the second grade. She is the oldest of three children, with siblings aged 5 and 1 year old. She lives with her siblings and parents, and has recently moved to this school district from out of state. Rosa’s father asked the school district to see if she could be tested for issues that may make learning more difficult for her. He describes Rosa as a quiet and sweet child, but sees that her grades have fallen. Rosa’s father completed the Conners 3 – Parent Assessment as part of the process. In a clinical interview, Rosa’s father noted that she has difficulty paying attention not only in school but occasionally at home and when she is playing with her friends. He noted that Rosa has strengths in being inventive and thoughtful.
Maggie Raj
Maggie Raj is a 16-year-old Asian-American female in the 11th grade. She is the younger of two children, with her sibling being 20 years old and away at college. Maggie lives with her parents and grandmother and has been a student in this school district since Pre-K. Maggie’s parents and teachers noticed her grades slipping and that she seemed to be “off somewhere else” at times when they tried to talk to her. In her clinical interview, Maggie noted that she feels “fine” and just finds it hard to concentrate sometimes. She told the interviewer that her strengths are her kindness and her artistic skills.
,
Conners 3–Self-Report
By C. Keith Conners, Ph.D.
Copyright © 2008 Multi-Health Systems Inc. All rights reserved. P.O. Box 950, North Tonawanda, NY 14120-0950 3770 Victoria Park Ave., Toronto, ON M2H 3M6
This Assessment report is intended for use by qualified assessors only, and is not to be shown or presented to the respondent or any other unqualified individuals.
Assessment Report
SAMPLE
Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007
Introduction
The following section provides Maggie R’s scores for the Positive and Negative Impression scales and the Inconsistency Index.
Assessment of Validity
Raw score = 0 (Probably valid) The Positive Impression score does not suggest an overly positive response style.
Positive Impression
Raw score = 4 (Probably invalid) The Negative Impression score indicates a response style which can affect validity of the results. Often, a high Negative Impression score indicates an overly negative description of the youth’s behavior, but there are other reasons why the Negative Impression score may be elevated. You may wish to review individual items used in calculating the Negative Impression score to consider possible reasons why this score is elevated. In the context of an elevated Negative Impression score, results from the Conners 3–SR may be an overestimation of Maggie R’s difficulties.
Negative Impression
Raw score = 7, Number of absolute differences ≥ 2 = 2 (Probably valid) The responses to similar items are consistent with one another.
Inconsistency Index
The Conners 3rd Edition–Self-Report (Conners 3–SR) is an assessment tool that prompts the youth to provide valuable information about herself. This instrument is designed to assess Attention Deficit/Hyperactivity Disorder (ADHD) and its most common co-morbid problems in children and adolescents aged 8 to 18 years old. When used in combination with other information, results from the Conners 3–SR can provide valuable information to guide assessment decisions. This report provides information about the youth’s score, how she compares to other youth, and which scales are elevated. See the Conners 3 Manual (published by MHS) for more information.
This computerized report is an interpretive aid and should not be given to clients or used as the sole criterion for clinical diagnosis or intervention. Administrators are cautioned against drawing unsupported interpretations. Combining information from this report with information gathered from other psychometric measures, interviews, observations, and review of available records will give the assessor or service provider a more comprehensive view of the youth than might be obtained from any one source. This report is based on an algorithm that produces the most common interpretations for the scores that have been obtained. Administrators should review the client’s responses to specific items to ensure that these typical interpretations apply to the youth being described.
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Copyright © 2008 Multi-Health Systems Inc. All rights reserved.
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Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007
The following graph provides T-scores for each of the Conners 3–SR Content scales. The error bars on each bar represent Standard Error of Measurement (SEM). For information on SEM, see the Conners 3 Manual.
Conners 3–SR Content Scales: T-scores
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Copyright © 2008 Multi-Health Systems Inc. All rights reserved.
SAMPLE
Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007
Conners 3–SR Content Scales: Detailed Scores The following table summarizes the results of Maggie R’s self-assessment and provides general information about how she compares to the normative group. Please refer to the Conners 3 Manual for more information on the interpretation of these results. Caution: please note that T-score cutoffs are guidelines only and may vary depending on the context of assessment. T-scores from 57–63 should be considered borderline and of special note since the assessor must decide (based on other information and knowledge of the youth) whether or not the concerns in the associated area warrant clinical intervention.
Common Characteristics of High Scorers
GuidelineRaw Score
Scale T-score ± SEM (Percentile)
Elevated Score (More concerns than are typically reported)
66 ± 3.0 (93)18Inattention May have poor concentration/attention or difficulty keeping his/her mind on work. May make careless mistakes. May be easily distracted. May give up easily. May have difficulty starting and/or finishing tasks.
Low Score (Fewer concerns than are typically reported)
37 ± 3.4 (3)0Hyperactivity/ Impulsivity
High activity levels, may be restless and/or impulsive. May have difficulty being quiet. May interrupt others or talk too much. May be easily excited.
Average Score (Typical levels of concern)
49 ± 4.1 (54)5Learning Problems
Academic struggles (reading, spelling, and/or math). May have difficulty learning and/or remembering concepts. May need extra help.
Average Score (Typical levels of concern)
40 ± 3.9 (8)0Aggression Physically and/or verbally aggressive. May show violent or destructive tendencies. May bully others. May have poor control of anger and/or aggression. May be manipulative or cruel. May break rules and/or have legal issues.
Average Score (Typical levels of concern)
45 ± 3.1 (42)2Family Relations May feel that parents do not love or notice him/her. May feel unjustly criticized and/or punished at home.
Note: SEM = Standard Error of Measurement
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Copyright © 2008 Multi-Health Systems Inc. All rights reserved.
SAMPLE
Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007
DSM-IV-TR Overview This section of the report provides the following information for each DSM-IV-TR diagnosis on the Conners 3–SR:
1. DSM-IV-TR Symptom scales: T-scores 2. DSM-IV-TR Symptom scales: Detailed Scores 3. DSM-IV-TR Total Symptom Counts 4. DSM-IV-TR Symptom Tables
· Listing of Conners 3–SR item(s) that correspond to each DSM-IV-TR Symptom · Criterion status of each DSM-IV-TR Symptom (i.e, whether or not the symptom is
"indicated," "may be indicated," or "not indicated"). Symptoms marked indicated or may be indicated are summed to get the Total Symptom Count for that diagnosis. Please refer to specific DSM-IV-TR Symptom tables for each criterion status and for any exception that may alter the Total Symptom Count. See the Conners 3 Manual for details on how each criterion status is determined.
Interpretive Considerations Results from the Conners 3–SR are a useful component of DSM-IV-TR based diagnosis, but cannot be relied upon in isolation. When interpreting the Conners 3–SR DSM-IV-TR Symptom scales, the assessor should take the following important considerations into account. Please refer to the Conners 3 Manual for further interpretative guidelines. · The Conners 3–SR contains symptom-level criteria, not full diagnostic criteria for DSM-IV-TR
diagnoses. Additional criteria (e.g., course, age of onset, differential diagnosis, level of impairment, pervasiveness) must be met before a DSM-IV-TR diagnosis can be assigned.
· The Conners 3–SR items are approximations of the DSM-IV-TR Symptoms that are intended to represent the main clinical construct in a format that most youth can understand. As a result, some aspects of the DSM-IV-TR criteria may not be fully represented. Before using any diagnostic labels, the assessor must consider all criteria that are required for a DSM-IV-TR diagnosis, including the symptoms from the Conners 3–SR.
· The Conners 3–SR provides information relevant to the DSM-IV-TR diagnoses from two different perspectives: absolute (Symptom Count) and relative (T-score). Results of the DSM-IV-TR Symptom Counts can contribute to consideration of whether a particular DSM-IV-TR diagnosis might be appropriate. A T-score for each DSM-IV-TR diagnosis facilitates comparison of this individual’s symptoms with his or her peers. At times there may be discrepancies between the Symptom Count and T-score for a given diagnosis. This is to be expected, given that they are based on different metrics (i.e., absolute versus relative). The following points provide some concrete guidelines for interpretation of this pair of scores (DSM-IV-TR Symptom Count and T-score).
· Both scores are elevated (i.e., DSM-IV-TR Symptom Count probably met, DSM-IV-TR T- score ³ 60): This diagnosis should be given strong consideration.
· Both scores are average or below (i.e., DSM-IV-TR Symptom Count probably not met, DSM-IV-TR T-score < 60): It is unlikely that the diagnosis is currently present (although criteria may have been met in the past).
· Only Symptom Count is elevated (i.e., DSM-IV-TR Symptom Count probably met, DSM- IV-TR T-score < 60): Although the absolute DSM-IV-TR symptomatic criteria may have been met, the current presentation is not atypical for this age and gender. Consider whether the symptoms are present in excess of developmental expectations (an important requirement of DSM-IV-TR diagnosis).
· Only T-score is elevated (i.e., DSM-IV-TR Symptom Count probably not met, DSM-IV-TR T-score ³ 60): Although the current presentation is atypical for the youth's age and gender, there are not sufficient symptoms reported to meet DSM-IV-TR symptomatic criteria for this disorder. Consider alternative explanations for why the T-scores could be elevated in the absence of this diagnosis (e.g., another diagnosis may be producing these types of concerns in that particular setting).
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SAMPLE
DSM-IV-TR Symptom Scales: T-scores The following graph provides T-scores for each of the DSM-IV-TR Symptom scales. The error bars on each bar represent Standard Error of Measurement for each DSM-IV-TR Symptom scale score.
DSM-IV-TR Symptom Scales: Detailed Scores The following table summarizes the results of Maggie R's self-assessment with respect to the DSM-IV-TR Symptom scales, and provides general information about how she compares to the normative group. Please refer to the Conners 3 Manual for more information on the interpretation of these results. Caution: please note that T-score cutoffs are guidelines only and may vary depending on the context of assessment. T-scores from 57–63 should be considered borderline and of special note since the assessor must decide (based on other information and knowledge of the youth) whether or not the concerns in the associated area warrant clinical intervention.
GuidelineRaw Score
Scale T-score ± SEM (Percentile)
Elevated Score (More concerns than are typically reported)
66 ± 3.6 (86)20ADHD Predominantly Inattentive Type
Low Score (Fewer concerns than are typically reported)
34 ± 4.1 (2)0ADHD Predominantly Hyperactive-Impulsive Type
Average Score (Typical levels of concern)41 ± 4.6 (13)0Conduct Disorder
Average Score (Typical levels of concern)45 ± 4.1 (32)4Oppositional Defiant Disorder
Note: SEM = Standard Error of Measurement
Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007
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Copyright © 2008 Multi-Health Systems Inc. All rights reserved.
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The following tables summarize the results of the DSM-IV-TR Symptom scale Total Symptom Counts as indicated by the Conners 3–SR.
DSM-IV-TR Total Symptom Counts
Results from the Conners 3–SR suggest that the Symptom Count requirements are probably met for the following DSM-IV-TR diagnoses:
Symptom Count as indicated by Conners 3–SR
Scale DSM-IV-TR Symptom Count Requirements
7At least 6 out of 9 symptomsADHD Predominantly Inattentive Type (ADHD In)
Results from the Conners 3–SR suggest that the Symptom Count requirements are probably not met for the following DSM-IV-TR diagnoses:
Symptom Count as indicated by Conners 3–SR
Scale DSM-IV-TR Symptom Count Requirements
0At least 6 out of 9 symptomsADHD Predominantly Hyperactive-Impulsive Type (ADHD Hyp-Imp)
ADHD In: 7 ADHD Hyp-Imp: 0
Criteria must be met for both ADHD In and ADHD Hyp-Imp
ADHD Combined Type
0At least 3 out of 15 symptomsConduct Disorder‡
1At least 4 out of 8 symptomsOppositional Defiant Disorder ‡Note: The Conners 3–SR does not assess Criterion A7 (i.e., forced sexual activity) due to the sensitive nature of this criterion.
Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007
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SAMPLE
DSM-IV-TR Symptom Tables
DSM-IV-TR ADHD Predominantly Inattentive Type
This section of the report provides information about how Maggie R rated items that correspond to the DSM- IV-TR. Please see the DSM-IV-TR Overview section for important information regarding appropriate use of DSM-IV-TR Symptom Counts. The following response key applies to all of the tables in this section. Rating: 0 = Not true at all (Never, Seldom); 1 = Just a little true (Occasionally); 2 = Pretty much true (Often, Quite a bit); 3 = Very much true (Very often, Very frequently); ? = Omitted item.
Criterion StatusItemDSM-IV-TR Symptoms: Criterion A Rating
0 1 2 3 ?Number
Indicated 31 -or- 39
A1a.
ü ü
Indicated63A1b. ü
Indicated42A1c. ü
Not Indicated 61 -and- 17
A1d. ü
ü
May be Indicated21A1e. ü
May be Indicated51A1f. ü
Indicated5A1g. ü
Not Indicated77A1h. ü
May be Indicated32A1i. ü
DSM-IV-TR ADHD Predominantly Hyperactive-Impulsive Type
DSM-IV-TR ADHD Combined Type
An ADHD Combined Type diagnosis requires the examination of symptoms for ADHD Predominantly Inattentive Type and for ADHD Predominantly Hyperactive-Impulsive Type. See the ADHD Predominantly Inattentive Type and ADHD Predominantly Hyperactive-Impulsive Type symptom tables above. Please also see the DSM-IV-TR or the Conners 3 Manual for additional guidance.
Criterion StatusItemDSM-IV-TR Symptoms: Criterion A Rating
0 1 2 3 ?Number
Hyperactivity
Not Indicated60A2a. ü
Not Indicated64A2b. ü
Not Indicated 20 -or- 7
A2c. ü ü
Not Indicated84A2d. ü
Not Indicated 66 -or- 55
A2e. ü ü
Not Indicated34A2f. ü
Impulsivity
Not Indicated9A2g. ü
Not Indicated27A2h. ü
Not Indicated6A2i. ü
Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007
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DSM-IV-TR Conduct Disorder
Note: The Conners 3–SR does not assess Criterion A7 (i.e., forced sexual activity) due to the sensitive nature of this criterion.
Criterion StatusItemDSM-IV-TR Symptoms: Criterion A Rating
0 1 2 3 ?Number
Not Indicated25A1. ü
Not Indicated38A2. ü
Not Indicated59A3. ü
Not Indicated86A4. ü
Not Indicated47A5. ü
Not Indicated13A6. ü
Not Indicated72A8. ü
Not Indicated82A9. ü
Not Indicated78A10. ü
Not Indicated16A11. ü
Not Indicated52A12. ü
Not Indicated91A13. ü
Not Indicated8A14 ü
Not Indicated33A15. ü
DSM-IV-TR Oppositional Defiant Disorder Criterion StatusItemDSM-IV-TR Symptoms: Criterion A Rating
0 1 2 3 ?Number
Not Indicated67A1. ü
Not Indicated24A2. ü
Not Indicated1RA3. ü
Not Indicated3A4. ü
Not Indicated62A5. ü
Indicated74A6. ü
Not Indicated87A7. ü
Not Indicated94A8. ü
R = This item is reverse scored for score calculations.
Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007
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SAMPLE
Impairment Maggie R’s report of her level of impairment in academic, social, and home settings is presented below.
Not true at all/never
Just a little true/occasionally
Pretty much true/often
Very much true/very often
Academic
Maggie R indicated that her problems seriously affect her schoolwork or grades often (score of 2).
Social
Maggie R indicated that her problems seriously affect her friendships and relationships often (score of 2).
Home
Maggie R indicated that her problems seriously affect her home life often (score of 2).
Conners 3 ADHD Index
The following graph summarizes Maggie R’s ratings with respect to the Conners 3 ADHD Index.
Among ADHD and general population cases, individuals with ADHD obtained this score 66% of the time. Based on this metric, a classification of ADHD is indicated, but other clinically relevant information should also be carefully considered in the assessment process. Please see the Conners 3 Manual for further information about interpretation.
Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007
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SAMPLE
Anxiety Screener Items The following table displays the results of Maggie R’s behavior with regard to specific items that are related to generalized anxiety.
Guideline based on Maggie R’s ratings to these items: Further investigation may be necessary
Item ContentItem Rating
Number 0 1 2 3 ?
Nervous or jumpy2 ü
Irritable when anxious29 ü
Trouble controlling worries46 ü
Worries90 ü
Rating: 0 = Not true at all (Never, Seldom); 1 = Just a little true (Occasionally); 2 = Pretty much true (Often, Quite a bit); 3 = Very much true (Very often, Very frequently); ? = Omitted item.
Depression Screener Items The following table displays the results of Maggie R’s behavior with regard to specific items that are related to depression. Endorsement of these items may indicate the need for further investigation.
Guideline based on Maggie R’s ratings to these items: Further investigation is recommended
Item ContentItem Rating
Number 0 1 2 3 ?
Worthlessness36 ü
Loss of interest44 ü
Sad, gloomy, or irritable68 ü
Low energy80 ü
Rating: 0 = Not true at all (Never, Seldom); 1 = Just a little true (Occasionally); 2 = Pretty much true (Often, Quite a bit); 3 = Very much true (Very often, Very frequently); ? = Omitted item.
Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007
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SAMPLE
Severe Conduct Critical Items The following table displays Maggie R’s ratings of her behavior with regard to several Severe Conduct Critical items. Endorsement of any Critical item indicates the need for immediate follow-up.
RecommendationItem ContentItem Rating
0 1 2 3 ?Number
Confrontational stealing13 ü No need for further
investigation is indicated
Trouble with police22 ü No need for further
investigation is indicated
Mean to animals47 ü No need for further
investigation is indicated
Uses a weapon59 ü No need for further
investigation is indicated
Fire setting72 ü No need for further
investigation is indicated
Breaking and entering78 ü No need for further
investigation is indicated
Rating: 0 = Not true at all (Never, Seldom); 1 = Just a little true (Occasionally); 2 = Pretty much true (Often, Quite a bit); 3 = Very much true (Very often, Very frequently); ? = Omitted item.
Additional Questions The following section displays additional comments that Maggie R has about herself.
Item
Number
Item Content Rating
This item was omitted.98 Additional problems
This item was omitted.99 Strengths or skills
Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007
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Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007
Conners 3–SR Results and IDEA The Conners 3–SR provides information that may be useful to consider when determining whether a student is eligible for special education and related services under current U.S. federal statutes, such as the Individuals with Disabilities Education Improvement Act of 2004 (IDEA 2004).
Elevated scores on the Conners 3–SR may indicate the need for special education and related services. The following table summarizes areas of IDEA 2004 eligibility that are typically listed for children and adolescents who have elevated scores on various portions of the Conners 3–SR. Checkmarks indicate which areas of the Conners 3–SR were indicated or endorsed, suggesting possible consideration of IDEA 2004 eligibility in related areas. The information in this table is based on the IDEA 2004 and general interpretation/application of this federal law. Specific state and local education agencies may have specific requirements that supersede these recommendations. The assessor is encouraged to consult local policies that may impact decision making. Remember that elevated scores or even a diagnosis is not sufficient justification for IDEA 2004 eligibility. Finally, keep in mind that the IDEA 2004 clearly indicates that categorization is not required for provision of services. Please see the Conners 3 Manual for further discussion of the IDEA 2004 and its relation to the Conners 3–SR content.
Possible IDEA Eligibility CategoryContent Areas Follow-up Recommended
Conners 3–SR Content Scales
ED, LD, OHIInattention ü
DD- Emotional , ED, OHIHyperactivity/Impulsivity LDLearning Problems DD-Emotional, EDAggression DD-Emotional, EDFamily Relations
DSM-IV-TR Symptom Scales
ED, LD, OHIADHD Predominantly Inattentive Type ü
ED, OHIADHD Predominantly Hyperactive-Impulsive Type ED, LD, OHIADHD Combined Type EDConduct Disorder EDOppositional Defiant Disorder
Screener Items
EDAnxiety ü
EDDepression ü
Critical Items
EDSevere Conduct DD=Developmental Delay, ED=Emotional Disturbance, LD=Specific Learning Disability; OHI=Other Health Impairment. Note: The category of Developmental Delay only applies to children through age 9 years.
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SAMPLE
Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007
Item Responses Maggie R entered the following response values for the items on the Conners 3–SR.
Response Key: 0 = In the past month, this was not true at all. It never (or seldom) happened. 1 = In the past month, this was just a little true. It happened occasionally. 2 = In the past month, this was pretty much true. It happened often (or quite a bit). 3 = In the past month, this was very much true. It happened very often (very frequently). ? = Omitted Item
Date printed: March 20, 2008 End of Report
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SAMPLE
Conners 3–SR Assessment Report for Maggie R Admin Date: 01/15/2007
Conners 3rd Edition Feedback Handout for Self-Report Ratings
Child's Name:
Child's Age:
Date of Assessment:
Assessor's Name:
Maggie R
16
January 15, 2007
This feedback handout explains scores from ratings of this youth’s behaviors and feelings as assessed by the Conners 3–Self-Report Form (Conners 3–SR). This section of the report may be given to parents (caregivers) or to a third party upon parental consent.
What is the Conners 3? The Conners 3 is a set of rating scales that are used to gather information about the behaviors and feelings of children and adolescents. These rating scales can be completed by parents, teachers, and youth. The Conners forms were developed by Dr. Conners, an expert in child and adolescent behavior, and are used all over the world to assess youth from many cultures. Research has shown that the Conners scal
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