期刊
JOURNAL OF ANXIETY DISORDERS
卷 51, 期 -, 页码 22-31出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.janxdis.2017.08.006
关键词
Anxiety; Children; Adolescents; Psychometrics Screen for Child Anxiety Related Emotional Disorders (SCARED)
资金
- National Alliance for Research in Schizophrenia and Affective Disorders (NARSAD)
- Richard J. Wyatt Memorial Fellowship Award for Translational Research
- National Institute of Mental Health [ZIA MH002781]
- NIMH [R01MH069942]
The Screen for Child Anxiety and Related Emotional Disorder (SCARED) may be differentially sensitive to detecting specific or comorbid anxiety diagnoses in treatment-seeking and non-treatment-seeking youth. We assessed the SCARED's discriminant validity, diagnostic utility, and informant agreement using parent- and self-report from healthy and treatment-seelcing anxious youth (Study 1, N = 585) and from non-treatment-seeking anxious youth (Study 2, N = 331) diagnosed with generalized anxiety disorder (GAD), social anxiety disorder (SAD), or comorbid GAD + SAD. Among treatment-seeking youth, the SCARED showed good diagnostic utility and specificity, differentiating healthy, comorbid, and non-comorbid anxious youth. Child-parent agreement was modest: healthy child self-reports were higher than parent-reports whereas anxious child self-reports were similar or lower than parent-reports. Less consistent results emerged for diagnostic utility, specificity, and informant agreement among non-treatment-seeking youth. Given the number of non-treatment seeking anxious youth (N = 33), generalizability of these findings may be limited. Together, results suggest informants may provide distinct information about children's anxiety symptoms.
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