The Pediatric Anxiety Rating Scale (PARS): Development and psychometric properties

The Pediatric Anxiety Rating Scale (PARS): Development and psychometric properties
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DOI:
10.1097/01.chi.0000020259.43550.f4
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发表时间:
2002-09-01
影响因子:
13.3
通讯作者:
Roper, M
Roper, M
中科院分区:
医学1区
文献类型:
--
作者:
Riddle, MA;Ginsburg, GS;Roper, M

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目的:描述儿童焦虑评定量表(PARS)的发展和心理测量学特征,PARS是一种临床评定工具,用于评估儿童常见的DSM-IV焦虑症(社交恐惧症、分离焦虑障碍和广泛性焦虑障碍)相关焦虑症状的严重程度。方法:作为氟伏沙明疗效的多地点研究的一部分,128名儿童(6-17岁)及其父母每周接受PARS采访。来自儿童子样本的多个评分者的数据(使用现场和录像访谈)被用来评估评分者之间的可靠性。内部一致性,测试-重测信度和效度(收敛,发散)也进行了评估。结果:该量表具有较高的测间信度、足够的重测信度和较好的内部一致性。收敛效度和发散效度令人满意。PARS评分对治疗敏感,并与其他焦虑症状和整体改善指标的变化平行。结论:PARS是评估儿童焦虑症状、严重程度和损害的有用的临床评价工具,特别是在治疗研究中。进一步的心理测量特性研究是有必要的。
Objective: To describe the development and psychometric properties of the Pediatric Anxiety Rating Scale (PARS), a clinician-rated instrument for assessing the severity of anxiety symptoms associated with common DSM-IV anxiety disorders (social phobia, separation anxiety disorder, and generalized anxiety disorder) in children. Method: As part of a multisite study of the efficacy of fluvoxamine, 128 children (aged 6-17) and their parents were interviewed weekly with the PARS. Data from multiple raters on a subsample of children (using live and videotaped interviews) were used to evaluate interrater reliability. Internal consistency, test-retest reliability, and validity (convergent, divergent) also were evaluated. Results: The PARS showed high interrater reliability, adequate test-retest reliability, and fair internal consistency. Convergent and divergent validity were satisfactory. PARS scores were sensitive to treatment and paralleled change in other measures of anxiety symptoms and global improvement. Conclusions: The PARS is a useful clinician-rated instrument for assessing pediatric anxiety symptoms, severity, and impairment, particularly in treatment studies. Further study of the psychometric properties is warranted.