The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics

The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics
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DOI:
10.1097/00004583-199704000-00018
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发表时间:
1997-04-01
影响因子:
13.3
通讯作者:
Neer, SM
Neer, SM
中科院分区:
医学1区
文献类型:
--
作者:
Birmaher, B;Khetarpal, S;Neer, SM

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目的:研制一种信度高、效度好的儿童和家长自我报告量表,用于儿童焦虑障碍的筛查。方法:采用问卷调查法,对341名门诊儿童青少年和300名家长进行问卷调查。利用项目分析和因子分析,原量表缩减为38个项目。儿童(n = 88)和父母(n = 86)的子样本进行了重新测试,平均5周(4天至15周)后,初步筛选。结果如下:儿童和父母的儿童焦虑相关情绪障碍筛查(SCARED)都产生了五个因素:躯体/恐慌,一般焦虑,分离焦虑,社交恐惧症和学校恐惧症。对于总分和五个因子中的每一个,孩子和父母SCARED都表现出良好的内部一致性(α = .74至.93),重测信度(组内相关系数= .70至.90),区分效度(焦虑症和其他障碍之间以及焦虑症内),以及中度亲子一致性(r = 0.20至0.47,p <0.001,所有相关性)。结论:SCARED作为焦虑症的筛查工具有希望。未来的研究使用SCARED在社区样本的指示。
Objective: To develop a reliable and valid child and parent self- report instrument to screen children with anxiety disorders. Method: An 85-item questionnaire was administered to 341 outpatient children and adolescents and 300 parents. Utilizing item analyses and factor analyses, the original scale was reduced to 38 items. A subsample of children (n = 88) and parents (n = 86) was retested an average of 5 weeks (4 days to 15 weeks) after the initial screening. Results: The child and parent Screen for Child Anxiety Related Emotional Disorders (SCARED) both yielded five factors: somatic/panic, general anxiety, separation anxiety, social phobia, and school phobia. For the total score and each of the five factors, both the child and parent SCARED demonstrated good internal consistency (alpha = .74 to .93), test-retest reliability (intraclass correlation coefficients = .70 to .90), discriminative validity (both between anxiety and other disorders and within anxiety disorders), and moderate parent-child agreement (r = .20 to .47, p < .001, ail correlations). Conclusions: The SCARED shows promise as a screening instrument for anxiety disorders. Future studies using the SCARED in community samples are indicated.