A psychometric evaluation of the panic disorder severity scale for children and adolescents.

A psychometric evaluation of the panic disorder severity scale for children and adolescents.
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DOI:
10.1037/a0035283
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发表时间:
2014-06
影响因子:
3.6
通讯作者:
Comer JS
Comer JS
中科院分区:
心理学2区
文献类型:
--
作者:
Elkins RM;Pincus DB;Comer JS

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惊恐障碍严重程度量表(PDSS)是一种评估成年人惊恐障碍和广场恐惧症(PDA)症状的有效措施。儿童惊恐障碍严重程度量表(PDSS-C)是对PDSS的改编,适用于11至17岁的青少年。参与者包括60名来自随机对照试验的青少年,该研究调查了强化认知行为疗法对青少年PDA的疗效。通过观察PDSS-C与儿童焦虑敏感指数(CASI)、儿童多维度焦虑量表(MASC)和儿童抑郁量表(CDI)的相关性,评价PDSS-C评分的收敛和区分效度。基线和治疗后数据为评估该措施对治疗相关变化的敏感性提供了机会。PDSS-C得分显示出可接受的内部一致性(α=0.82)和足够的1天重测信度(r=0.79)。PDSS-C得分的收敛和判别效度分别通过与CASI和MASC的显著关联以及与CDI的非显著关联来支持。线性回归分析显示了对治疗相关变化的敏感性--即,PDSS-C变化分数与分配到CBT的情况相比与等待名单条件显著相关。通过PDSS-C改变评分与MASC和CASI改变评分之间的显著关联,以及通过与CDI变化评分之间的非显著关联,进一步建立了临床实用性。结果支持使用PDSS-C评分作为在研究和临床环境中评估青少年惊恐障碍的可靠、有效和临床有用的工具。
The Panic Disorder Severity Scale (PDSS) is a well-validated measure that assesses symptoms of panic disorder and agoraphobia (PDA) in adults. The Panic Disorder Severity Scale for Children (PDSS-C) is an adaptation of the PDSS for youth ages 11 to 17. The current study evaluated the psychometric properties of the PDSS-C. Participants included sixty adolescents from an RCT investigating the efficacy of an intensive cognitive behavioral treatment for adolescent PDA. Convergent and discriminant validity of PDSS-C scores were evaluated via observed associations between the PDSS-C and the Childhood Anxiety Sensitivity Index (CASI), Multidimensional Anxiety Scale for Children (MASC), and Children’s Depression Inventory (CDI). Baseline and post-treatment data afforded the opportunity to evaluate the measure’s sensitivity to treatment-related change. PDSS-C scores demonstrated acceptable internal consistency (α = 0.82) and adequate 1-day test-retest reliability (r = 0.79). Convergent and discriminant validity of the PDSS-C scores were supported through significant associations with the CASI and the MASC, and non-significant associations with the CDI, respectively. Linear regression analysis demonstrated sensitivity to treatment-related changes—i.e., greater PDSS-C change scores were significantly associated with assignment to CBT versus waitlist condition. Clinical utility was further established through significant associations between PDSS-C change scores and MASC and CASI change scores, and through non-significant associations with CDI change scores. Results support the use of PDSS-C scores as reliable, valid, and clinically useful for the assessment of youth panic disorder in research and clinical settings.
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发表时间: 2009-09
影响因子: 1.7
作者:
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发表时间: 1995-09-01
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影响因子: 2.9
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发表时间: 1998-04-01
影响因子: 3.4
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