Using symptom and interference questionnaires to identify recovery among children with anxiety disorders.
Using symptom and interference questionnaires to identify recovery among children with anxiety disorders.
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DOI：
10.1037/pas0000375
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发表时间：
2017-07
影响因子：
3.6
通讯作者：
Creswell C
中科院分区：
文献类型：
--
作者：
Evans R;Thirlwall K;Cooper P;Creswell C
问卷调查在日常临床实践中被广泛用于评估儿童焦虑症的治疗效果。本研究旨在确定两份广泛使用的儿童和家长报告儿童焦虑症状和干扰问卷（Spence儿童焦虑量表[SCAS-C/P]和儿童焦虑影响量表[CAIS-C/P]）是否准确地识别了通过“金标准”诊断访谈测量的常见儿童焦虑障碍诊断的恢复情况。337名儿童（7-12岁，51%为女性）及其父母在治疗前（时间1）和治疗后（时间2）或等待名单完成了aids - iv - c /P诊断访谈和问卷测量（SCAS-C/P和CAIS-C/P）。第2次父母报告干扰（CAIS-P）被发现是没有任何诊断的良好预测因子（曲线下面积[AUC] = .81）。在具体诊断方面，Time 2 SCAS-C/P分离焦虑量表（SCAS-C/P- sa）和CAIS-P量表（AUC = 0.79）均能较好地识别分离焦虑障碍的康复情况（SCAS-C- sa, AUC = 0.80; SCAS-P-SA, AUC = 0.82）。CAIS-P还成功地识别了社交恐惧症（AUC = 0.78）和广泛性焦虑障碍（AUC = 0.76）的康复。这些AUC值得到了中等至良好的灵敏度（0.70 - 0.78）和特异性（0.70 - 0.73）的支持。没有一种方法能成功地从特定恐惧症中恢复过来。结果表明，问卷测量，特别是CAIS-P，可以用来确定儿童是否从常见的焦虑障碍中恢复，但特殊恐惧症除外。截止分数已经确定，可以指导临床实践中常规结果测量的使用。
Questionnaires are widely used in routine clinical practice to assess treatment outcomes for children with anxiety disorders. This study was conducted to determine whether 2 widely used child and parent report questionnaires of child anxiety symptoms and interference (Spence Child Anxiety Scale [SCAS-C/P] and Child Anxiety Impact Scale [CAIS-C/P]) accurately identify recovery from common child anxiety disorder diagnoses as measured by a ‘gold-standard’ diagnostic interview. Three hundred thirty-seven children (7–12 years, 51% female) and their parents completed the ADIS-IV-C/P diagnostic interview and questionnaire measures (SCAS-C/P and CAIS-C/P) before (Time 1) and after (Time 2) treatment or wait-list. Time 2 parent reported interference (CAIS-P) was found to be a good predictor of absence of any diagnoses (area under the curve [AUC] = .81). In terms of specific diagnoses, Time 2 SCAS-C/P separation anxiety subscale (SCAS-C/P-SA) identified recovery from separation anxiety disorder well (SCAS-C-SA, AUC = .80; SCAS-P-SA, AUC = .82) as did the CAIS-P (AUC = .79). The CAIS-P also successfully identified recovery from social phobia (AUC = .78) and generalized anxiety disorder (AUC = .76). These AUC values were supported by moderate to good sensitivity (.70–.78) and specificity (.70–.73) at the best identified cut-off scores. None of the measures successfully identified recovery from specific phobia. The results suggest that questionnaire measures, particularly the CAIS-P, can be used to identify whether children have recovered from common anxiety disorders, with the exception of specific phobias. Cut-off scores have been identified that can guide the use of routine outcome measures in clinical practice.