Brief measures to screen for social phobia in primary care pediatrics

Brief measures to screen for social phobia in primary care pediatrics
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DOI:
10.1093/jpepsy/jsj044
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发表时间:
2006-06-01
影响因子:
3.6
通讯作者:
Stein, Murray B.
Stein, Murray B.
中科院分区:
心理学3区
文献类型:
--
作者:
Bailey, Kelly A.;Chavira, Denise A.;Stein, Murray B.

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目的评估筛查措施在初级保健机构中检测青少年社交恐怖症的有效性。方法从儿科初级保健机构招募的家庭通过邮件完成社交焦虑量表(SAS),社交焦虑问卷(SWQ)和儿童相关焦虑障碍筛查(SCARED)的社交恐惧子量表。从190个家长访谈中获得诊断。受试者工作特征(ROC)分析用于确定筛选工具的措施的效用。结果大多数的家长报告措施,包括单一的项目(“我的孩子是害羞的”)从SCARED,至少是中等准确的筛选器,并执行最好的广义亚型的社交恐惧症。结论使用有效、简便的筛查工具可以显著提高在初级保健儿科环境中检测青少年社交恐惧症的可行性。
Objective To evaluate the usefulness of screening measures to detect social phobia among youth in a primary care setting. Methods Families recruited from a pediatric primary care setting completed by mail the Social Anxiety Scale (SAS), the Social Worries Questionnaire (SWQ), and the social phobia subscale of the Screen for Child Related Anxiety Disorders (SCARED). Diagnoses were obtained from 190 parent interviews. Receiver operating characteristic (ROC) analyses were used to determine the utility of the measures as screening instruments. Results Most of the parent report measures, including the single item ("My child is shy") from the SCARED, were at least moderately accurate screeners and performed best for the generalized subtype of social phobia. uConclusion The use of valid, brief screening instruments can significantly improve the feasibility of detecting social phobia among youth in primary care pediatric settings.