Psykologisk Institut

The Utility of the SCAS-C/P to Detect Specific Anxiety Disorders Among Clinically Anxious Children

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  • Tessa Reardon, Univ Reading, University of Reading, Sch Psychol & Clin Language Sci
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  • Cathy Creswell, Univ Reading, University of Reading, Sch Psychol & Clin Language Sci
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  • Kathryn J. Lester, University of Sussex
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  • Kristian Arendt
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  • Judith Blatter-Meunier, Univ Basel, University of Basel, Dept Psychol
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  • Susan M. Bogels, University of Amsterdam
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  • Jonathan R. I. Coleman, Kings Coll London, University of London, Kings College London, Inst Psychiat Psychol & Neurosci, Genet & Dev Psychiat SGDP Ctr
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  • Peter J. Cooper, Univ Reading, University of Reading, Sch Psychol & Clin Language Sci
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  • Einar R. Heiervang, University of Oslo
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  • Chantal Herren, Univ Basel, University of Basel, Psychiat Clin, Dept Forens Psychiat
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  • Sanne M. Hogendoorn, Acad Med Ctr, University of Amsterdam, Academic Medical Center Amsterdam, Dept Child & Adolescent Psychiat De Bascule
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  • Jennifer L. Hudson, Macquarie Univ, Macquarie University, Ctr Emot Hlth, Dept Psychol
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  • Robert Keers, King’s College London
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  • Heidi J. Lyneham, Macquarie Univ, Macquarie University, Ctr Emot Hlth, Dept Psychol
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  • Carla E. Marin, Yale Univ, Yale University, Sch Med, Child Study Ctr
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  • Maaike Nauta, Univ Groningen, University of Groningen, Dept Clin Psychol & Expt Psychopathol
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  • Ronald M. Rapee, Macquarie Univ, Macquarie University, Ctr Emot Hlth, Dept Psychol
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  • Susanna Roberts, Kings Coll London, Kings College London, University of London, Dept Psychosis Studies, Inst Psychiat Psychol & Neurosci
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  • Silvia Schneider, Ruhr Univ Bochum, Ruhr University Bochum, MHRTC
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  • Wendy K. Silverman, Yale Univ, Yale University, Sch Med, Child Study Ctr
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  • Mikael Thastum
  • Kerstin Thirlwall, Univ Reading, University of Reading, Sch Psychol & Clin Language Sci
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  • Gro Janne Wergeland, Haukeland Hosp, University of Bergen, Haukeland University Hospital, Div Psychiat, Dept Child & Adolescent Psychiat
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  • Thalia C. Eley, Kings Coll London, University of London, Kings College London, Inst Psychiat Psychol & Neurosci, Genet & Dev Psychiat SGDP Ctr

Questionnaire measures offer a time and cost-effective alternative to full diagnostic assessments for identifying and differentiating between potential anxiety disorders and are commonly used in clinical practice. Little is known, however, about the capacity of questionnaire measures to detect specific anxiety disorders in clinically anxious preadolescent children. This study aimed to establish the ability of the Spence Children's Anxiety Scale (SCAS) subscales to identify children with specific anxiety disorders in a large clinic-referred sample (N = 1,438) of children aged 7 to 12 years. We examined the capacity of the Separation Anxiety, Social Phobia, Generalized Anxiety, and Physical Injury Fears (phobias) subscales to discriminate between children with and without the target disorder. We also identified optimal cutoff scores on subscales for accurate identification of children with the corresponding disorder, and examined the contribution of child, mother, and father reports. The Separation Anxiety subscale was able to accurately identify children with separation anxiety disorder, and this was replicated across all 3 reporters. Mother- and father-reported Social Phobia subscales also accurately identified children with social anxiety disorder, although child report was only able to accurately detect social anxiety disorder in girls. Using 2 or more reporters improved the sensitivity of the Separation Anxiety and Social Phobia subscales but reduced specificity. The Generalized Anxiety and Physical Injury Fears subscales failed to accurately identify children with the corresponding disorders. These findings have implications for the potential use of mother-, father-, and child-report SCAS subscales to detect specific disorders in preadolescent children in clinical settings.

OriginalsprogEngelsk
TidsskriftPsychological Assessment
Vol/bind31
Nummer8
Sider (fra-til)1006-1018
Antal sider13
ISSN1040-3590
DOI
StatusUdgivet - aug. 2019

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