Emotion and Development Branch, The National Institute of Mental Health, Bethesda, MD, 20892, USA.
Division of Child and Adolescent Psychiatry, New York State Psychiatric Institute, New York, NY, 10032, USA.
Child Psychiatry Hum Dev. 2019 Jun;50(3):473-482. doi: 10.1007/s10578-018-0854-0.
The Screen for Child Anxiety Related Emotional Disorders (SCARED) is a measure widely used to assess childhood anxiety based on parent and child report. However, while the SCARED is a reliable, valid, and sensitive measure to screen for pediatric anxiety disorders, informant discrepancy can pose clinical and research challenges. The present study assesses informant discrepancy, measurement invariance, test-retest reliability, and external validity of the SCARED in 1092 anxious and healthy parent-child dyads. Our findings indicate that discrepancy does not vary systematically by the various clinical, demographic, and familial variables examined. There was support for strict measurement invariance, strong test-retest reliability, and adequate external validity with a clinician-rated measure of anxiety. These findings further support the utility of the SCARED in clinical and research settings, but low parent-child agreement highlights the need for further investigation of factors contributing to SCARED informant discrepancy.
儿童焦虑相关情绪障碍筛查表(SCARED)是一种广泛用于根据父母和孩子的报告评估儿童焦虑的测量工具。然而,虽然 SCARED 是一种可靠、有效且敏感的筛查儿童焦虑障碍的工具,但信息提供者的差异可能会带来临床和研究方面的挑战。本研究评估了 1092 对焦虑和健康的父母-子女对在信息提供者差异、测量不变性、重测信度和外部效度方面的表现。我们的研究结果表明,差异不会系统地随各种临床、人口统计学和家庭变量而变化。有证据支持严格的测量不变性、较强的重测信度以及与临床医生评定的焦虑测量工具的充分外部效度。这些发现进一步支持了 SCARED 在临床和研究环境中的实用性,但父母与子女之间的低一致性突出表明需要进一步研究导致 SCARED 信息提供者差异的因素。