Mellon Robert C, Moutavelis Adrianos G
Department of Psychology, Panteion University of Social and Political Sciences, 136 Syngrou Avenue, 17671 Athens, Greece.
J Anxiety Disord. 2007;21(1):1-21. doi: 10.1016/j.janxdis.2006.03.008. Epub 2006 May 2.
The generality of the DSM-IV diagnostic structure for children's anxiety disorders, as measured by the Spence Children's Anxiety Scale (SCAS) was investigated with a Greek-language version of the scale. An exploratory factor analysis produced a six-factor solution in general accord with the DSM-IV-based theoretical structure of responding. However, a generalized anxiety factor incorporated three unexpected items interpreted as representing excessive worry, including two items intended to measure obsessions, raising the question of children's ability to discriminate the intrusiveness of vexatious cognition. Anxiety scores were negatively correlated with school adjustment and performance, and decreased with age, with the exception of social phobia scores, which increased. Anxiety scores were substantially higher than those observed in most cultures, particularly on social phobia and compulsive behavior subscales. Hellenic children might regard compulsive behaviors as more socially acceptable than other anxiety disorder-related behaviors, whereas higher overall anxiety scores appear to be related to socio-economic circumstances.
使用斯彭斯儿童焦虑量表（SCAS）的希腊语版本，对《精神疾病诊断与统计手册第四版》（DSM-IV）中儿童焦虑症诊断结构的普遍性进行了调查。探索性因素分析得出了一个六因素解决方案，总体上符合基于DSM-IV的反应理论结构。然而，一个广泛性焦虑因素包含了三个被解释为代表过度担忧的意外项目，其中包括两个旨在测量强迫观念的项目，这就引发了儿童区分烦扰性认知侵扰性的能力问题。焦虑得分与学校适应和学业成绩呈负相关，且随年龄增长而下降，但社交恐惧症得分除外，该得分有所上升。焦虑得分显著高于大多数文化中观察到的得分，尤其是在社交恐惧症和强迫行为子量表上。希腊儿童可能认为强迫行为比其他与焦虑症相关的行为在社会上更可接受，而总体焦虑得分较高似乎与社会经济状况有关。
