Research Centre of Psychosocial Development in Context, University of Utrecht, P.O. Box 80.140, Utrecht 3508 TC, The Netherlands.
Behav Res Ther. 2009 May;47(5):418-25. doi: 10.1016/j.brat.2009.01.015. Epub 2009 Jan 30.
This study investigated the diagnostic utility of the 71-item Screen for Child Anxiety Related Emotional Disorders (SCARED-71), as a screening tool for identifying anxiety disorders in youth aged 8-18 years.
The SCARED-71 and the Anxiety Disorder Interview Schedule (ADIS) were administered to clinically referred anxious children (n=138) and control children (n=38) as well as their parents.
Results showed that the SCARED-71 differentiated clinically anxious from control children on the total score and on all subscales. Girls generally reported higher levels of anxiety symptoms and there were also significant age effects for various anxiety subscales. Further, reliable cut-off scores were established for the child and parent version of the SCARED-71. The parent version displayed better sensitivity and specificity, and therefore seems to be a more optimal screen for anxiety problems in children and adolescents. Finally, evidence for the predictive validity across anxiety disorders was found.
The SCARED-71 can be used as a screening tool to detect clinically significant anxiety problems in children and adolescents and discriminates reasonably well among specific anxiety disorders.
本研究旨在探讨 71 项儿童焦虑相关情绪障碍筛查表（SCARED-71）作为一种筛查工具，用于识别 8-18 岁青少年焦虑障碍的诊断效用。
对临床转诊的焦虑儿童（n=138）和对照组儿童（n=38）及其父母进行了 SCARED-71 和焦虑障碍访谈量表（ADIS）的测试。
结果表明，SCARED-71 总分和所有分量表均能区分临床焦虑儿童和对照组儿童。女孩通常报告更高水平的焦虑症状，各种焦虑分量表也存在显著的年龄效应。此外，还为 SCARED-71 的儿童和父母版本建立了可靠的截断分数。父母版本显示出更好的敏感性和特异性，因此似乎是儿童和青少年焦虑问题的更优筛查工具。最后，还发现了跨焦虑障碍的预测效度的证据。
SCARED-71 可用于筛查工具，以检测儿童和青少年中具有临床意义的焦虑问题，并能很好地区分特定的焦虑障碍。
