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适应希恩残疾量表评估与儿童焦虑障碍相关的儿童和家长损伤。

Adapting the Sheehan disability scale to assess child and parent impairment related to childhood anxiety disorders.

机构信息

Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN 55905, USA.

出版信息

J Clin Child Adolesc Psychol. 2009 Sep;38(5):721-30. doi: 10.1080/15374410903103551.

DOI:10.1080/15374410903103551
PMID:20183656
Abstract

This study describes a child adaptation of the Sheehan Disability Scale, a measure of impairment among anxious adults. Parallel child and parent report forms were created to assess the degree to which anxiety interferes with child and parent social, educational/occupational, and family functioning. Data from 267 anxious children (140 boys ages 5-19) and their parents collected during a diagnostic assessment were compared to data from 85 children (47 boys ages 9-18) from the community collected by mail. The validity of the Child Sheehan Disability Scale (CSDS) report forms were supported by correlations with interview and self-report measures of related constructs, as well as differences between children with and without anxiety disorders. The sensitivity of the CSDS to treatment effects was demonstrated in a subset of the clinical sample. Logistical regression suggested that the CSDS contributes unique variance beyond symptom severity for identifying children who present for treatment.

摘要

本研究描述了一种针对焦虑成年人群体损伤的 Sheehan 残疾量表的儿童适应性评估。同时创建了儿童和家长的平行报告表,以评估焦虑症对儿童和家长的社交、教育/职业和家庭功能的干扰程度。在诊断评估期间,从 267 名焦虑儿童(140 名男孩,年龄为 5-19 岁)及其父母那里收集的数据,与通过邮件从社区收集的 85 名儿童(47 名男孩,年龄为 9-18 岁)的数据进行了比较。CSDS 报告表的有效性通过与相关结构的访谈和自我报告测量以及焦虑症儿童与非焦虑症儿童之间的差异进行了支持。CSDS 在临床样本的一个亚集中显示了对治疗效果的敏感性。逻辑回归表明,CSDS 在识别接受治疗的儿童方面,除了症状严重程度之外,还能提供独特的差异。

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