Alpert Medical School of Brown University/Bradley-Hasbro Children's Research Center, USA.
Department of Psychology, Georgia State University, USA.
J Anxiety Disord. 2015 Jan;29:14-24. doi: 10.1016/j.janxdis.2014.10.004. Epub 2014 Oct 31.
The present study developed parallel clinician- and parent-rated measures of family accommodation (Pediatric Accommodation Scale, PAS; Pediatric Accommodation Scale-Parent Report; PAS-PR) for youth with a primary anxiety disorder. Both measures assess frequency and impact of family accommodation on youth and families. Studying youth ages 5-17 (N=105 caregiver-youth dyads), results provide evidence for the psychometric properties of the PAS, including internal consistency, inter-rater reliability, and convergent and discriminant validity. The PAS-PR exhibited good internal consistency and convergent validity with the PAS. Nearly all parents (>95%) endorsed some accommodation and accommodation frequency was associated with parent-rated impairment (home and school), and with youth-rated impairment (school only). Greater impact of accommodation on parents was associated with parent self-reported depressive symptoms. Findings support the common occurrence of family accommodation in youth with anxiety disorders, as well as for the use of the PAS and PAS-PR to measure family accommodation in this population.
本研究为主要患有焦虑障碍的青少年开发了平行的临床医生和家长评定的家庭适应度量表（儿科适应度量表、PAS；儿科适应度量表-家长报告、PAS-PR）。这两个量表评估了家庭适应度对青少年和家庭的频率和影响。研究对象为 5-17 岁的青少年（N=105 个照顾者-青少年对子），结果提供了 PAS 的心理测量学特性的证据，包括内部一致性、评分者间信度以及聚合和区分效度。PAS-PR 与 PAS 表现出良好的内部一致性和聚合效度。几乎所有的父母（>95%）都表示有一些适应，适应频率与父母评定的损伤（家庭和学校）以及青少年评定的损伤（仅学校）有关。适应对父母的影响越大，父母自我报告的抑郁症状就越多。研究结果支持了焦虑障碍青少年家庭适应度的常见性，以及 PAS 和 PAS-PR 在该人群中测量家庭适应度的应用。
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