Angulo Melina, Rooks Brian T, Gill MaryKay, Goldstein Tina, Sakolsky Dara, Goldstein Benjamin, Monk Kelly, Hickey Mary Beth, Diler Rasim S, Hafeman Danella, Merranko John, Axelson David, Birmaher Boris
Instituto Nacional de Psiquiatría Ramón de la Fuente, Ciudad de México, México.
University of Pittsburgh, Pittsburgh, PA, USA.
Psychiatry Res. 2017 Jul;253:84-90. doi: 10.1016/j.psychres.2017.02.034. Epub 2017 Feb 17.
To examine the psychometrics of the Screen for Adult Anxiety Related Disorders (SCAARED).
The SCAARED was adapted from the Screen for Child Anxiety Related Emotional Disorders. Participants (N=336) ages 18-27 years old were evaluated using the Structured Clinical Interview for DSM-IV Disorders (SCID). The SCAARED was completed at or within two-weeks before the SCID. The psychometrics of the SCAARED were analyzed using standard statistical analyses including principal components, and Receiver Operant Curve analyses. A replication was performed in an age/sex matched independent sample (N=158).
The SCAARED showed four factors: somatic/panic/agoraphobia, generalized anxiety, separation anxiety, and social anxiety. The total and each factor scores demonstrated good internal consistency (α=0.86-0.97) and good discriminant validity between anxiety and other disorders and within anxiety disorders for generalized and social anxiety. Area Under the Curve for the total and each of the factor scores ranged between 0.72 and 0.84 (p<0.0001). These results were replicated in the independent sample.
The SCAARED showed excellent psychometric properties supporting its use to screen adults for anxiety disorders, longitudinal studies following youth into adulthood and studies comparing child and adult populations. Further replication studies in larger community and clinical samples are indicated.
检验成人焦虑相关障碍筛查量表(SCAARED)的心理测量学特性。
SCAARED改编自儿童焦虑相关情绪障碍筛查量表。对年龄在18至27岁之间的336名参与者使用《精神疾病诊断与统计手册》第四版障碍的结构化临床访谈(SCID)进行评估。SCAARED在SCID之前或两周内完成。使用包括主成分分析和接受者操作特征曲线分析在内的标准统计分析方法对SCAARED的心理测量学特性进行分析。在一个年龄/性别匹配的独立样本(N = 158)中进行了重复研究。
SCAARED显示出四个因子:躯体/惊恐/广场恐惧症、广泛性焦虑、分离焦虑和社交焦虑。总分及各因子得分显示出良好的内部一致性(α = 0.86 - 0.97),并且在焦虑症与其他障碍之间以及广泛性焦虑和社交焦虑的焦虑症内部具有良好的区分效度。总分及各因子得分的曲线下面积在0.72至0.84之间(p < 0.0001)。这些结果在独立样本中得到了重复验证。
SCAARED显示出优异的心理测量学特性,支持其用于筛查成人焦虑症、跟踪青少年到成年期的纵向研究以及比较儿童和成人人群的研究。表明需要在更大的社区和临床样本中进行进一步的重复研究。