Lohr W David, Daniels Katherine, Wiemken Tim, Williams P Gail, Kelley Robert R, Kuravackel Grace, Sears Lonnie
Department of Pediatrics, University of Louisville School of Medicine, Louisville, KY, United States.
School of Psychology, Spalding University, Louisville, KY, United States.
Front Psychiatry. 2017 Aug 2;8:138. doi: 10.3389/fpsyt.2017.00138. eCollection 2017.
Validated brief screening instruments are needed to improve the detection of anxiety disorders in autism spectrum disorder (ASD). The Screen for Child Anxiety-Related Emotional Disorders (SCARED), a 41-item parent- and self-reported scale measuring anxiety, was compared to the Achenbach System of Empirically Based Assessment (ASEBA) scales. One hundred participants with a clinical diagnosis of high-functioning ASD, aged 8-18 years, and their parents completed the above scales. We hypothesized that the SCARED would be useful in screening for anxiety and its results for total scores of anxiety would converge with ASEBA syndrome scales for anxiety and internalizing disorders. Significant correlations were shown between the SCARED and the Child Behavior Checklist (CBCL) and Youth Self-Report (YSR) across a broad spectrum of scales. The CBCL syndrome scale for anxious/depressed showed the highest correlation and predicted anxiety scores on the SCARED. While many of the YSR scales significantly correlated with child ratings of anxiety, none of the scales predicted the SCARED child scores. Differences in self and parent reports suggest that parents interpret externalizing behaviors as signs of anxiety in ASD, whereas youth may describe internalized symptoms as anxiety. Females were more likely to self-report anxiety than males. Results support the use of the SCARED as a screening tool for anxiety in high-functioning ASD, but it should be supplemented with other tools to increase the specificity of its results.
需要有效的简短筛查工具来改善对自闭症谱系障碍（ASD）中焦虑症的检测。儿童焦虑相关情绪障碍筛查量表（SCARED）是一个由41个项目组成的家长和自我报告量表，用于测量焦虑，该量表与阿肯巴克实证评估系统（ASEBA）量表进行了比较。100名临床诊断为高功能ASD的参与者，年龄在8至18岁之间，及其父母完成了上述量表。我们假设SCARED在筛查焦虑方面会有用，并且其焦虑总分的结果将与ASEBA焦虑和内化障碍综合征量表趋同。在广泛的量表中，SCARED与儿童行为检查表（CBCL）和青少年自我报告（YSR）之间显示出显著相关性。CBCL焦虑/抑郁综合征量表显示出最高的相关性，并预测了SCARED上的焦虑得分。虽然许多YSR量表与儿童焦虑评分显著相关，但没有一个量表能预测SCARED儿童得分。自我报告和家长报告的差异表明，家长将外化行为解释为ASD中焦虑的迹象，而青少年可能将内化症状描述为焦虑。女性比男性更有可能自我报告焦虑。结果支持将SCARED用作高功能ASD中焦虑的筛查工具，但应辅以其他工具以提高其结果的特异性。
