Ahlen Johan, Vigerland Sarah, Ghaderi Ata
1Department of Psychology, Uppsala University, Box 1225, 751 42 Uppsala, Sweden.
2Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
J Psychopathol Behav Assess. 2018;40(2):288-304. doi: 10.1007/s10862-017-9637-3. Epub 2017 Nov 21.
The literature provides several examples of anxiety symptoms questionnaires for children. However, these questionnaires generally contain many items, and might not be ideal for screening in large populations, or repeated testing in clinical settings. The Spence Children's Anxiety Scale (SCAS) is an extensively used and evaluated 44-item questionnaire developed to assess anxiety symptoms in children, and provides a sound base for the development of an abbreviated anxiety symptoms questionnaire. Although methodological standards have been presented in how to develop abbreviated questionnaires, previous studies have often suffered from several limitations regarding validating procedures. Guided by these methodological standards, the current study aimed at developing an abbreviated version of the SCAS, while retaining the content, convergent, and divergent validity of the original scale. A school-based sample ( = 750) was used to reduce the number of items, and an independent school-based sample ( = 371) together with a clinical sample ( = 93), were used to validate the abbreviated scale. The abbreviated version of the SCAS contained 19 items, it showed a clear factor structure as evaluated in the independent sample, and it performed as good as the original questionnaire regarding classification accuracy, convergent, and divergent validity. In our view, the abbreviated version is a very good alternative to the original scale especially for younger children, in initial screening, or in order to reduce response burden.
文献中提供了多个针对儿童的焦虑症状问卷示例。然而,这些问卷通常包含许多项目,可能并不适合在大规模人群中进行筛查,或在临床环境中进行重复测试。斯宾斯儿童焦虑量表(SCAS)是一个广泛使用和评估的包含44个项目的问卷,旨在评估儿童的焦虑症状,为编制一份简化的焦虑症状问卷提供了良好基础。尽管已经提出了编制简化问卷的方法标准,但以往的研究在验证程序方面往往存在若干局限性。在这些方法标准的指导下,本研究旨在编制SCAS的简化版本,同时保留原量表的内容效度、聚合效度和区分效度。一个基于学校的样本(n = 750)用于减少项目数量,一个独立的基于学校的样本(n = 371)以及一个临床样本(n = 93)用于验证简化后的量表。SCAS的简化版本包含19个项目,在独立样本中评估显示出清晰的因子结构,在分类准确性、聚合效度和区分效度方面与原问卷表现相当。我们认为,简化版本是原量表的一个非常好的替代方案,尤其适用于年幼儿童、初始筛查或为了减轻应答负担的情况。