Giannopoulou Ioanna, Pasalari Evdokia, Bali Paraskevi, Grammatikaki Dimitra, Ferentinos Panagiotis
2nd Department of Psychiatry, National and Kapodistrian University of Athens, 393206Attikon University General Hospital, Athens, Greece.
Clin Child Psychol Psychiatry. 2022 Apr;27(2):424-438. doi: 10.1177/13591045211056502. Epub 2021 Nov 24.
The psychometric properties of the Revised Child Anxiety and Depression Scale (RCADS-47) are established cross-culturally but lacking for the Greek population. The present study examined RCADS internal consistency and validity (structural and concurrent) in Greek adolescents, and tested measurement invariance across sex and age groups. We recruited 619 secondary school students ( = 321 females), aged 12-18 years ( = 318, 12-14-year-olds). Besides RCADS, all students completed Strengths and Difficulties Questionnaire (SDQ), a subsample ( = 300) completed Screen for Child Anxiety-Related Emotional Disorders (SCARED), whereas a non-overlapping subsample ( = 219) completed Depression Self-Rating Scale (DSRS). Structural validity was examined with Confirmatory Factor Analysis and measurement invariance was assessed with Multiple Indicators Multiple Causes (MIMIC) modeling. Convergent and divergent validity were examined using Spearman correlations between RCADS subscales and DSRS, SCARED, and SDQ validators. The six-factor model fitted the data best, validating the originally proposed RCADS structure. Three items displayed differential item functioning for sex, another three for age group, and one item for both, albeit with trivial effect sizes ( < 0.2). Cronbach's alpha was .94. Convergent and divergent validity were also established. In conclusion, the RCADS is a valid and reliable instrument for assessing anxiety and depression symptoms in Greek adolescents.
修订版儿童焦虑抑郁量表(RCADS - 47)的心理测量特性已在跨文化研究中得到确立,但在希腊人群中尚缺乏相关研究。本研究考察了RCADS在希腊青少年中的内部一致性和有效性(结构效度和同时效度),并检验了性别和年龄组间的测量不变性。我们招募了619名12至18岁的中学生(女性321名),其中318名为12至14岁的学生。除了RCADS,所有学生都完成了长处与困难问卷(SDQ),一个子样本(300名)完成了儿童焦虑相关情绪障碍筛查量表(SCARED),而另一个不重叠的子样本(219名)完成了抑郁自评量表(DSRS)。通过验证性因素分析检验结构效度,并用多指标多原因(MIMIC)模型评估测量不变性。使用RCADS分量表与DSRS、SCARED和SDQ效标之间的斯皮尔曼相关性来检验聚合效度和区分效度。六因素模型对数据拟合最佳,验证了最初提出的RCADS结构。有三个项目在性别上显示出项目功能差异,另外三个在年龄组上显示出项目功能差异,还有一个项目在性别和年龄组上都显示出项目功能差异,尽管效应量很小(<0.2)。克朗巴哈系数为0.94。同时也确立了聚合效度和区分效度。总之,RCADS是评估希腊青少年焦虑和抑郁症状的有效且可靠的工具。