Department of Psychology, Stony Brook University, Stony Brook, NY, USA.
Department of Psychiatry, University of Connecticut Health Center, Farmington, CT, USA.
Res Child Adolesc Psychopathol. 2022 Nov;50(11):1445-1455. doi: 10.1007/s10802-022-00941-1. Epub 2022 Jun 2.
The current study examined changes in the agreement, stability, and concurrent and predictive validity of parent- and self-reports on a frequently used measure of youth anxiety symptoms, the Screen for Child Anxiety Related Emotional Disorders (SCARED), from age 9 to 15. A community sample of 531 families (youth, mothers, and fathers) completed the SCARED and a semi-structured diagnostic interview when children were ages 9, 12, and 15. Agreement between youth and each parent on youth anxiety symptoms was weak at age 9 (r = 0.12-0.17), but moderate at age 12 (r = 0.31-0.36) and 15 (r = 0.31-0.46); mother-father (r = 0.50-0.53) agreement was greater than youth-parent agreement at every wave. Stability of youth-reported symptoms was low between age 9 and 12 (r = 0.25), but much higher from age 12 to 15 (r = 0.57); mother- and father-reported youth anxiety symptoms demonstrated high stability (r = 0.53-0.74) at both intervals. Self- and parent-reported youth symptoms were both significantly associated with youth anxiety disorder status, cross-sectionally and prospectively. When considered simultaneously at age 9, only parent-reported anxiety symptoms uniquely predicted concurrent and subsequent youth anxiety diagnoses. However, by age 12, parent- and youth-reported anxiety symptoms were each independently associated with concurrent and subsequent anxiety diagnoses. Agreement, stability, and concurrent and predictive validity of youth self-reported anxiety symptoms are poorer than parent-reports in middle childhood, but comparable by middle adolescence. However, all reporters provide unique information about youth anxiety at each of the developmental periods examined.
本研究考察了在常用青少年焦虑症状评估工具，即儿童焦虑相关情绪障碍筛查表（SCARED）上，父母报告和自我报告在 9 至 15 岁间的一致性、稳定性以及同时和预测效度的变化。一个社区样本包括 531 个家庭（青少年、母亲和父亲），当孩子分别为 9、12 和 15 岁时，他们完成了 SCARED 和半结构化诊断访谈。青少年和每位家长在 9 岁时对青少年焦虑症状的一致性较弱（r = 0.12-0.17），但在 12 岁（r = 0.31-0.36）和 15 岁（r = 0.31-0.46）时则较强；母亲-父亲（r = 0.50-0.53）的一致性大于每个时间点青少年-家长的一致性。9 至 12 岁间（r = 0.25），青少年自我报告的症状稳定性较低，但从 12 岁到 15 岁间（r = 0.57）则显著升高；母亲和父亲报告的青少年焦虑症状在两个时间间隔都具有高度稳定性（r = 0.53-0.74）。自我报告和家长报告的青少年症状都与青少年焦虑障碍状况显著相关，无论是横断还是前瞻性。在 9 岁时同时考虑，只有家长报告的焦虑症状可以独立预测同期和后续的青少年焦虑诊断。然而，到 12 岁时，家长和青少年报告的焦虑症状都与同期和后续的焦虑诊断独立相关。在儿童中期，青少年自我报告的焦虑症状的一致性、稳定性以及同时和预测效度均不如家长报告，但到青少年中期则相当。然而，在研究考察的每个发展阶段，所有报告者都提供了有关青少年焦虑的独特信息。
