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临床样本中儿童焦虑测量的比较分析:PROMIS 儿童焦虑短式量表的评估。

Comparative analysis of pediatric anxiety measures in clinical sample: evaluation of the PROMIS pediatric anxiety short forms.

机构信息

Prtizker Department of Psychiatry and Behavioral Health, Ann & Robert H. Lurie Children's Hospital, Chicago, Ilinois, USA.

Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Ilinois, USA.

出版信息

Qual Life Res. 2023 Jun;32(6):1621-1630. doi: 10.1007/s11136-022-03333-6. Epub 2022 Dec 29.

DOI:10.1007/s11136-022-03333-6
PMID:36580192
Abstract

OBJECTIVE

Examine the psychometric properties, validity in relation to a legacy measure, and diagnostic accuracy of the PROMIS Anxiety Short Form 2.0 (PROMIS A-SF) Caregiver and Youth Reports in a clinical sample.

METHODS

Participants were 301 youth and caregivers referred to a behavioral health clinic by their pediatrician. Participants and their caregivers completed PROMIS A-SF (youth and caregiver proxy), SCARED (youth and caregiver proxy), and a semi-structured interview. Descriptive, correlational, test-retest reliability, and receiver operating characteristic (ROC) analyses were conducted for both measures.

RESULTS

PROMIS A-SF measures were highly correlated with SCARED total scores and the panic subscale. PROMIS A-SF measures had AUCs ranging from .49-.79 for the detection of any of three primary subtypes of anxiety: Generalized Anxiety, Separation Anxiety, and Social Anxiety.

IMPLICATIONS

Dimensional anxiety subtypes, such as Social Anxiety may not be well detected on the PROMIS youth measure. Use of the PROMIS A-SF as a part of Evidence Based Assessment process is discussed.

摘要

目的

在临床样本中,检验 PROMIS 焦虑短表 2.0(PROMIS A-SF)照顾者和青少年报告的心理计量学特性、与传统测量工具的相关性以及诊断准确性。

方法

参与者为 301 名青少年及其照顾者,他们由儿科医生转介至行为健康诊所。参与者及其照顾者完成了 PROMIS A-SF(青少年和照顾者代理)、SCARED(青少年和照顾者代理)和半结构化访谈。对两个测量工具进行描述性、相关性、重测信度和受试者工作特征(ROC)分析。

结果

PROMIS A-SF 测量与 SCARED 总分和惊恐障碍分量表高度相关。PROMIS A-SF 测量的 AUC 值范围为 0.49-0.79,用于检测三种主要焦虑亚型:广泛性焦虑、分离性焦虑和社交焦虑。

意义

社交焦虑等维度性焦虑亚型可能无法在 PROMIS 青少年测量中得到很好的检测。讨论了将 PROMIS A-SF 作为循证评估过程的一部分的使用。

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