Galán-Luque Teresa, Serrano-Ortiz Marina, Orgilés Mireia
AITANA Research Group, Department of Health Psychology, Miguel Hernández University of Elche, Altamira Building. Ave. de la Universidad, 03202, Elche, Spain.
Child Psychiatry Hum Dev. 2025 Apr;56(2):492-506. doi: 10.1007/s10578-023-01566-1. Epub 2023 Jul 25.
The Spence Children's Anxiety Scale (SCAS) is one of the most used instruments to assess anxiety symptoms in children and adolescents. Extensive research has been conducted to examine its psychometric properties and to develop other versions of the scale. The objective of this study was to examine the psychometric properties and factorial structure of the SCAS across different versions and populations. This systematic review followed PRISMA guidelines and was registered. APA PsycINFO, Web of Science (Core Collection) and MEDLINE (PubMed) were searched. Fifty-two studies were included in this systematic review. They examined the factor structure, convergent and divergent validity, and internal consistency of the scale. The most supported model was the original six-factor model, followed by the higher order six-factor model for the long version of the SCAS. Studies provided evidence of convergent validity and internal consistency. It is concluded that the SCAS is a valid and reliable instrument for assessing anxiety symptoms in children and adolescents, with a six-factor model structure well supported in most populations. Further research on the psychometric properties and factor structure of other versions of the scale and its application to clinical populations is warranted.
斯彭斯儿童焦虑量表（SCAS）是评估儿童和青少年焦虑症状时最常用的工具之一。人们已开展了大量研究来检验其心理测量特性，并开发该量表的其他版本。本研究的目的是检验不同版本和人群中SCAS的心理测量特性和因子结构。本系统评价遵循PRISMA指南并已注册。检索了美国心理学会心理学文摘数据库（APA PsycINFO）、科学网（核心合集）和医学期刊数据库（MEDLINE，即PubMed）。本系统评价纳入了52项研究。这些研究检验了该量表的因子结构、聚合效度和区分效度以及内部一致性。得到最多支持的模型是最初的六因子模型，其次是SCAS长版的高阶六因子模型。研究提供了聚合效度和内部一致性的证据。得出的结论是，SCAS是评估儿童和青少年焦虑症状的有效且可靠的工具，六因子模型结构在大多数人群中得到了有力支持。有必要对该量表其他版本的心理测量特性和因子结构及其在临床人群中的应用开展进一步研究。
