Yale Child Study Center, Yale School of Medicine, New Haven, CT, USA.
Assessment. 2024 Jan;31(1):94-109. doi: 10.1177/10731911231194972. Epub 2023 Oct 15.
Anxiety disorders (ADs) frequently lead to significant impairment across important domains of youth functioning. Yet until recently, clinical research and assessment have largely neglected the measurement of anxiety-related impairment. In this article, we review the evidence for five extant rating scales of youth anxiety-related impairment, guided by widely used evaluative criteria. Emerging psychometric data show the potential utility of these rating scales for achieving different assessment functions. Of the five scales, the Child Anxiety Impact Scale, particularly the parent-report version, has been the most researched one. Promising psychometric data support its use for assessing anxiety-related impairment in school, social, and family/home domains of functioning. We conclude with recommendations for growing this research base and for incorporating these rating scales into the youth AD clinical and research assessment process.
焦虑障碍（AD）经常导致青少年在重要功能领域出现显著损伤。然而，直到最近，临床研究和评估在很大程度上忽视了与焦虑相关的损伤的测量。在本文中，我们根据广泛使用的评估标准，回顾了现有的五种青少年与焦虑相关的损伤评定量表的证据。新兴的心理测量学数据表明，这些评定量表在实现不同评估功能方面具有潜在的效用。在这五种量表中，儿童焦虑影响量表，特别是家长报告版本，是研究最多的一种。有希望的心理测量学数据支持其用于评估与焦虑相关的在学校、社会和家庭/家庭功能领域的损伤。最后，我们提出了扩大这一研究基础的建议，并将这些评定量表纳入青少年 AD 临床和研究评估过程。
