Birmaher B, Khetarpal S, Brent D, Cully M, Balach L, Kaufman J, Neer S M
Child Psychiatry Department, Western Psychiatric Institute and Clinic, Pittsburgh, PA 15213, USA.
J Am Acad Child Adolesc Psychiatry. 1997 Apr;36(4):545-53. doi: 10.1097/00004583-199704000-00018.
To develop a reliable and valid child and parent self-report instrument to screen children with anxiety disorders.
An 85-item questionnaire was administered to 341 outpatient children and adolescents and 300 parents. Utilizing item analyses and factor analyses, the original scale was reduced to 38 items. A subsample of children (n = 88) and parents (n = 86) was retested an average of 5 weeks (4 days to 15 weeks after the initial screening.
The child and parent Screen for Child Anxiety Related Emotional Disorders (SCARED) both yielded five factors: somatic/panic, general anxiety, separation anxiety, social phobia For the total score and each of the five factors, both the child and parent SCARED demonstrated good internal consistency (alpha = .74 to .93), test-retest reliability (intraclass correlation coefficients = .70 to .90), discriminative validity (both between anxiety and other disorders and within anxiety disorders), and moderate parent-child agreement (r = .20 to .47, p < .001, all correlations).
The SCARED shows promise as a screening instrument for anxiety disorders. Future studies using the SCARED in community samples are indicated.
开发一种可靠且有效的儿童及家长自评工具，用于筛查患有焦虑症的儿童。
对341名门诊儿童和青少年以及300名家长进行了一项包含85个条目的问卷调查。通过项目分析和因素分析，将原始量表缩减至38个条目。对一个儿童子样本（n = 88）和家长子样本（n = 86）进行了重新测试，平均间隔5周（初次筛查后4天至15周）。
儿童及家长版儿童焦虑相关情绪障碍筛查量表（SCARED）均产生了五个因子：躯体/惊恐、广泛性焦虑、分离焦虑、社交恐惧症。对于总分及五个因子中的每一个，儿童及家长版SCARED均表现出良好的内部一致性（α = 0.74至0.93）、重测信度（组内相关系数 = 0.70至0.90）、区分效度（在焦虑症与其他障碍之间以及在焦虑症内部），以及中等程度的亲子一致性（r = 0.20至0.47，p < 0.001，所有相关性）。
SCARED有望成为一种焦虑症筛查工具。表明未来需在社区样本中使用SCARED进行研究。
