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The Validity of the Screen for Child Anxiety Related Emotional Disorders Revised (SCARED-R) Scale and Sub-Scales in Swedish Youth

Ivarsson, Tord ; Skarphedinsson, Gudmundur ; Andersson, Markus LU and Jarbin, Håkan LU (2018) In Child Psychiatry and Human Development 49(2). p.234-243
Abstract

We evaluated the clinical utility of the Swedish SCARED-R in child- and adolescent psychiatric outpatients (n = 239) and validated it against Longitudinal Expert All Data (LEAD) DSM IV diagnoses based on the Children’s Schedule for Affective Disorders and Schizophrenia (KSADS) and subsequent clinical work-up and treatment outcome. The SCARED-R total score and subscales had acceptable sensitivity/specificity for child and parent reports for cut-offs based on Receiver Operating Characteristics (ROC) curves, with mostly moderate area under the curve. Sensitivity ranged from 75% (parent rated social anxiety) to 79% [child rated Generalized Anxiety Disorder (GAD)]. Specificity, ranged from 60% for child-rated GAD to 88% for parent rated... (More)

We evaluated the clinical utility of the Swedish SCARED-R in child- and adolescent psychiatric outpatients (n = 239) and validated it against Longitudinal Expert All Data (LEAD) DSM IV diagnoses based on the Children’s Schedule for Affective Disorders and Schizophrenia (KSADS) and subsequent clinical work-up and treatment outcome. The SCARED-R total score and subscales had acceptable sensitivity/specificity for child and parent reports for cut-offs based on Receiver Operating Characteristics (ROC) curves, with mostly moderate area under the curve. Sensitivity ranged from 75% (parent rated social anxiety) to 79% [child rated Generalized Anxiety Disorder (GAD)]. Specificity, ranged from 60% for child-rated GAD to 88% for parent rated social anxiety. Parent-child agreement was moderate, and each informant provided unique information contributing to most diagnoses. In conclusion, the SCARED-R is useful for screening anxiety symptoms in clinical populations. However, it cannot replace interview based diagnoses, nor is it adequate to use just one informant.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Anxiety disorder, Concurrent validity, Discriminant validity, LEAD diagnosis, Parent rating scale, Self-rating scale
in
Child Psychiatry and Human Development
volume
49
issue
2
pages
234 - 243
publisher
Springer
external identifiers
  • pmid:28756556
  • scopus:85026487003
ISSN
0009-398X
DOI
10.1007/s10578-017-0746-8
language
English
LU publication?
yes
id
234788c4-8ce1-4717-8b03-561cd032372f
date added to LUP
2017-08-24 14:02:45
date last changed
2024-01-29 00:14:48
@article{234788c4-8ce1-4717-8b03-561cd032372f,
  abstract     = {{<p>We evaluated the clinical utility of the Swedish SCARED-R in child- and adolescent psychiatric outpatients (n = 239) and validated it against Longitudinal Expert All Data (LEAD) DSM IV diagnoses based on the Children’s Schedule for Affective Disorders and Schizophrenia (KSADS) and subsequent clinical work-up and treatment outcome. The SCARED-R total score and subscales had acceptable sensitivity/specificity for child and parent reports for cut-offs based on Receiver Operating Characteristics (ROC) curves, with mostly moderate area under the curve. Sensitivity ranged from 75% (parent rated social anxiety) to 79% [child rated Generalized Anxiety Disorder (GAD)]. Specificity, ranged from 60% for child-rated GAD to 88% for parent rated social anxiety. Parent-child agreement was moderate, and each informant provided unique information contributing to most diagnoses. In conclusion, the SCARED-R is useful for screening anxiety symptoms in clinical populations. However, it cannot replace interview based diagnoses, nor is it adequate to use just one informant.</p>}},
  author       = {{Ivarsson, Tord and Skarphedinsson, Gudmundur and Andersson, Markus and Jarbin, Håkan}},
  issn         = {{0009-398X}},
  keywords     = {{Anxiety disorder; Concurrent validity; Discriminant validity; LEAD diagnosis; Parent rating scale; Self-rating scale}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{234--243}},
  publisher    = {{Springer}},
  series       = {{Child Psychiatry and Human Development}},
  title        = {{The Validity of the Screen for Child Anxiety Related Emotional Disorders Revised (SCARED-R) Scale and Sub-Scales in Swedish Youth}},
  url          = {{http://dx.doi.org/10.1007/s10578-017-0746-8}},
  doi          = {{10.1007/s10578-017-0746-8}},
  volume       = {{49}},
  year         = {{2018}},
}